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Stroker Dallas Online Employement Application
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E Mail Notification
Email Address
Personal Information
First Name
Middle Name
Last Name
SR / JR / III
Social Security Number
Present Address
Present City
Present State
Present Zip
Present Phone Number
Permanent Address
Permanenet City
Permanent State
Permanent Zip
Permanent Home Phone
Employement Desired
Position
Date You Can Start
Salary Desired
Are You Employeed
Yes
No
May we contact your present employer
Yes
No
Have you every applied to this company
Yes
No
Where
When
Education
High School Name & Location
Years Attended
Did You Graduate
Subjects Studied
College Name & Location
Years Attended
Did You Graduate
Subjects Studied
Trade School Name & Location
Years Attended
Did You Graduate
Subjects Studied
General Information
Subjects of Special Study/Research Work or Special Training/Skills
Qualifications
US Military or Navel Service
Rank
Former Employer(List Below Last Employers, Starting With Last First)
Date Employeed
Name & Address of Employer
Salary
Position
Reason for Leaving
Date Employeed
Name & Address of Employer
Salary
Position
Reason for Leaving
Date Employeed
Name & Address of Employer
Salary
Position
Reason for Leaving
Date Employeed
Name & Address of Employer
Salary
Position
Reason for Leaving
References (Give The Names OF Three Persons Not
Related To You, Whom Have Known a Yeart)
Name
Address
Business
Years Known
Name
Address
Business
Years Known
Name
Address
Business
Years Known
Authorization
I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.
I authorize investigation of all statements contained herin and the references and employers listed above to give you any and all information concerning my previous employement and pertinent information they nay have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.
I also understand and agree that no representative of the company has any authority to enter into any agreement for employemnt for any specified period of time, or to make any agreemement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.
The waiver does not permit the relsease or use of disablilty-related or medical information in a manner prohibited by the Americans with Disabilites ACt(ADA) and other relevant federal and state laws.
I certify and aknowledge the transmission of the electronic doument.