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Position *
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First Name *
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Last Name *
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Middle
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Address *
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Phone *
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Email *
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Were you ever employed by us? *
Yes No |
If yes, when
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How did you find out about us?
Newspaper Ad Russell Web site Friend Other Web site Professional Association Russell Employee Other |
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EducationHigh School Name
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High School Address
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High School Years Completed
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High School Degree Major
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College/University Name
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College/University Address
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College/University Years Completed
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College/University Degree & Major
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Graduate School Name
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Graduate School Address
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Graduate School Years Completed
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Graduate School Degree & Major
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Business/Trade School Name
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Business/Trade School Address
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Business/Trade School Years Completed
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Business/Trade School Degree & Major
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MiscellaneousHave you ever been convicted of a crime? *
Yes No |
f Yes, please provide nature of the offense, date, state and disposition:
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Are you legally eligible to be employed in the United States?(Proof of identity and eligibility will be required upon employment) *
Yes No |
Are you a veteran of the U.S. Armed Forces? *
Yes No |
Dates of military service
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Branch
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BackgroundSkills / AbilitiesPlease list skills, specialized training, apprenticeships, or abilities relevant to the job for which you are applying:
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Equipment / Computer SoftwarePlease list equipment and computer software you can operate:
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ReferencesPlease list two references other than relatives or previous employers.Name
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Position
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Company
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Address
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Phone
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Name
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Position
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Company
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Address
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Phone
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Work ExperienceName of Employer/Company
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Address
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Phone
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Supervisor Name
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Your Job Title
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Dates of EmploymentFrom
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To
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Reason for Leaving
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Ending Salary
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Name of Employer/Company
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Address
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Phone
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Supervisor Name
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Your Job Title
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Dates of EmploymentFrom
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To
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Reason for Leaving
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Ending Salary
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Name of Employer / Company
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Address
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Phone
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Supervisor Name
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Job Title
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Dates of EmploymentFrom
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To
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Reason for Leaving
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Ending Salary
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ResumeAttach a Word Document *
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I certify that the statements made by me on this application are true and complete to the best of my knowledge and are made in good faith. I understand that if I knowingly make any misstatement of fact, I am subject to disqualification and dismissal and to such other penalties as may be prescribed by law or company policies. I further understand that an incomplete application or an absence of my typed name below on this application is just cause for rejection of this application. All statements made on this application, including employment information, are subject to verification as a condition of employment. Type Full Name *
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Date *
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My transmission of this application containing my "electronic signature" typed above shall be as effective, enforceable and valid as if a paper version of this application were delivered containing my original written signature. Kimberly Car City provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws.Kimberly Car City complies with applicable state and local laws governing non-discrimination in employment in every location in which the companies has facilities. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
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