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Employment Application

Please note that ANY information provided herein that is not 100% accurate will be grounds for immediate dismissal.

Work Preference
Salary or pay you expect:	Kind of work desired:
Describe your prior experience in the kind of work you want:
Describe any formal schooling/training for this work:
List any licenses or certificates you may have:
List any special skills you may have (typing, machine operation, etc.):

Availability for Work

Type of Work:
Part Time
Full Time

Will you work overtime on occasion if necessary?:
Yes
No

Do you plan to work elsewhere or attend school and work here too?:
Yes
No

Do you have any continuing obligations which might affect your work schedule?:
Yes
No

Days of the week available (check all that apply):

Monday	Tuesday	Wednesday	Thursday
Friday	Saturday	Sunday	Holidays

General Questions
Are you presently employed?: Yes No	Are you able to meet the attendance & work period time schedules required for the position you are seeking?: Yes No
Do you have to give advance notice to your present employer?: Yes No	Have you ever worked for or applied for work at this company before?: Yes No
If required, are you willing to take a physical at the expense of Redman if an offer of employment is made?: Yes No	Have you ever been discharged for cause?: Yes No
Are you willing to take a drug test at company expense?: Yes No	Have you ever been refused a surety bond or ever had one cancelled?: Yes No
Do you have any condition that would make you unable to perform all of the physical or mental requirements of the position you are seeking?: Yes No	Have you ever been convicted of a felony? (A criminal record does not necessarily bar employment): Yes No
Are you a minor (under 18 years of age)?: Yes No	If employed, can you provide proof of U.S. citizenship? Or if an alien, proof of identity AND authorization to work in the United States?: Yes No

Other (Graduate, Trade School, Correspondence School, Etc.)
Name:	Location:
Length of course:	Subject:
Scholarship Average:	Was course completed?: Yes No
	When?:

Employment History and U.S. Military Service Record
(Give a complete account of your full time employment. Begin on the first line with your present or most recent position and work backwards.)
Employer:	Employed From:
Address:	Employed To:
Telephone Number:	Starting Pay:
Supervisor:	Leaving Pay:
Main duties:
What did you like about this job?:
What did you dislike about this job?:
Why did you leave?:
Do you authorize us to contact this employer for a reference?: Yes No

Older Position
Employer:	Employed From:
Address:	Employed To:
Telephone Number:	Starting Pay:
Supervisor:	Leaving Pay:
Main duties:
What did you like about this job?:
What did you dislike about this job?:
Why did you leave?:
Do you authorize us to contact this employer for a reference?: Yes No

Other Positions and Periods of Employment
Employer:	Employed From:
Pay:	Employed To:
Main duties:
Why did you leave?:

By submitting, I attest to the complete veracity of the information provided herein.