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EMPLOYMENT APPLICATION

Please complete all parts of the form.  Incomplete applications will not be processed.  Resumes are not accepted in lieu of completion of this application.

ABOUT YOU
*Name:
*Address:
*City
*State:
*Zip:
*Primary Phone #:
Other # where you can be reached:
Have you previously worked for Moorings Park?
Yes
No
If Yes, Dates:
Do you have relatives presently working for this Company?
Yes
No
If Yes, Name:
Are you 18 years of age or over?
Yes
No
If not, employment is subject to verification that you are legal minimum age and can furnish any required work permit.

EMERGENCY NOTIFICATION
Name:
Address:
City/State/Zip:
Primary Phone #:
Other Phone #:

JOB INTEREST
Position(s) Desired:
Full Time
Part Time
PRN
Hours per week desired:
Salary Requirements:
Date You Will Be Available To Begin Work
How did you learn of this opening?

EDUCATION AND TRAINING
High School Name:
City/State:
Select The Highest Grade Completed:
1
2
3
4
5
6
7
8
9
10
11
12
Did you graduate?
Yes
No
Receive G.E.D.
Yes
No
College University or Other School Name:
City/State:
Date of Attendance From-To:
Field of Study:
Type of Degree Obtained:
Date Obtained:
Other Education or Training:
If the job requires, do you have the appropriate valid drivers license?
Yes
No
DL#:
Type:
State of Issue:
Have you had any moving violations? Please describe:
* 4 + 3 = please answer this math equation