Circus Smirkus Employment Application Form
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1CIRCUS SMIRKUS EMPLOYMENT APPLICATION
Mail to: Circus Smirkus, ATT: HR-W, 1 Circus Rd, Greensboro, VT 05841
Feel free to attach a cover letter, resume or written references to this application
PERSONAL INFORMATION
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Tour
Camp
Position you are applying for
Your Name
Mailing Address
City, State Zip
Home Phone Number
Work Phone Number
Cell Phone Number
Personal Email
Social Security Number
Date of Birth
Drivers License Number
Drivers Lic. Issued by (State)
Exp date:
PREVIOUS EMPLOYMENT
Please list your last 3 jobs held
1. Company Name
City/State
Phone No.
Position Held
Dates of Employment
Reason for Leaving
2. Company Name
City/State
Phone No.
Position Held
Dates of Employment
Reason for Leaving
3. Company Name
City/State
Phone No.
Position Held
Dates of Employment
Reason for Leaving
REFERENCES: Please list three people (not relatives) who have definite knowledge of your business or professional
qualifications for the job(s) for which you are applying.
1. Name
Relationship
City/State
Phone No. and/or email
2. Name
Relationship
City/State
Phone No. and/or email
3. Name
Relationship
City/State
Phone No. and/or email
Have you been convicted of a misdemeanor or felony within the past 10 years?
o
o
(Answering yes will not automatically bar you from employment.)
Yes
No
I certify that, to the best of my knowledge and belief, all of the information on and attached to this application is correct.
Signature_____________________________________________
Date _____/______/2016
SMIRKUS JOB APPLICATION
REV 2/5/2016
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Parent category: Business