Application For Employment Form
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4Oakridge Homes
Clarissa Office: 218-756-2599
Woodview Residential Services
Fax: 218-756-2498
1021 Industrial Park Road
Brainerd, MN 56401
Phone: 218-829-7599
Fax 218-829-7498
APPLICATION FOR EMPLOYMENT
We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any
basis prohibited by law. Any individual has the right to request an accommodation to enable that individual
to complete this application. You may request this accommodation by contacting one of the office numbers
listed above.
___________________________________________________
PERSONAL INFORMATION
Date of Application:_______________________________________
Your Name
:
______________________________________________________________________________
Last
First
Middle
Present Address:
_______________________________________________________________________________
Street
City
State
Zip
Permanent Address:
_______________________________________________________________________________
Street
City
State
Zip
Phone Number:
___________________________ ______ _____________________________________
Cell Number:
Email:
Referred by: _____________________
Are you 18 years of age or older?
YES
NO
___________________________________________________
EMPLOYMENT DESIRED
Position(s) Applied For
: ________________________________________
Per Hour
What is the date that you can start?
Desired Wage:
__________________
_____________________________
(Please Circle YES or NO)
If you are under 18 years of age, can you provide required proof of your eligibility to work?
YES
NO
Have you ever filed an application with us before? If yes, please state date:___________
YES
NO
Have you ever been employed by us before?
If yes, please state date: ______________
YES
NO
Are you currently employed? (If Yes, Please list on next page)
YES
NO
What type of work are you seeking: Part Time: ____
Full Time: ____ Temporary: ____
Can you travel if the job requires it?
YES
NO
Are you authorized to work in the United States?
YES
NO
WE ARE AN EQUAL OPPORTUNITY EMPLOYER
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Parent category: Business