Sample Job Application Form

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HIRA PUBLIC SCHOOL
Run by: Mercy Charitable Trust
Sample Job Application Form
Instructions: Print clearly in black or blue ink. Answer all questions. Sign and date the form.
PERSONAL INFORMATION:
First Name _____________________________
Middle Name ___________________________
Last Name _____________________________
Street Address
_______________________________________________________
City, State, Zip Code
_______________________________________________________
Phone Number
(____)___________________________________
Are you eligible to work in the United States?
Yes _______ No_______
If you are under age 18, do you have an employment/age certificates?
Yes ___ No ___
Have you been convicted of or pleaded no contest to a felony within the last five years?
Yes_______ No_______
If yes, please explain: _________________________________________
__________________________________________________________
POSITION/AVAILABILITY:
Position Applied For
________________________________________

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