Employment Application Form Employment Application Form - Tersteegs

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1111 E. Bridge Street
Redwood Falls, MN 56283
(507) 637-8332
Fax (507) 627-5602
EMPLOYMENT APPLICATION FORM
EMPLOYMENT APPLICATION FORM
EMPLOYMENT APPLICATION FORM
EMPLOYMENT APPLICATION FORM
Print Name:_________________________________________________________________________________________________________________
Last
First
Middle
Address: ____________________________________________________________________________________________________________________
(Street or P.O. Box, City, State, Zip)
Telephone:_________________________________
Email:_________________________________________________________________
Are you at least 18 years of age? ___________Yes
___________No
:__________________________________________________________________________________________
In Case of emergency, notify
(Name, Address, Telephone)
___________________________________________________________________________________________
Qualifications______________________________________________________________________________________________________________________________
______________________________________________________________________
____________________________________________________________
Please check / Full time:__________Part time:__________Temporary:__________Date available:________________________________
Please specify days and hours available to work:__________________________________________________________________________________
__________________________________________________________________________________________________________________________________________
Yes No
Have you ever applied for employment by this company?
If yes, when?____________________________________________________
Yes
No
If no, give last date employed_________________________________________
Presently employed?
How much time have you missed from work in the last two years? __________________________________________________________________
_____________________________________________________________________________________________________________________________
It is the policy of Tersteeg’s to provide equal employment opportunities to all applicants and employees without regard to any legally
protected status such as race, color, religion, gender, national origin, age, disability or veteran status.

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