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Employment
Contact Information
Name
Phone
Email
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Contact Address
Street
City
State/Province
Zip/Postal Code
General Information
Alternative Phone Number
Are you legally eligible to work in the United States?
Choose an option
Yes
No
Are you at least 18 years Old? (If no, you may be required to provide authorization to work.)
Choose an option
Yes
No
How did you hear about Vinzo's
Do you have reliable transportation?
Choose an option
Yes
No
Do you have a valued driver's license?
Choose an option
Yes
No
How far are you willing to travel to work?
Please tell us more about yourself.
Position Information
Positions applying for:
What are your minimum expected earnings?
Would you prefer to work:
Choose an option
Full Time
Part Time
Temporary
Any
Would you prefer to work:
Choose an option
Days
Afternoons, Nights
Any
Select which days of the week you are available to work (Select all that apply).
Are you willing to work a changing schedule?
Choose an option
Yes
No
What is the earliest date you can start?
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January 2021
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Education
Did you graduate high school or have a GED equivalent?
Choose an option
Yes
No
Highest grade completed in high school:
High school name & location:
Did you graduate college or university?
Choose an option
Yes
No
Highest college/university level completed:
College/university name & location:
Course of study / major:
Have you graduated from a vocational or trade school?
Choose an option
Yes
No
Highest vocational/trade school level completed:
Vocational/trade school name and location:
Course of study / major:
Did you earn a degree from a graduate school?
Choose an option
Yes
No
Graduate school name & location:
Course of study / major:
List any other education you may have.
List any work-related certifications or licenses you currently possess.
Background Information
During the past seven years, have you ever been discharged, suspended, or asked to resign from any position?
Choose an option
Yes
No
If yes, please explain.
For the purpose of verifying information on this application, have you ever worked or attended school under a different name at any organization?
Choose an option
Yes
No
If yes, please specify.
Professional References (List 3 professional references, other than those listed as current/former supervisor, that we may contact)
Reference 1 Name
Reference 1 Email
Reference 1 Phone
Reference 1 Years Acquainted
Reference 1 Relationship
Reference 2 Name
Reference 2 Email
Reference 2 Phone
Reference 2 Years Acquainted
Reference 2 Relationship
Reference 3 Name
Reference 3 Email
Reference 3 Phone
Reference 3 Years Acquainted
Reference 3 Relationship
Employment Record - List all employment experience for the past seven years, starting with the most recent or present employer, including US Military Service. Using a separate section for each position, describe in detail all work experience including periods of unemployment. You may include as part of your employment history any verified work performed on a volunteer basis. Resumes may not be substituted in lieu of completing the following employment information.
Current employer:
Location:
Your Position
Supervisor's name & title:
Phone:
May we contact?
Choose an option
Yes
No
If not, why?
Primary Responsibilities:
Starting Pay:
Ending Pay
From (Month, Year)
To (Month, Year):
Reason for leaving:
Previous Employment
Previous Employer:
Location:
Your Position
Supervisor's name & title:
Phone:
May we contact?
Choose an option
Yes
No
If not, why?
Starting Pay:
Ending Pay:
From (Month, Year)
To (Month, Year):
Reason for leaving:
Primary Responsibilities:
Submit