Website Submissions: Job Application

Street 1
Street 2
City
State/Region
Postal Code
Country
Street 1
Street 2
City
State/Region
Postal Code
Country
Street 1
Street 2
City
State/Region
Postal Code
Country
Street 1
Street 2
City
State/Region
Postal Code
Country
Agent
1. I certify that all of the information I am providing on this job application is accurate, true and complete. I understand that any falsification of information may be grounds for refusal to hire, and if hired, terminated.
2. I understand that I will be required to provide proof of authorization to work in the United States
3. I authorize any persons and/or organizations mentioned in this application to release information to Hindsite 20/20 that they may have concerning my previous employment, education, and/or any other information, personal or otherwise, with regard to any of the subjects covered in this application. I release all such parties from all liability from any damages which may result from furnishing such information to Hindsite 20/20.
4. I understand that Hindsite, Inc. may run a background, criminal, credit, and driving record check on me before I am offered a position within the company.
Applicant Signature
Date
If Hindsite 20/20 was to run a credit report on you, what would you expect us to find?
Address (3)
Start Date (3)
End Date (3)
Average hours worked per week (3)
Rate of pay (3)
Summary of job duties (3)
What did you like most (3)
What were you good at (3)
When and/or how did you know you were doing a good job (3)
Reason for leaving (3)
Previous position (3)
Previous Employer (3)
Direct Supervisor (3)
Phone Number (3)
When and/or how did you know you were doing a good job (2)
Reason for leaving (2)
Previous position
Previous Employer
Direct Supervisor (2)
Phone Number (2)
Address (2)
Start Date (2)
End Date (2)
Average hours worked per week (2)
Rate of pay (2)
Summary of job duties (2)
What did you like most (2)
What were you good at (2)
When and/or how did you know you were doing a good job
Reason for leaving
Current/last position held
Employer
Direct Supervisor
Phone Number
Address
Start Date
End Date
Average hours worked per week
Rate of pay
Summary of job duties
What did you like most
What were you good at
List all of your software, hardware, and office equipment skills that you possess
Words per minute that you type
Do you speak any other languages other than English?
If so, which language(s)
How fluent? (fair/good/excellent)
Do you write in this/these language(s)
Technical and/or Vocational School (3)
Dates attended (3)
Date Graduated or graduating (3)
Type of degree (3)
Major/Minor (3)
Dates attended (2)
Date Graduated or graduating (2)
Type of degree (2)
Major/Minor (2)
Highest grade completed?
High School graduate or GED?
College and/or University (1)
Dates attended (1)
Date Graduated or graduating (1)
Type of degree (1)
Major/Minor (1)
College and/or University (2)
Can you start at $10.00/hour rate
Have you ever been convicted of a felony or are pending litigation on a felony charge?
If so, please explain.
First Name
Middle Name
Last Name
Home Address
SSN
Mobile Phone
Home Phone
E-mail Address
Do you use E-mail daily?
Do you go by any other names?
What hours and/or days are you unable to work?
Date available to start?

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