Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, or the presence of a non-job related medical condition or handicap.
You must fill out all sections of this application completely and honestly or it will not be accepted.
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| Job Title |
CQC Manager in (Southern California) |
| Name |
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| E-mail Address |
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| Address |
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| City |
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| State |
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| Zip |
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| Phone |
()
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| Resume |
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| Referral Source |
Advertisement
Employment Agency
Friend
Relative
Walk-In
Other
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| Are you over 18 years of age? |
Yes No
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| Have you filed an application with us before? |
Yes No
If yes, enter complete date:
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| Have you ever been employed by Stronghold before? |
Yes No
If yes, enter complete date:
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| Are you currently employed? |
Yes No
If so, may we contact your present employer? Yes No
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| Are you prevented from lawfully becoming employed in the U.S. because of Visa or Immigration status? |
Yes No
(Proof of citizenship or immigration status may be required upon employment.)
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| On what date would you be available for work? |
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| Which type(s) of employment are you seeking? |
Full-Time
Part-Time
Shift Work
Temporary
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| Are you on a lay-off and subject to recall? |
Yes No
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| Can you travel if a job requires it? |
Yes No
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| List any reason(s) known to you why you might be unable to perform consistently and promptly for the position(s) you have applied for: |
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| Have you been convicted of a felony within the last 7 years? |
Yes No
(Conviction will not necessarily disqualify applicant from employment)
If yes, please explain:
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| Are you a Veteran of the U.S. Military Service? |
Yes No
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| If you are applying for a driving position, please answer the following questions: |
| State license number and expiration date |
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| Medical Card |
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| List motor vehicle accident(s) |
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| List all violations of motor vehicle laws other than parking during the last three years |
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| Has your driver's license ever been revoked or denied? |
Yes No
If yes, state facts and circumstances:
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| Give name, address and telephone number of three references who are not related to you and are not previous employers: |
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| You may skip this section if it is not applicable. |
Special employment Notice to Disabled Veterans, Vietnam Era Veterans, and Individuals With Physical Or Mental Handicaps
Government contractors are subject to 38 USC 2012 of the Vietnam Era Veterans Readjustment Act of 1974 which requires that they take affirmative
action to employ and advance in employment qualified disabled veterans and veterans of the Vietnam Era, and Section 503 of the Rehabilitation Act of
1973, as amended, which requires government contractors to take affirmative action to employ and advance in employment qualified handicapped individuals.
If you are a disabled veteran, or have a physical or mental handicap, you are invited to volunteer this information. The purpose is to provide information
regarding proper placement and appropriate accommodation to enable you to perform the job to the best of your ability in a proper and safe manner. This
information will be treated as confidential. Failure to provide this information will not jeopardize or adversely affect your consideration for employment.
If you wish to be identified, check all that apply to you:
Handicapped Individual
Disabled Veteran
Vietnam Era
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| EDUCATION & SKILLS: |
| College |
| Name |
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| Location of School |
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| # of yrs complete |
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| Check if Graduated |
If no, approx. number of credit hours completed |
| Degree & Major |
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| Other |
| Name |
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| Location of School |
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| # of yrs complete |
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| Check if Graduated |
If no, approx. number of credit hours completed |
| Degree & Major |
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| High School/GED |
| Name |
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| Location of School |
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| # of yrs complete |
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| Check if Graduated |
If no, highest grade completed |
| Degree & Major |
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| Describe any Specialized Training, Apprenticeship, Skills and Extra-Curricular Activities |
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| List any honors Received |
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| EMPLOYMENT HISTORY: (Start with your present or last job) |
| Employer |
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| Dates Employed |
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| From Month/Year to Month/Year |
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| Mailing Address |
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| Position Title |
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| Phone Number |
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| Salary |
Start $ Final: $
Per Hour Per Month
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| Reason for Leaving |
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| Supervisor |
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| Duties |
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| Employer |
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| Dates Employed |
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| From month/year to month/year |
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| Mailing Address |
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| Position Title |
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| Phone Number |
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| Salary |
Start $ Final: $
Per Hour Per Month
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| Reason For Leaving |
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| Supervisor |
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| Duties |
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| Employer |
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| Dates Employed |
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| From month/year to month/year |
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| Mailing Address |
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| Position Title |
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| Phone Number |
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| Salary |
Start $ Final: $
Per Hour Per Month
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| Reason For Leaving |
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| Supervisor |
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| Duties |
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| Summarize special skills and qualifications acquired from employment or other experience |
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| State any additional information you feel may be helpful to us in considering your application |
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APPLICANT'S STATEMENT - PLEASE READ CAREFULLY AND ENTER YOUR FULL & COMPLETE NAME IF YOU WISH TO BE CONSIDERED FOR EMPLOYMENT
I certify that the answers above are true and complete to the best of my knowledge. I authorize investigation of all statements contained in
this application for employment as may be necessary in arriving at an employment decision and release Stronghold Engineering, Inc., from any
and all liability concerning collection and use of information. I understand that this application is not and is not intended to be a contract
of employment. In the event of employment, I understand that false or misleading information given in my application or interview(s) may
result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Company. Please enter your full
name below to acknowlede this to be true.
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| Applicant's full name |
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