776-b old State Route 74 Cincinnati, Ohio 45245



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Employment Application

The Atlantes

776-B Old State Route 74

Cincinnati, Ohio 45245

513-399-6225

513-399-6227 fax


Equal Opportunity Employer- The Atlantes is committed to providing equal employment opportunity to all applicants and employees in accordance with all applicable equal opportunity and affirmative action laws, directive and regulation of Federal, State and Local governing bodies and agencies.. In keeping with this commitment, The Atlantes will recruit, hire train and promote into all job levels the most qualified individuals without regard to race, color, creed, religion, sex, national origin, ancestry, marital status, disability and, sexual orientation or, military status.

Applicant Information


Full Name:









Date:





Last

First

M.I.









Address:









Street Address

Apartment/Unit #


















City

State

ZIP Code




Phone:



Email






Date Available:



Social Security No.:


Desired Salary:
$




Position Applied for:

____________________________________Hours Available _______________________

Days Available: _________________________ Years of Experience_____________ Full Time, Part Time or PRN




Are you a citizen of the United States?

YES



NO


If no, are you authorized to work in the U.S.?
YES



NO






Have you ever worked for this company?

YES



NO


If yes, when?





Education


High School:



Address:






From:



To:


Did you graduate?
YES



NO


Diploma::






College:



Address:






From:



To:


Did you graduate?
YES



NO


Degree:






Other:



Address:






From:



To:


Did you graduate?
YES



NO


Degree:


References


Please list three professional references.

Full Name:



Relationship:



Company:



Phone:



Address:
















Full Name:



Relationship:



Company:



Phone:



Address:
















Full Name:



Relationship:



Company:



Phone:



Address:



Previous Employment


Company:



Phone:



Address:



Supervisor:






Job Title:



Starting Salary:
$

Ending Salary:
$




Responsibilities:







From:



To:


Reason for Leaving:






May we contact your previous supervisor for a reference?

YES



NO

































Company:



Phone:



Address:



Supervisor:






Job Title:



Starting Salary:
$

Ending Salary:
$




Responsibilities:







From:



To:


Reason for Leaving:






May we contact your previous supervisor for a reference?

YES



NO

































Company:



Phone:



Address:



Supervisor:






Job Title:



Starting Salary:
$

Ending Salary:
$




Responsibilities:







From:



To:


Reason for Leaving:






May we contact your previous supervisor for a reference?

YES



NO





Military Service


Branch:



From:


To:






Rank at Discharge:



Type of Discharge:






If other than honorable, explain:



Disclaimer and Signature




I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Signature:



Date:



___________________________________________________________________________________________________Do not write below this line: Office only


Interviewed by:____________________ Date:________________________ Hired: ___Yes _____No
Remarks:___________________________________________________________________________________________
___________________________________________________________________________________________________
Neatness:______________________ Ability:____________________________________________ position:__________
Wage:_____________________________________ Hours___________________________________________________




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