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Employment Application

Applicant Information

Full Name (Last, First, M.I.): *

Street Address, Apartment/Unit#: *

City, State, Zip Code: *

Phone: *

Email: *

Date Available: *

Desired Salary: $ *

Position Applied For: *

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?

Have you ever been convicted of a felony? *

Yes No

If yes, explain:

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 that are not family.

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:

To:

From:

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:

To:

From:

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 Digital 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. By submitting this form, I agree that the digital signature may be used.

Digital Signature: *

Date: *

* Required

MyContactForm.com

Authorization for BACKGROUND CHECK | Authorization and Release to OBTAIN PERSONAL CREDIT INFORMATION

Please download the above files and after completion, email them to us at: paragon@paragonprivateinvestigations.com

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