Employment Application

Position:
Required Salary:
Date Available: *
Have you ever applied for a position with Nichols Hills Cleaners? *
If Yes, what position?
When did you last apply?
Are you legally entitled to work in the United States (and can you provide proof of your authorization to work)? *

Personal Information
Name: *
Address: *
Phone: *
-
Alt Phone: *
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Personal History
Highest Completed Level of Education:
Have you served in the US Military? *
If Yes, when did you complete your military service?
Special Skills / Abilities
Notes or Additional Info:

Employment History (Most recent first, include at least the last 5 positions held)
(1) Dates of Employment, Employer, Supervisor, Salary, Reson for Leaving
(2) Dates of Employment, Employer, Supervisor, Salary, Reson for Leaving
(3) Dates of Employment, Employer, Supervisor, Salary, Reson for Leaving
(4) Dates of Employment, Employer, Supervisor, Salary, Reson for Leaving
(5) Dates of Employment, Employer, Supervisor, Salary, Reson for Leaving
(6) Dates of Employment, Employer, Supervisor, Salary, Reson for Leaving
(7) Dates of Employment, Employer, Supervisor, Salary, Reson for Leaving
(8) Dates of Employment, Employer, Supervisor, Salary, Reson for Leaving

Personal References
(1) Name, Phone #, Address:
(2) Name, Phone #, Address:
(3) Name, Phone #, Address:
Word Verification: