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Personal Information

Position

First Name *

Last Name *

Home Address*

City *

State *

Zipcode/Postcode *

Country *

Home Phone Number *

Cell Phone Number *

Email Address *

Preferred Method of Contact

Are you 18 years or older?

Have you ever been convicted of a crime?

Desired Employment

Maximum number of hours available to work?

Are you available to work weekends?

Would you be willing to work overtime, if necessary?

Would you be willing to travel/work overnight?

Do you have your own reliable transportation?

Please give a brief description of the skills and experience you would bring to Ultimate Exposures (1000 characters, max)

Education

High School Name :

Did you graduate?

GPA:

College Name:

Did you graduate?

GPA:

Areas of special study, training or skills / other:

Languages:

Work History

Present / Last Employer:

Job Title / Position:

Start Date:
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Starting Salary:

Ending Salary:

Supervisor:

Supervisor's Phone:

May we contact your supervisor?

Description of work:

Reason for leaving:

Previous Employer:

Job Title / Position:

Start Date:
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Starting Salary:

Ending Salary:

Supervisor:

Supervisor's Phone:

May we contact your supervisor?

Description of work:

Reason for leaving:

Previous Employer:

Job Title / Position:

Start Date:
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Starting Salary:

Ending Salary:

Supervisor:

Supervisor's Phone:

May we contact your supervisor?

Description of work:

Reason for leaving:

Resume (Paste your resume here):

Affidavit
"I certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that, if employed by Ultimate Exposures, falsified statements on this application shall be grounds for immediate dismissal."

I understand and accept that electronic submission of this application constitutes acceptance of the Affidavit, above.