Great Falls Marketing Employment

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Are you at least 18 years old? Yes No
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Have you worked OR applied here before? Yes No
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If so, when?

	Name and City	Did you Graduate?	Degree or Area of Study
High School		Yes No
Trade School		Yes No
College/University		Yes No

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Who was your supervisor? A value is required.	Their Work Phone Number A value is required.
May we contact him/her? Yes No	What was your Job Title? A value is required.
Hire Date: A value is required.	End Date: A value is required.
Start Wage: A value is required.	End Wage: A value is required.
What were your duties?	Reason for leaving: A value is required.

Employer Name: A value is required.
Address: A value is required.
City: A value is required.	State	Zip: A value is required.
Who was your supervisor? A value is required.	Their Work Number A value is required.
May we contact him/her? Yes No	What was your Job Title? A value is required.
Hire Date: A value is required.	End Date: A value is required.
Start Wage: A value is required.	End Wage: A value is required.
What were your duties? A value is required.	Reason for leaving: A value is required.

Employer Name: A value is required.
Address: A value is required.
City: A value is required.	State	Zip: A value is required.
Who was your supervisor? A value is required.	Their Work Phone Number
May we contact him/her? Yes No	What was your Job Title?
Hire Date: A value is required.	End Date: A value is required.
Start Wage:	End Wage: A value is required.
What were your duties? A value is required.	Reason for leaving: A value is required.

I understand that any offer of employment, and my continued employment with Greatfalls Marketing and its subsidiaries are contingent upon my proving satisfactory proof of my authorization to work in the United States of America and/or the State of Maine.	Initial Here A value is required.
I authorize the persons, schools, current and/or past employers and other organization named in this application to provide Greatfalls Marketing and its subsidiaries with any relevant information that may be required to arrive at an employment decision.	Initial Here A value is required.
I understand that Greatfalls Marketing and its subsidiaries are "at will" employers and nothing contained in this application or in the testing and interview process can or should be considered a contract or offer for employment.	Initial Here A value is required.
I understand that Greatfalls Marketing and its subsidiaries conduct pre-employment testing and screening. I also understand that my application and all provided information are subject to pre-employment verification that may include but is not limited to: background check, credit check, arrest and felony database searches and social security and resident status verification.	Initial Here A value is required.
I understand that interviews are given on a competitive basis, using information contained in this application and results from testing methods. Because of the large number of applications received not every applicant will be considered for an interview.	Initial Here A value is required.

Personal Information

Position Information

Education & Training

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Work Experience

Current or Last Employer

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Application Information

References

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3. Do you have computer experience?	Yes No Please make a selection.
If yes, list the types of programs, software, etc. with which you have worked.

4. List your foreign language skills.
	Read Speak Write
	Read Speak Write

Starting Wage Desired: A value is required.	Date Available to Begin Work: A value is required.
How do you want to work ? Part Time Full Time Please make a selection.

Have you been convicted of a felony within the last seven (7) years?	Yes No Please make a selection.

Have you been convicted of a misdemeanor within the last seven (7) years?	Yes No Please make a selection.

Have you been involved in distribution of any illegal substances?	Yes No Please make a selection.

Have you ever been disciplined for or been terminated from any job for misconduct or attendance problems?	Yes No Please make a selection.

Can you perform the duties of the job for which you have applied with reasonable accommodation?	Yes No Please make a selection.

Are you eligible to be lawfully employed in the US?	Yes No Please make a selection.

Name	Telephone Number	Relationship to you	How long have you known this person?
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All information and contacts provided in this application are current to the best of my knowledge:	Initial Here A value is required.
Any misrepresentation or deliberate omission of any fact or information in this application may be cause for refusal of employment, or if employed, grounds for termination; and	Initial Here A value is required.
Although management makes every effort to accommodate individual preferences, business needs at times may make the following mandatory: overtime, changes in work schedule, work location, travel, job title, work duties, and job description.	Initial Here A value is required.