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Personal & Contact Information
First Name*:
Last Name*:
Address*:
City / State / Zip*
Area + Phone*: e.g.  xxx-xxx-xxxx
Best time(s) & day(s) to reach you*:
Desired Work
Desired Wage: $ /hour 
Available
Start Date*:		 / /
Status*:

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Full Time Part Time Temp

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To:
How did you 
hear about us?

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Relationship with Frattalone Co. & Legal Statuses

I am under 18 and can provide required proof of my eligibility to work.
I have filed an application with Frattalone Companies
Date:
I have been employed by Frattalone Companies before.
Dates:
I have friends, relatives (other than my spouse) that work at Frattalone Companies.
I am currently employed.
I am prevented from lawfully becoming employed in the United States because of a Visa or Immigration Status.
I am currently on "lay-off" status and subject to recall.
I am willing to travel should a job require it.
Education
High School:
City/State:
College:
City/State:
Course of Study:
Years Completed:
Degree / Cert.
Graduate:
City/State:
Course of Study:
Years Completed:
Degree
Other Education:
City/State:
Course of Study:
Years Completed:
Degree / Cert.

 

Employment History
Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status.
Employer 1
Employer Name:

Address:


City:
 

State/Zip:

Phone:  x

Supervisor's Name: 

Your Title:

 Duties:
Dates Employed:

e.g. mm-yy

From
To 

Salary:

Start
Final

Reason for leaving:
It's okay for Frattalone Companies to contact this employer.

Employer 2
Employer Name:

Address:


City:


State/Zip:

Phone: x

Supervisor's Name: 

Your Title:

 Duties:
Dates Employed:

e.g. mm-yy

From
To 

Salary:

Start
Final

Reason for leaving:
It's okay for Frattalone Companies to contact this employer.

Employer 3
Employer 3 Name:

Address:


City:
 

State/Zip: 

Phone:  x

Supervisor's Name: 
 

Your Title:

 Duties:
Dates Employed:

e.g. mm-yy

From
To 

Salary:

Start
Final

Reason for leaving:
It's okay for Frattalone Companies to contact this employer.

Additional Information
Comments:

Please explain gaps in 
employment if any.
Describe any specialized training, apprenticeships, skills and extra-curricular activities:

Describe any job-related training received in the United States Military:

List professional, trade, business or civic activities and offices held.
You may exclude membership which would reveal gender, race, religion, national origin, age, ancestry, disability or other protected status.

 

 
 

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