Levee Tan Employment Application
  1. Applications are considered for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, or in the presence of a non-related medical condition or handicap.
  2. First Name(*)
    Please type your full name.
  3. Last Name(*)
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  4. Phone Number
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  5. Email(*)
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  6. Street Address(*)
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  7. City(*)
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  8. State(*)
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  9. Zip(*)
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  10. Date of Birth(*)
    Invalid Input
    Enter D/M/Y
  11. Are you a citizen of the United States of America? (*)
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  12. Have you applied here before? (*)
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  13. If Yes, when and position applied for?
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  14. (*)
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  15. How much can you work?(*)
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  16.  
  1. EMPLOYMENT EXPERIENCE; Start with your present job or last job. Include military assignments and other volunteer activities. Exclude organizational names that indicate race, color, religion, sex, or national origin.
  2. Employer 1
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  3. Address
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  4. City
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  5. State
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  6. Zip
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  7. Phone
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    Please enter like (888-888-8888)
  8. Supervisor’s Name
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  9. Job Title
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  10. Reason for leaving
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  11. Start Date of Employment
    Invalid Input
    Enter M/Y
  12. End Date of Employment:
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    Enter M/Y
  13. Were you Hourly or Salaried
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  14. What were you paid
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  15.  
  1. Employer 2
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  2. Address
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  3. City
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  4. State
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  5. Zip
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  6. Phone
    Invalid Input
    Please enter like (888-888-8888)
  7. Job Title
    Invalid Input
  8. Supervisor’s Name
    Invalid Input
  9. Reason for leaving
    Invalid Input
  10. Start Date of Employment:
    Invalid Input
    Enter M/Y
  11. End Date of Employment:
    Invalid Input
    Enter M/Y
  12. Were you Hourly or Salaried
    Invalid Input
  13. What were you paid
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  14.  
  1. Employer 3
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  2. City
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  3. Address
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  4. State
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  5. Zip
    Invalid Input
  6. Phone
    Invalid Input
    Please enter like (888-888-8888)
  7. Supervisor’s Name
    Invalid Input
  8. Job Title
    Invalid Input
  9. Reason for leaving
    Invalid Input
  10. Strart Date of Employment
    Invalid Input
    Enter M/Y
  11. End Date of Employment:
    Invalid Input
    Enter M/Y
  12. Were you Hourly or Salaried
    Invalid Input
  13. What were you paid
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  14.  
  1. EDUCATION
  2. School/Colleges Attended: #Years / Year Grad. / Degree(*)
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  3. Have you ever been convicted of any offense other than a minor traffic violation?(*)
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  4. If so, dates and details
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  5. Describe any special qualification for this job:(*)
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  6. Are you a veteran of the U. S. Military service? (*)
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  7.  
  1. Your Work Availability Please fill in the following fields with your specific availability. In order to be considered for a position, this must be filled out completely. PLEASE NOTE: If you are available any time please put ANY in the box. Thank you.
  2. Please detail Monday hours available
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  3. Please detail Tuesday hours available
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  4. Please detail Wednesday hours available
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  5. Please detail Thursday hours available
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  6. Please detail Friday hours available
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  7. Please detail Saturday hours available
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  8. Please detail Sunday hours available
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  9. By Checking the box below I CERTIFY that answers given herein are true and complete to the best of my knowledge. I authorize investigations of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I understand that false or misleading information given on my application or interview my result in termination.(*)
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  10. CAPTCHA Antispam(*)
    CAPTCHA Antispam
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  11.