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Email Address:
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Name:
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Address:
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City:
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State:
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Zip Code:
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Phone:
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Social Security Number:
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Position Desired:
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Referred By:
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1. Employment History:
(Employer, Phone, Pay Rate,Dates Worked,
Reason For Leaving)
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2. Employment History:
(Employer, Phone, Pay Rate,Dates Worked,
Reason For Leaving)
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3. Employment History:
(Employer, Phone, Pay Rate,Dates Worked,
Reason For Leaving)
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4. Employment History:
(Employer, Phone, Pay Rate,Dates Worked,
Reason For Leaving)
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Are you working at present?:
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Yes
No
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May we contact previous employer?
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Yes
No
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If not, please explain:
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Other/Vocational school:
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Please list equipment used, experience, and any
other skill related to performing the job applied for:
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Can you drive a manual transmission?
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Yes
No
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Do you have a CDL?
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Yes
No
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Drivers License number:
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Any Restrictions or Any Points?:
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Are you available to work weekends, holidays
and overtime?
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Yes
No
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If required by the position, can you stand for
long periods of time and lift 50 pounds?
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Yes
No
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What has caused you to quit other jobs?
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What did you like BEST about your last job?
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What did you like LEAST about your last job?
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Why do you want to work for Ritsko Insulation?
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Do you object to working in harsh weather
(rain, heat, cold)?
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Yes
No
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Why or Why Not?
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Were you ever disciplined, warned or counseled
about job performance, absenteeism, tardiness or
policy violations?
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Yes
No
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If yes, explain?
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List at least two personal references
(Name, Phone, Known how long)
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