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Personal Information
Date:
Name:
Social Security Number:
Address:
City:
State:
Zip Code:
Birth Date:
Telephone Number:
E-Mail Address:
U.S. Citizen: YesNo
Visa Number:
Have you ever been convicted of a crime other than a minor traffic violation? YesNo
If yes, please explain:
Position Desired:
Starting Date:
Salary Desired:
   

Education
High School:
Years Attended:
Diploma: Yes No
   
College:
Years Attended:
Major:
Diploma: YesNo
Special Skills:
   

Military Experience
Service Branch:
Military Specialty:
Highest Rank:
Service Schools Attended:
Courses:
   

Work Experience

List your most recent employer first.
Company Name:
Salary:
Address:
City:
State:
Zip Code:
Telephone Number:
Manager's Name:
Date Started:
Date Left:
Duties:
Reason For Leaving:
   
Company Name:
Salary:
Address:
City:
State:
Zip Code:
Telephone Number:
Manager's Name:
Date Started:
Date Left:
Duties:
Reason For Leaving:
   
Company Name:
Salary:
Address:
City:
State:
Zip Code:
Telephone Number:
Manager's Name:
Date Started:
Date Left:
Duties:
Reason For Leaving:
   

Professional & Character References
Name:
Telephone Number:
   
Name:
Telephone Number:
   
Name:
Telephone Number:

Disclaimer: As part of the hiring process, Gemini Linen will check all references.  Gemini Linen may contact the references listed in the application, as well as past employers, to ask questions related to my work experience.  If accepted for employment, I understand that my employment is for no defined period of time.  I also understand and agree that any false or erroneous information submitted in my application will constitute grounds for immediate dismissal.
I have read the above disclaimer and agree to the said terms: YesNo