Unique Position with a Unique Communications Company

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We are always looking for qualified and unique people to join our team. Let us know a little about you and a Metropark HR manager will review your information and possibly schedule a phone or face to face interview with you very soon.

POSITION DESIRED & QUALIFICATION Positions I Qualify For: Position Applying For:

Last Name: First Name: Middle Name: Email: Address: City: State: Zip: PERSONAL INFORMATION Home Phone: Work Phone: Cell Phone: Ext: Convictions(Check if yes): Conviction Description: * * * * * * * * * * * * *

List any other names if different from name given on application.

Referred By:

Date Available For Work:

Do you have a Valid Driver's License? YesNo

Do you have any relatives working for Metropark Communications? YesNo

If yes, list names, relationship and location where employed.

Military Service (Dates of Service)
(A copy of a report of separation from the Armed Services may be required)

Are you a surviving spouse or orphan of a veteran? YesNo

EDUCATIONAL INFORMATION Graduation from High School (GED): (Check if HS or GED completed) Name of High School: Colleges Attended: First Degree Earned: First Degree Date: Degree Speciality: Second Degree Earned: Second Degree Date Degree Speciality: Third Degree Date: Degree Speciality: Third Degree: (Separate with a comma) Other Degrees: Other Type of School: Other Training: Foreign Languages: Typing WPM: Sign Language: Related Experience: Special Certifications: Must be a number

EMPLOYMENT INFORMATION Company Name: Address: Hire Date: Termination Date: Reason For Termination: Supervisor: Salary (Start - End) Job Duties Work Phone Number ###-###-####

REFERENCES Name of Reference: Name of Reference: Address: Address: Phone: Phone: Email Address: Email Address: * * * * * *

PRE-EMPLOYMENT STATEMENT

I voluntarily give Metropark Communications the right to make a thorough investigation of my past employment and activities and release from all liability or responsibility all persons, companies or corporations supplying such information.

I consent to taking the pre-employment drug screen and agree to comply with the Metropark's safety rules.

I further understand that any false answers or statements made by me on this application or any supplement thereto, or in connection with the above mentioned investigation, will be sufficient grounds for immediate discharge.

Metropark Communications, is an equal opportunity - affirmative action employer and shall not discriminate against any employee or applicant for employment because of race, color, religion, sex, age, disability, marital status, or national origin unless based on a bona fide occupational qualification. If you agree to abide by the terms of the above statement, check to box to the left to indicate your agreement.

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