Employment Application

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Instructions

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The Argyle is committed to providing equal employment opportunity to all employees and applicants for employment without regard to race, color, religion, creed, gender, sexual orientation, gender identity, status as a disables veteran of the Vietnam era, sex age, national origin ancestry, affectional preference, disability, marital status with regard to public assistance or any other basis protected by law.

Be sure you read all instructions carefully. Please print in dark ink or type. complete all pages of this application. Incomplete and/or unsolicited applications will not be considered.

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Personal Data

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Last Name:	First Name:		Middle Initial:
Street Address:			City:
State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia (DC) Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana N.Carolina N. Dakota Nebraska Nevada New Hampshire New Jersey New Mexico New York Ohio Oklahoma Oregon Pennsylvania Rhode Island S. Carolina S. Dakota Tennessee Texas Utah Vermont Virginia W. Virginia Washington Wisconsin Wyoming	Zip Code:	Telephone:	Email:
Have you ever been convicted of or pled guilty to a crime? Yes No	If yes, briefly describe:
Note: A conviction or guilty plea will not necessarily bar you from employment. Each conviction or guilty plea will be judged on its own merits with respect to time, seriousness, circumstances, and relation to job requirements.

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Type of Work Desired

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For which position are you applying?	What other positions interest you?
Have you ever been employed with us before? Yes No	If yes, what was your position?
Dates of previous employment:
On what date would you be available to start work?	Desired Salary:

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Education and Training

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Please complete all appropriate items, even if you have already provided us with a resume.

Education	Location (Address, City, State and Zip Code)	Did you graduate?
High School:		Yes No Degree:
College:		Yes No Degree:
Graduate School:		Yes No Degree:
Business/Trade School:		Yes No Degree:
Other:		Yes No Degree:
List all software packages with which you are familiar (please note your proficiency as basic, intermediate, or advanced):
List any other relevant training, skills, qualifications (include certificates or licenses earned):

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Employment Experiences

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Please list your job history with your past four employers, starting at your current or most recent position. Include any significant period between jobs in which you were not employed and explain what you were doing during that time. Include U.S. military experience (show rank at discharge), summer/part-time jobs, and cooperative education assignments.

Dates (Month and Year)	Name and Address of Employer	Position Title and Responsibilities	Salary	Reason for Leaving

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References

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List three (3) people (not relatives or personal acquaintances), preferably past employers/supervisors, who can tell us about your qualifications and work experience. Please provide name, occupation and company, address, phone number, and the amount of years you've known the reference.

Reference 1: Name: Occupation & Company: Address: Phone Number: Years known:

Reference 2: Name: Occupation & Company: Address: Phone Number: Years known:

Reference 3: Name: Occupation & Company: Address: Phone Number: Years known:

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I understand and agree the information I have provided on this application (and accompanying resume, if any) is true and complete to the best of my knowledge. I understand and agree any misrepresentation or omission of any fact in my application, resume, or other material, will be justification for denying my employment or for dismissal if I have already been hired.

I authorize The Argyle to investigate all information I have furnished on this application and of my past employment and activities. I agree to cooperate in such investigation and release form all liability and responsibility all persons and businesses requesting or supplying such information.

I understand and agree receipt of this application by The Argyle in no way implies that I will be employed. I further understand and agree if I am employed, I will be employed at-will, meaning that The Argyle or I may terminate my employment at any time and for any reason. I understand that no one at The Argyle has the authority to enter into my agreement for employment for any specified period of time or to make any agreement altering the at-will nature of my employment.

By entering my full name below and pressing "Submit My Application", I am digitally signing this application and agree to the above stated conditions:

Your Security Code:

Enter Your Security Code Here:

Full Name:

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