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GENERAL RENTAL CENTER
ONLINE EMPLOYMENT APPLICATION


Position You Are Seeking?

How did you hear about the position?

First Name:   Last Name: 
Street:  
Apt.#    
City:      
State:      Zip:    
E-Mail:   
Home Phone: 
Work Phone:  
Cell Phone:     
SSN:               
Driver's License # 
State:  Expires : 
US Citizen? : 
If no, are you authorized to work in the US?
Are you at least 16 years of age? 
Are you seeking    employment?

What days are you available to work?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Willing to Work overtime?   Are you a veteran?  
If yes, dates of service?   From   
                                           To   
Type of Discharge?
Do you have any physical handicaps which would prevent you from doing
certain kinds of work? 
If yes, please describe:

Please check your current physical condition:
Excellent
Fair
Poor
Do you smoke?


EDUCATION

School Name
City
Years
Attended
Degree
Major


WORK HISTORY

Name of Most Recent Employer
Address / City / State
Telephone Number
Type of Business
Dates Employed
Rate of Pay
From

To

Starting $
Ending $
Manager's Name / Title
Reason for Leaving
 List positions held, duties, skills and/or promotions.

Previous Employer
Name of Previous Employer
Address / City / State
Telephone Number
Type of Business
Dates Employed
Rate of Pay
From

To

Starting $
Ending $
Manager's Name / Title
Reason for Leaving
 List positions held, duties, skills and/or promotions.

Previous Employer
Name of Previous Employer
Address / City / State
Telephone Number
Type of Business
Dates Employed
Rate of Pay
From

To
Starting $
Ending $
Manager's Name / Title
Reason for Leaving
 List positions held, duties, skills and/or promotions.

May we contact the Employers listed above?

If not, list which ones not to contact and the reason:

Have you ever been involuntarily terminated or asked to resign?

If yes, please describe the circumstances:

Other certifications, skills, licenses or information
pertinent to the position you are seeking:

Have you ever been convicted of a felony?

If yes, please describe the circumstances:

Do you have transportation?

Date you are available to start:

Desired Wage?

Why are you seeking a new position at this time?

List any outside interests including organizations which you are involved?


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