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Have you applied to Southwest Fireplace in the past?    YESNO

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Employment history.

List your current or most recent employment first: 1. 2. 3.

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Education.

High School Highest grade completed?    9101112
Graduate?    YESNO College Degree?    YESNO
Other Training (Graduate, Technical, Vocational) Awards, Honors, Special Achievements

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Skills.

Check those skills that you have, and select the number which corresponds to your ability for each particular skill. (Zero represents poor ability, while five represents exceptional ability). List any other skills that may be useful for the job you are seeking. Computer Skills    012345
Accounts Payable / Receivable Skills    012345
Forklift Skills    012345
Filing Skills    012345
Sales Skills    012345

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Please provide any other information that you believe should be considered.

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Attach your resume or other documents. (PDF and Word Documents only.)

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By submitting my application, I certify that the information provided on this Application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my Application, or if employment commences, immediate termination. I authorize Southwest Fireplace to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education. If an employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by its President, the employment relationship will be entirely voluntary in nature. In other words, with appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer would have the same right. Moreover, no agent, representative, or employee of Southwest Fireplace, except in a specific written contract of employment signed on behalf of the organization by its President, has the power to alter or vary the voluntary nature of the employment relationship.

I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND AND AGREE TO ITS TERMS.    YESNO

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