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Employment Application Form
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Name
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First
Last
Phone
(Required)
Email
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Address
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Street Address
Address Line 2
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State
ZIP Code
Position
Position Applying For
(Required)
Stone Fabricator - Sioux Falls, SD
Stone Installer - Sioux Falls, SD
Tile Installer Finisher - Sioux Falls, SD
Warehouse/Material Handler - Rapid City, SD
If other, please explain
Available Start Date
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Wage Expected
How did you hear about this position?
(Required)
Experience
Education
(Required)
Some High School
High School Diploma / GED
Some Post High School
Associate's Degree
Bachelor's Degree
Select All That Apply
Major Field of Study
Other Special / Job-Related Skills
Employment History
Are you currently employed?
(Required)
Yes
No
Can we contact your current employer?
(Required)
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Current Employer
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Enter N/A if not employed
Current Employer Phone Number
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Job Title with Current Employer
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Start Date
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End Date
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Enter today if still there
Previous (Most Recent) Employer
Previous Employer Phone Number
Job Title with Previous Employer
Start Date
Month
Day
Year
End Date
Month
Day
Year
Can we contact your previous employer?
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No
Hiring Information
Can you, after employment, submit proof of U.S. citizenship or verifcation documents of your legal right to work in the United States?
(Required)
Yes
No
Were you previously employed by this organization?
(Required)
Yes
No
Have you ever been convicted of a felony, or pleaded no contest in a felony, or been convicted of a misdemeanor resulting in imprisonment or a fine over $500 in the last two years?
(Required)
Yes
No
Conviction will not necessarily disqualify an applicant
If yes, explain
Conviction will not necessarily disqualify an applicant
Do you have a valid driver's license?
(Required)
Yes
No
Anything else you would like to add?
Please read carefully
(Required)
I certify the following
I hereby certify that all information I provided in this application for employment, as well as those on any attachment(s) to this form, to the best of my knowledge are true and correct and that they are all given of my own free will. I understand that any misstatement(s) or omission(s) as to material facts during the application or interview process will result in my immediate discharge from employment if I am hired, regardless of when discovered. I authorize you to communicate with all my former employers, schools, officials, and persons named as references. I hereby release all employers, schools and Individuals from any liability for any damage whatsoever resulting from giving such information. I also indemnify Syverson Tile & Stone, Inc. against any liability which might result from making such investigation.
I understand that, as this organization deems necessary, I may be required to work overtime hours or hours outside a normally defined work day or work week. If employed, I understand and agree that such employment may be terminated at any time and without any liability to me for continuation of salary, wages, or employment related benefits.
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