| * All fields are mandatory |
| PERSONAL DETAILS: |
* Applicant's Name: |
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| Address: |
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| City: |
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| State: |
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| Zip: |
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| Home Phone: |
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| Work Phone: |
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| Cell Phone: |
(Example: 1234567890) |
| * Email: |
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| Position Desired: |
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| Salary Desired: |
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| Date Available For Work: |
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Full Time
Part Time
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If You Have Worked At Bernstein Management Corporation Before, State Where, When, Final Position And Reason For Leaving: |
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Have You Worked
Under A Different Name? |
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Are You Prevented from lawfully being employed in this country because of visa or immigration status?
(Proof of citizenship or immigration status will be required upon employment.) |
Yes No |
| Have you been convicted of a crime within the last 7 years? (A Conviction record will not necessary be a bar to employment.): |
Yes No |
| If yes,Please explain: |
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Is any information relative to change of name,use of an assumed name or nickname
identification necessary to enable a check of the following work record?If yes,explain: |
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| WORK EXPERIENCE: |
Present Or Most Recent Position |
| Employer: |
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| Address: |
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| Starting Position: |
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| Final Position: |
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| Supervisor: |
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| Dates Of Employment From: |
To: |
| Phone: |
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| Starting Salary: |
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| Final Salary: |
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| May We Contact Your Present Supervisor? Yes No |
| Reason For Leaving (if applicable): |
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| Duties: |
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| Employer: |
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| Address: |
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| Starting Position: |
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| Final Position: |
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| Supervisor: |
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| Dates Of Employment From: |
To: |
| Phone: |
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| Starting Salary: |
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| Final Salary: |
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| May We Contact Your Present Supervisor? Yes No |
| Reason For Leaving (if applicable): |
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| Duties: |
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| Employer: |
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| Address: |
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| Starting Position: |
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| Final Position: |
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| Supervisor: |
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| Dates Of Employment From: |
To: |
| Phone: |
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| Starting Salary: |
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| Final Salary: |
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| May We Contact Your Present Supervisor? Yes No |
| Reason For Leaving (if applicable): |
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| Duties: |
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| EDUCATION AND TRAINING: |
| Name Of High School: |
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| Location: |
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| Graduated: |
Yes No |
| Major: |
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| Name Of College: |
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| Location: |
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| Years Attended From: |
To: |
| Graduated: |
Yes No |
| Major: |
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| MILITARY SERVICE: |
Have You Ever Served In The
United States Armed Forces? |
Yes No |
Indicate Any Special Job
Related Training Received: |
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| REFERRAL SOURCE: |
| Walk-In Applicant: |
Yes No |
| Employment Agency Name: |
Yes No |
| School/College Name: |
Yes No |
| Employee Refferal Name: |
Yes No |
| Newspaper Ad Name: |
Yes No |
| Bernstein Management Website: |
Yes No |
| Internet Site: |
Yes No |
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The Bernstein Management is an Equal Opportunity Employer. This means that all candidates are recruited, interviewed and hired on the basis of their individual qualifications without discrimination because of race, color, religion, national origin, disability, marital status, age or sex except where age, sex or lack of physical/mental ability is a bona fide qualification for the job.
* I have read and understand the foregoing statements and accept the same as conditions of employment.
Yes No
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