STARPLEX GAFFNEY JOB APPLICATION

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					STARMAX GAFFNEY JOB APPLICATION 1100 Factory Shops Blvd, Gaffney, SC 29341 Name___________________________________________________________________ Address_________________________________________________________________ __________________________________________________________________ __________________________________________________________________ Phone (H)______________ (O)______________Email if available_________________ Position applied for____________________________Full time_____ Flex Time_____ Date available__________ Preferred Work Times if Flex Time___________________

Previous Employment (can be omitted if a resume is attached) Employer___________________ Position______________ From______ To_______

Responsibilities___________________________________________________________ Employer___________________ Position______________ From______ To_______

Responsibilities___________________________________________________________ Employer___________________ Position______________ From______ To_______

Responsibilities___________________________________________________________

Reference 1 ___________________ Relationship______________Phone_____________ Reference 2 ___________________ Relationship______________Phone_____________

I understand that if Starmax pursues employment, they may ask for identification (drivers license or SSN) to perform a background check.

_____________________________________ Signature

___________________________ Date


				
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