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	F.L. SMITHE Adjusters and Operators first and second shift top pay benefits 401K
TRADE ONLY ENVELOPE CONVERTING AND PRINTING SINCE 1986

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TEL: (323)838-9300
FAX: (323) 838-6120

E-MAIL:
service@laenvelope.com

JOB APPLICATION FORM

FROM:

ADDRESS:

Street:

City: State: Zip:

PHONE:

FAX:

E-MAIL:

EMPLOYMENT DESIRED

POSITION
DESIRED:

DATE YOU
CAN START:

SALARY
DESIRED:

ARE YOU
EMPLOYED?:

YES NO

CAN WE
CONTACT YOUR
PRESENT EMPLOYER?:

YES NO

EVER APPLIED
TO THIS
COMPANY BEFORE?:

YES NO
If yes, where?
when

EDUCATION

HIGH SCHOOL

Name:
Location:
Years attended: Did you Graduate?
Subjects Studied:

COLLEGE

Name:
Location:
Years attended: Did you Graduate?
Subjects Studied:

TRADE/BUSINESS

Name:
Location:
Years attended: Did you Graduate?
Subjects Studied:

FORMER EMPLOYERS

PRESENT/LAST

Name:
Location:
Employed From: To:
Position:
Reason for leaving:

2nd EMPLOYER

Name:
Location:
Employed From: To:
Position:
Reason for leaving:

3rd EMPLOYER

Name:
Location:
Employed From: To:
Position:
Reason for leaving:

4th EMPLOYER

Name:
Location:
Employed From: To:
Position:
Reason for leaving:

REFERENCES

REFERENCE #1

Name:
Business:
Phone:
Years Known:

REFERENCE #2

Name:
Business:
Phone:
Years Known:

REFERENCE #3

Name:
Business:
Phone:
Years Known:

ADDITIONAL INFO

JOB APPLICATION FORM

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