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RPC APPLICATION FOR EMPLOYMENT
(PRE-EMPLOYMENT QUESTIONNAIRE) (AN EQUAL OPPORTUNITY EMPLOYER)
DATE (MM/DD/YYYY)
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PERSONAL INFORMATION
Email
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LAST NAME
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FIRST NAME
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MIDDLE NAME
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SSN
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PRESENT ADDRESS
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Line 1
Line 2
City
State
Zip Code
Country
PERMANENT ADDRESS
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
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ARE YOU 18 YEARS OR OLDER?
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YES
NO
ARE YOU PREVENTED FROM LAWFULLY BECOMING EMPLOYED IN THIS COUNTRY BECAUSE OF VISA OR IMMIGRATION STATUS?
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YES
NO
EMPLOYMENT DESIRED
POSITION
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DATE YOU CAN START (MM/DD/YYYY)
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SALARY DESIRED
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ARE YOU EMPLOYED NOW?
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YES
NO
IF SO, MAY WE INQUIRE OF YOUR PRESENT EMPLOYER?
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YES
NO
HAVE YOU EVER APPLIED TO THIS COMPANY BEFORE?
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YES
NO
WHERE?
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SELECT LOCATION
BOCA RATON
DELRAY BEACH
HOBE SOUND
JUNO BEACH
JUPITER
KISSIMMEE
LAKE WORTH
ORLANDO
PORT ST. LUCIE
PORT ST. LUCIE SOUTH
STUART
TEQUESTA
VERO BEACH
WELLINGTON
WEST PALM BEACH
WINTER GARDEN
WINTER PARK
WHEN?
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REFERRED BY:
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EDUCATION
GRAMMAR SCHOOL NAME & LOCATION
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# OF YEARS ATTENDED
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DID YOU GRADUATE?
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SUBJECTS STUDIED
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HIGH SCHOOL NAME & LOCATION
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# OF YEARS ATTENDED
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DID YOU GRADUATE?
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SUBJECTS STUDIED
*
COLLEGE NAME & LOCATION
*
# OF YEARS ATTENDED
*
DID YOU GRADUATE?
*
SUBJECTS STUDIED
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TRADE, BUSINESS OR CORRESPONDENCE SCHOOL
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# OF YEARS ATTENDED
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DID YOU GRADUATE?
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SUBJECTS STUDIED
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GENERAL
SUBJECTS OF SPECIAL STUDY OR RESEARCH WORK
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SPECIAL SKILLS
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ACTIVITIES: (CIVIC, ATHLETIC, ETC.)
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EXCLUDE ORGANIZATIONS THE NAME OFWHICH INDICATES THE RACE, CREED, SEX, AGE, MARITAL STATUS, COLOR OR NATION OF ORIGIN OF ITS MEMBERS
U.S. MILITARY OR NAVAL SERVICE
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RANK
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PRESENT MEMBERSHIP IN NATIONAL GUARD OR RESERVES
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FORMER EMPLOYERS
(LIST BELOW LAST THREE EMPLOYERS STARTING WITH LAST ONE FIRST)
FROM
*
TO
*
NAME & ADDRESS OF EMPLOYER
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SALARY
*
POSITION
*
REASON FOR LEAVING
*
FROM
*
TO
*
NAME & ADDRESS OF EMPLOYER
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SALARY
*
POSITION
*
REASON FOR LEAVING
*
FROM
*
TO
*
NAME & ADDRESS OF EMPLOYER
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SALARY
*
POSITION
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REASON FOR LEAVING
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WHICH OF THESE JOBS DID YOU LIKE BEST?
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WHAT DID YOU LIKE MOST ABOUT THE JOB?
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REFERENCES
GIVE THE NAMES OF THREE PERSONS, NOT RELATED TO YOU, WHOM YOU HAVE KNOWN AT LEAST ONE YEAR
NAME
*
PHONE/EMAIL
*
BUSINESS
*
YEARS ACQUAINTED
*
NAME
*
PHONE/EMAIL
*
BUSINESS
*
YEARS ACQUAINTED
*
NAME
*
PHONE/EMAIL
*
BUSINESS
*
YEARS ACQUAINTED
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IN CASE OF EMERGENCY NOTIFY:
EMERGENCY CONTACT NAME
*
ADDRESS
*
PHONE
*
“I CERTIFY THAT ALL THE INFORMATION SUBMITTED BY ME ON THIS APPLICATION IS TRUE AND COMPLETE, AND I UNDERSTAND THAT IF ANY INFORMATION, OMISSIONS, OR MISREPRESENTATIONS ARE DISCOVERED, MY APPLICATION MAY BE REJECTED AND, IF I AM EMPLOYED, MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME.
BY MY SIGNATURE BELOW, I AUTHORIZE THE RELEASE OF MY PERSONAL INFORMATION FROM ANY THIRD PARTY TO REGAL DECORATING & PAINT CENTER, INC. OR ITS REPRESNTATIVES, INFORMATION INCLUDING, BUT NOT LIMITED TO: PREVIOUS EMPLOYMENT RECORDS, CREDIT INFORMATION IMPORTANT TO EMPLOYMENT DECISIONS, AND THE RESULTS OF DRUG AND ALCOHOL TESTING.
IN CONSIDERATION OF MY EMPLOYMENT, I AGREE TO CONFORM TO THE COMPANY’S RULES AND REGULATIONS, AND I AGREE THAT MY EMPLOYMENT IS AT-WILL AND THEREFORE, CAN BE TERMINATED WITH OR WITHOUT CAUSE AND WITH OR WITHOUT NOTICE AT ANY TIME AT EITHER MY OR THE COMPANY’S OPTION. I ALSO UNDERSTAND AND AGREE THAT THE TERMS AND CONDITIONS OF MY EMPLOYMENT MAY BE CHANGED, WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE, AT ANY TIME BY THE COMPANY. I ALSO UNDERSTAND THAT NO COMPANY REPRESENTATIVE, OTHER THAN ITS PRESIDENT, AND THEN ONLY WHEN IN WRITING AND SIGNED BY THE PRESIDENT, HAS ANY AUTHORITY TO ENTER INTO ANY AGREEMENT FOR EMPLOYMENT FOR ANY SPECIFIC PERIOD OF TIME, OR TO MAKE ANY AGREEMENT CONTRARY TO THE FOREGOING.”
CHECK THE BOX TO AGREE TO THE TERMS
*
I AGREE
DATE
*
SIGNATURE
*
SUBMIT
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