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EMPLOYMENT INFORMATION
Are you interested in
If Selected, date available to start:
If Selected, Check bellow all days you will be available to work:
List the times you are available to work:
From:
To:
If Selected, Will SMI be your primary job and income source?
Explain:
If Selected, Are you willing to undergo a pre-employment drug test?
Do you have any relative working for SMI?
If yes, What’s his name?
EDUCATION:
1. High School
Address:
From:
To:
Did you graduate?
Degree:
2. College
Address:
From:
To:
Did you graduate?
Degree:
3. Other
Address:
From: Copy
To:
Did you graduate?
Degree:
LANGUAGE SKILLS
English
Do You
Do You Speak
Do You Read
Do You write
Spanish
Do You
Do You Speak
Do You Read
Do You write
Other:
Do You
Do You Speak
Do You Read
Do You write
OTHER SKILLS
What is your current computer skill level?
Have you ever served in a Military Service?
Describe:
Have you received any Law Enforcement or Security Training?
Describe:
An essential function of this job requires that you.......
If No, explain
EMPLOYMENT HISTORY
1. Company
Address:
Phone:
Fax:
Job Title
Supervisor
Responsibilities
Starting Salary $
Ending Salary $
From
To
Reason for Leaving
2. Company
Address:
Phone:
Fax:
Job Title
Supervisor
Responsibilities
Starting Salary $
Ending Salary $
From
To
Reason for Leaving
Signature
Date