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EDUCATION

REFERENCES  Please list three professional references - not related to you, whom you have know for at least one year.

PREVIOUS EMPLOYMENT

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To:

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Did you graduate?:

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Relationship:

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Address:

Company:

Phone:

Address:

Supervisor:

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Ending Salary:

Responsibilities :

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Reason for Leaving:

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No:

Yes

Full Name:

Relationship:

Company:

Phone #:

Address:

Company:

Phone:

Address:

Supervisor:

Title:

Starting Salary:

Ending Salary:

Responsibilities :

From

May we contact your previous supervisor for a reference?

Reason for Leaving:

Yes:

No:

Yes

Are you a US Citizen?:

If no, are you authorized to work in the US?:

Have you ever worked for GFR?:

In consideration of my employment, I agree to conform to Gaither Family Resources (GFR) rules and policies, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or GFR’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 GFR.  I authorize you to make such investigations and inquiries of my personal employment, education, financial and other related matters as may be necessary for an employment decision.  I hereby release employers, schools or individuals from all liability when responding to inquiries in connection with my application.

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Are you 18 years or older?:

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Making this opportunity work for both of us, will depend on when you are available.  Please indicate days and hours you are able to work.