3001 S Webster St
Kokomo, IN 46902

3001 S Webster St
Kokomo, IN 46902

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3001 S Webster St
Kokomo, IN 46902

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Employment Application

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PASTArrific INC provides equal employment opportunity to all qualified persons, and does not unlawfully discriminate against any person on the basis of race, color, creed, religion, sex,

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national origin, age, disability, marital or veteran status,sexual orientation, or any other legally protected status. Please -

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• Complete all items on the application, even if the information is included on your resume or other document submitted by you.

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• Sign and date your application.

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• Specify the exact title of the position in which you are interested.

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• Type or print all requested information.

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• If necessary, attach additional 8 ½ “ x 11” sheets of paper to this application.

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• Submit your application to PASTArrific INC

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Position Applying For:

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Personal Information

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Name First Name Last Name

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General Information

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Are you legally eligible for work in the U.S.A.? (if yes, verification will be required)

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Yes

Have you ever applied to or worked for PASTArrific before?

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Yes

if so, when?

Are any of your relatives currently working for PASTArrific?

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Yes

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Have you ever been convicted of a felony?

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Employment Request

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Minimum Salary Requested:

If applicable, are you available for overtime?

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*Please begin with most recent employment

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Employer:

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Supervisor: First Name Last Name

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Position:

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Employer#3:

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Supervisor: First Name Last Name

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I certify that the facts set forth in this application are true, complete, and correct to the best of my knowledge. I understand that any misrepresentations, falsifications, or omissions on this

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application can be grounds for rejection of my application or, if I am employed by this company, for my immediate termination from employment. I authorize PASTArrific INC to make

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any necessary inquiries and investigations into my education, military, or employment history. I further authorize, unless otherwise indicated on this application, the release of my information

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to PASTArrific INC by any of the schools, services, or employers listed on this application.

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