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Contact Us

Position Desired
First Name
Last Name
Email Address
Address
City/State/Zip
Home Telephone
Work Telephone
	Are you age 18 or older? Yes   No Are you age 21 or older? Yes   No
Position Objective
Type of Employment Desired	Full Time Part Time (less than 20 hours per week)
Date Available to Work
Salary Expected
Data Entry Order Processing Filing Customer Service Accounting Project Coordination Payroll Computers Office Windows Excel Power Point Switchboard Reception CAD Operator Interior Design Sales Human Resources Purchasing Customer Service Warehouse Receiving Installation Maintenance & Repair Service Delivery Fork Lift Custom Painting Wood Refinishing
Please list any other experience, skills or qualifications you have that we should consider in evaluating your application:
General Information
Have you ever worked for Walsh Bros. Office Environments? no   yes If yes, what date?
Do you have any relatives employed by Walsh Bros. Office Environments? no   yes If yes, their name and relationship?
Have you ever applied for employment at Walsh Bros. Office Environments? no   yes If yes, approximately when?
Are you legally eligible for employment in the United States? no   yes
Have you ever been convicted of a felony? no   yes If yes, please explain? (Felony convictions will not absolutely prohibit employment, but will only be considered in relation to specific job requirements)
Education
Name Location Major & Minor Studies Certificate, Degree or Num of Credits Grade Avg Elementary High School College Business/Tech
Employment History
Name of Employer Type of Business Supervisor Telephone Emp. Address (Addr/City/State/Zip) Duties Start Date Final Date Start Salary Final Salary Start Title Last Title Reason Leaving May we contact them now? yes     no Name of Employer Type of Business Supervisor Telephone Emp. Address (Addr/City/State/Zip) Duties Start Date Final Date Start Salary Final Salary Start Title Last Title Reason Leaving May we contact them now? yes     no Name of Employer Type of Business Supervisor Telephone Emp. Address (Addr/City/State/Zip) Duties Start Date Final Date Start Salary Final Salary Start Title Last Title Reason Leaving May we contact them now? yes     no Name of Employer Type of Business Supervisor Telephone Emp. Address (Addr/City/State/Zip) Duties Start Date Final Date Start Salary Final Salary Start Title Last Title Reason Leaving May we contact them now? yes     no
APPLICANT CERTIFICATION READ CAREFULLY BEFORE SIGNING I certify that all information I have provided in order to apply for and secure work with Walsh Bros. Office Environments is true, complete and correct. I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) cancel further consideration of this application, or (ii) immediately discharge me from the employer's service, whenever it is discovered. I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me. I understand that the employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by applicable local, state or federal law. If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employer's President. I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard. This company hires lawful workers only- U.S. citizens or nationals and non citizens with valid work authorization- without discrimination. Federal immigration law requires all employers to verify both the identity and employment eligibility of all persons hired to work in the United States. In its efforts to meet the law's requirements, this company is participating in the Basic Pilot program established by the department of Homeland Security and the Social Security Administration (SSA) to aid employers in verifying the employment eligibility of all newly hired employees. Our participation in the program does not exempt us from the obligation to complete a Form I-9 for everyone we hire. For additional information on the verification program contact the : Department of Homeland Security USICS/SAVE Program 111 Massachusetts Avenue, 2nd Floor Washington, DC 20001 Phone (888) 464-4818 DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT. I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement. My typed name below shall have the same force and effect as my written signature. Candidate's Signature: