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Stateline Stockyards

Employment Application

Date
Month
Day
Year
Multi-line address
Date Available
Month
Day
Year
Are you a citizen of the United States?
Yes
No
Are you authorized to work in the United States?
Yes
No
Have you ever worked for this company before?
Yes
No
Have you ever been convicted of a felony?
Yes
No

References

Please list three professional references

Previous Employment

Previous Employment #1

Date Started
Month
Day
Year
Date Ended
Month
Day
Year
May we contact your previous supervisor for a reference?
Yes
No

Previous Employment #2

Date Started
Month
Day
Year
Date Ended
Month
Day
Year
May we contact your previous supervisor for a reference?
Yes
No

Previous Employment #3

Date Started
Month
Day
Year
Date Ended
Month
Day
Year
May we contact your previous supervisor for a reference?
Yes
No

Disclaimer

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

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