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Pre-Employment Questionnaire
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Personal Information
Employment Desired
Are you employed now?
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If so, may we inquire of your current employer?
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Ever applied before?
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Education History
Name & Location
Years Attended
Did You Graduate
Subject Studied
High School
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College
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Trade, Business or Correspondence School
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General Information
Former Employers (List last 4 employers starting with last one)
Name & Address of Employer
Salary
Position
Reason for Leaving
References (Give the names of 3 persons not related to you, whom you have known at least 1 year)
Name
Address
Business
Years Known