Vanguard Integrity Professionals | Employment Application

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Date of Application

Email *

Personal Information

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First Name *

Preferred Name

Middle Initial (Insert X if none) *

Last Name *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

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Home Phone

Business Phone

Cellular Phone *

Have you ever applied to or worked for Vanguard Integrity Professionals (or any of its subsidiaries or affiliated companies) before? *

Yes
No

If yes, when?

Do you have friends or relatives working for Vanguard Integrity Professionals (or any of its subsidiaries or affiliated companies)? *

Yes
No

If yes, state name & relationship:

If hired, would you have a reliable means of transportation to and from work? *

Yes
No

Are you at least 18 years old? (If under 18, hire is subject to verification that you are of minimum legal age.) *

Yes
No

If hired can you present evidence of your U.S. Citizenship or proof of your legal right to work and live in this country? *

Yes
No

Are you able to perform the essential functions of the position for which you are applying either with or without accommodation? *

Yes
No

If no, describe the functions that can not be performed:

Have you ever pled guilty, or no contest to, or been convicted of a felony?*

Yes
No

If Yes, please give the date(s) and details:

Have you ever pled guilty, or no contest to, or been convicted of a misdemeanor resulting in imprisonment within the last seven years? *

Yes
No

If Yes, please give the date(s) and details:

Are you currently employed?

Yes
No

If yes, may we contact your employer?

Yes
No

Employment Desired

Position applying for: *

Type of Employment

Desired work schedule

Available on weekends:

Yes
No

Available for Overtime:

Yes
No

Date available, if hired: *

Desired compensation:

*NOTE: Answering "Yes" to these questions does not constitute an automatic bar to employment. Factors such as age and time of the offense, seriousness and nature of the violation, and rehabilitation will be taken into account. (Do not include minor traffic citations and arrests or convictions which have been sealed or expunged in answering this question.)

Education

High School

School Name

Address

Years Completed

High School

Did you graduate?

Degree/Diploma

College/University

School Name *

Address *

Years Completed *

College/University

Did you graduate? *

Degree/Diploma *

Vocational/Business

School Name

Address

Years Completed

Vocational/Business

Did you graduate?

Degree/Diploma

Other

School Name

Address

Years Completed

Other

Did you graduate?

Degree/Diploma

Languages

Many of our customers (clients) do not speak English. Do you speak, write or understand any foreign languages? (copy)

If yes, which language(s)?

Training/Certifications

Do you have any other experience, training, qualifications or skills, which you feel make you especially suited to work at Vanguard Integrity Professionals?

If yes, please explain:

Are you licensed/certified for the job you are applying for:

Has your license ever been revoked or suspended?

If yes, state reason(s), date of revocation or suspension and date of reinstatement:

Name of license/certification:

Issuing state:

License/Certification number:

Past Employment

List below all present and past employment for the last five years starting with your most recent employer. Account for all periods of unemployment. You must complete this section even if attaching a resume.

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Name of Employer *

Type of Business: *

Phone *

Supervisor's Name: *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Dates of Employment:

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From: *

To: *

Position:

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Beginning

Ending

Duties:

Reason for Leaving:

May we contact this employer for a reference? *

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Name of Employer

Type of Business:

Phone

Supervisor's Name:

Address

Address Line 1

Address Line 2

City

State

Zip Code

Dates of Employment:

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From:

To:

Position:

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Beginning

Ending

Duties:

Reason for Leaving:

May we contact this employer for a reference?

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Name of Employer

Type of Business:

Phone

Supervisor's Name:

Address

Address Line 1

Address Line 2

City

State

Zip Code

Dates of Employment:

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From:

To:

Position:

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Beginning

Ending

Duties:

Reason for Leaving:

May we contact this employer for a reference?

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Name of Employer

Type of Business:

Phone

Supervisor's Name:

Address

Address Line 1

Address Line 2

City

State

Zip Code

Dates of Employment:

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From:

To:

Position:

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Beginning

Ending

Duties:

Reason for Leaving:

May we contact this employer for a reference?

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Name of Employer

Type of Business:

Phone

Supervisor's Name:

Address

Address Line 1

Address Line 2

City

State

Zip Code

Dates of Employment:

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From:

To:

Position:

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Beginning

Ending

Duties:

Reason for Leaving:

May we contact this employer for a reference?

References

List below 3 persons not related to you who have knowledge of your work performance in the last 3 years.

Reference 1

Name of Reference

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

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Occupation

No. of Years Acquainted

Reference 2

Name of Reference

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

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Occupation

No. of Years Acquainted

Reference 3

Name of Reference

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

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Occupation

No. of Years Acquainted

Additional Information

Application for Employment

Personal Information

Employment Desired

Education

High School

College/University

Vocational/Business

Other

Languages

Training/Certifications

Past Employment

References

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