Belvedere Plantation - Fredericksburg, VA

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Employment Application Form

Use this form for applying for seasonal employment with Belvedere Plantation. Please enter all information requested.
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* Required Items—Please Fill In All Required Items

Personal Information

* Full Name

* Address

Address #2

* City

* State

* Zip Code

* Home Phone

Cell Phone

* Email

Education

* High School:

* From:

* To:

* Did you graduate? Yes
No

College:

From:

To:

Did you graduate? Yes
No

Degree:

Special Skills and Qualifications

Summarize special job-related skills and qualifications acquired from employment or other experience:

Employment Experience

Start with your most recent or present job. Include job-related military service assignments and volunteer activities. You may exclude organizations that indicate race, color, religion, gender, national origin, handicap or other protected status.

* Are you currently employed? Yes
No

Company:

Phone:

Job Title:

Supervisor:

Responsibilities:

From:

To:

Reason for leaving:

Next company .......................................

Company:

Phone:

Job Title:

Supervisor:

Responsibilities:

From:

To:

Reason for leaving:

References

Please give name, company and telephone number of two professional references that are not related to you and are not previous employers.

* Full Name

* Relationship:

* Company:

Phone:

* Full Name

* Relationship:

* Company:

Phone:

Applicant's Statement

We consider applicant for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, the presence of a non-job-related medical condition or handicap, or any other legally protected status.

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. I also understand and acknowledge that I am a seasonal employee and that my term of service will not exceed a twelve (12)-week period.

* Signature:

* Date:

Verification and Comments

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Comments:

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