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Employment Application Speedy 2021

Personal Information - Informacion Personal

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Name- Nombre
Present Address - Direci õn Permanente
U.S. Citizen - Ciudadano de USA

The Civil Right Act of 1964 prohibits discrimination in employment because of race, color, religion, sex, or national origin. The State of California also prohibits discrimination because of age or sexual orientation. The age discrimination employment act of 1967 prohibits discrimination on the basis of age with respect to individual who are at least 40 years but less than 65 years of age. If this state prohibits the request of any information on this form the information will not be used to discriminate against possible employment.

We have designed this form to comply with State and Federal fair employment practice laws prohibiting discrimination on th ebasis of an applicant's sex or minority status. Questions directly or indirectly reflecting such status have beenincluded only where needed to determine a bono fide occupational qualification or for other permissible purposes. Such questions are appropriately noted on the application. Notwithstanding these efforts the manufacturer of this form does not assume responsibility and hereby disclaims any liability for inclusion in this form of any questions upon which a violation of State and Federal fair employment practice laws may be based.

El acto civil de los derechos de 1964 prohibe la descriminaciõn de empleo por causa de raza, color, religiõn, sexo u origen nacional. Algunos estados prohiben la descriminaciõn por causa de edad. La descriminaciõn de edad en la acto de empleo de 1967 prohibe la descriminaciõn por edad al respec de los individuos que tengan a lo menos que 40 anõs de edad pero menos que 65 anõs de edad. Si este estado prohibe caulquiera informacion de este naturaleza este informaciõn no va ser utilizada para descriminar en contra de empleo posible.

El manufacturero de esta forma no assume niguna responsibilidad de ninguna clase si al linar esta forma se hace algun acto de violacion de las leyes de empleo tanto federales como el estado.

Education - Educacion

Grammer School
Escuela primaria

High School
Escuela secundaria

College
Colegio

Trade or Business
Colegio mercantil



Former Positions (List below last four employers, starting with last one first)
Puestos Anteriores ( Apunte los cuatro ultimos patrones, comenzando con el ultimo primeramente.)
Date - Month & Year
Fecha - Mes y Ano
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Date - Month & Year
Fecha - Mes y Ano

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Date - Month & Year
Fecha - Mes y Ano

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Date - Month & Year
Fecha - Mes y Ano

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Personal References (Give below the names of three persons not related to you, whom you have known for at least one year)
Referencias Personales (A pnte los nombres de tres personas que no sean parientes, que ha conocido mas de un ano)



Physical Record (List any physical defeacts Registro Fisico (A punte defectos fisicos)

I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts called for is cause for dismissal. Further, I understand and agree that my employment is for no definite period of time and may, regardless of the date of payment of my wages and salary, be terminated at any time without any previous notice.

Autorizo la investigacion de todos los informes en esta aplicacion. Entiendo que la falsificacion u omission de los datos y hechos falsosserian la causa para un retiro. Tambien entiendo y estoy de acuerdo conel hecho de que mi empleo no comprende un periodo definitivo, y puedeterminar en caulquier momento sin previo aviso, a pesar de esto noimporta el dia de pago.

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DO NOT WRITE BELOW THIS LINE - NO ESCRIBA DEBAJO DE ESTA LINEA

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