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NOTE: To apply for the position of Floor Tech or Power washing you must be 21 years old or older.

Position you are applying for?*
Are you 21 years old or older?*

 
 
Name*
E-mail Address*
Phone Number*
Street Adress*
City*
State*
Zip Code*
Are you at least 18 years old?*
When would you be able to begin working?*
What are you desires type of employment?*
Have you ever work for NCCS?*
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Previous Work Experience

Most Recent Employment

Employer or Company*
City*
Position Title*
Supervisor*
Start year*
End year*
Duties*
Reason for leaving*

2nd Most Recent Employment

Employer or Company*
City*
Position Title*
Supervisor*
Start year*
End year*
Duties*
Reason for leaving*

Other Relevant Information

A description of the section goes here.

Have you been convicted of any offense under the laws of USA, for which you have not been pardoned?*
Are you legally entitled to work in USA?*
Are you legally entitled to work in USA?*
Do you hold a valid driver's license?*

Authorization for Background Investigation

I authorize and requests any present or former employer, school, police department, court records, including those maintained by either public or private organizations, financial institution or other persons having personal knowledge about me to furnish Red’s Rapid Research with any and all information in their possession regarding me for the purpose of confirming the information contained on my application for employment and/or obtaining other information which may be material to my qualifications for employment. I am willing that a photocopy of this authorization be accepted with the same authority as the original, and I specifically waive any written notice from any present or former employer who may provide information based upon this authorization request.

The following is my true and complete legal name and all information is true and correct to the best of my knowledge:

Full Name*
Maiden Name or other names used*
Present Address*
City:*
State*
Zip Code*
Date of birth ( for I.D purposes only): *
Social Security Number*
State of Issuance*
Driverís License Number
State of Issuance

Applicant's Agreement

By typing your name, you are conveying the same privilege as your signature:

I agree that any misrepresentation on this application form or on employer documents completed after my hiring may be cause for refusing to employ me or dismissal. I consent to the company making its usual inquiries about my work experience through my former employment and to the obtaining of consumer reports that may contain credit and personal information other than that of a religious, racial or ethnic character.

Name*
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