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EMPLOYMENT APPLICATION

Employment Application

Personal Information
Date
Date Format: MM slash DD slash YYYY
Name
First Last
Phone
Email
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Position Information
Job For Which You Are Applying
Expected Salary
Date Available To Start
How Did You Hear About This Position?
- Friend
- Avena Employee
- Advertisement
- Other
Have You Ever Applied for a Position with Avena Contracting
- Yes
- No
Have You Ever Worked at Avena Contracting?
- Yes
- No
If Yes, Please List Dates, Department & Position
Are You A United States Citizen?
- Yes
- No
If You Are Not A U.S. Citizen, Can You Provide Documentation to Prove Eligibility to Work in the U.S.?
- Yes
- No
Have you ever been convicted of a crime or received a verdict of anything other than not guilty in any criminal investigation or proceeding?*
- No
- Yes
Describe when the conviction occurred, facts, circumstances, and any information pertaining to rehabilitation. Do not list any criminal charges for which the records have been expunged; criminal offenses will not necessarily bar employment.*

Employment History
Employer Name
Supervisor Name
Dates Employed
Reason For Leaving
Employer Address
Employer Phone Number
Do You Have A Second Prior Employer To Report?
- Yes
- No
Employer Name
Supervisor Name
Dates Employed
Reason For Leaving
Employer Address
Employer Phone Number
Do You Have A Third Prior Employer To Report
- Yes
- No
Employer Name
Supervisor Name
Dates Employed
Reason For Leaving
Employer Address
Employer Phone Number
Have you ever had disciplinary problems with any previous employer?
- No
- Yes
Please describe the circumstances:

Education Background
Highest Grade/Level Completed
- Some High School
- High School or GED
- Some College or Trade School
- College or Trade School
Name & Address of School
In What Year Did You Graduate?

Upload Your Resume
File
Do You Confirm That The Information Being Submitted Is True & Accurate?
- Yes
- No

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