Part Time Receptionist staffing

Harden

Gloria Klar's Employment Application

Date Submitted: 1/27/2019

Job Title: Receptionist

Job Location: Jacksonville

Personal Information

First Name: Gloria

Last Name: Klar

Email: ***********@*****.***

General Information

Attachments

Cover Letter: n/a

Writing Sample: n/a

Contact Information

Cell Phone: 904-***-****

Home Phone: 904-***-****

Address: 1133 Plainfield Ave

City: Jacksonville

State: FL

Postal Code: 32073

Current Address

Address: 1133 Plainfield Ave

Address

City: Orange Park

Zip/Postal Code:. 32073

Country: United States

State: FL

General Information

Have you ever filed an application with us before? No Have you previously been employed with us before? No Are you currently employed? No

May we contact your present employer? No

Are you authorized to work lawfully in the United States? Yes Will you now or in the future require Harden to commence (“sponsor”) an immigration case in order to employ you

(for example, H-1B or other employment-based immigration case)? This is sometimes called “sponsorship” for an employment-based visa status.: No

Proof of citizenship or immigration status will be required upon employment.: On what date would you be available to work? : 2 weeks from Feb 28th 2019 Are you available to work: Full Time, Part Time, Temporary Do you have any objection to working overtime if necessary? No Can you travel if the job requires ? Yes

Have you ever been involuntarily terminated from a job? No If yes, please explain: N.A.

Are you related to any current Harden employee? No If yes, provide name/relationship of relative(s): N.a. We consider applicants for all positions without discrimination based on race, color, religion, creed, gender, national origin, age, marital or veteran status, disability, or any other legally protected status: WE ARE AN AT-WILL, EQUAL OPPORTUNITY EMPLOYER:

Education/Training

High School:

Name of School: Scotland Neck High

City and State: Scotland Neck NC

Grade Completed: 12

Graduate or GED? Yes

College or University:

Name of School: Edgecombe Techncal

City and State: Tarboro N.C.

Course or Major: Business Administration

Years Completed: 2

Degree: Associate

Graduate? No

Graduate School:

Name of School: Na

City and State: Na

Course or Major: Na

Years Completed: n/a

Degree: Na

Graduate? No

Other:

Name of School: n/a

City and State: n/a

Course or Major: n/a

Years Completed: n/a

Degree: n/a

Graduate? n/a

Speak, Read and Write Fluently: English

Other: None

Describe any specialized training, apprenticeship, skills and extra-curricular activities.: Na Describe any job-related training recieved in the United States Military: N.A. List professional, trade, business, or civic activities and offices held. (You may exclude memberships that would reveal race, color, religion, gender, age, ancestry, national origin, disability, or other protected status): None Summarize special job-related skills and qualifications acquired from employment or other experience? None Additional Information

Have you ever been convicted of, or pled guilty, no contest or nolo contendere to a crime? No Please read carefully: Have you ever appeared in court for an offense, been charged with a crime and/or either placed on a court-ordered probation, received an acquittal from a jury trial or judge, had adjudication withheld or nolle processed, entered a pre-trail intervention program or have any criminal charges now pending? No

(A conviction record will not necessarily be a bar to employment. Such factors as the time and nature of the offense will be considered.):

If YES please give details (date, place, offense(s), disposition, etc.: None

(Such charge or conviction may be relevant if job related, but does not automatically bar you from employment.): Applicant's Statement

I certify that answers given herein are true and complete to the best of my knowledge. : I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision:

I HEREBY UNDERSTAND AND ACKNOWLEDGE THAT, IF HIRED, MY EMPLOYMENT RELATIONSHIP WITH THIS ORGANIZATION WOULD BE OF AN “AT WILL” NATURE, WHICH MEANS THAT THE EMPLOYEE MAY RESIGN AT ANY TIME AND THE EMPLOYER MAY DISCHARGE THE EMPLOYEE AT ANY TIME AND FOR ANY OR NO REASON. IT IS FURTHER UNDERSTOOD THAT THIS “AT WILL” EMPLOYMENT RELATIONSHIP MAY NOT BE CHANGED BY ANY WRITTEN DOCUMENT OR CONDUCT UNLESS SUCH CHANGE IS SPECIFICALLY ACKNOWLEDGED IN WRITING BY AN AUTHORIZED EXECUTIVE OF THIS ORGANIZATION. :

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.: Applicant Signature: Gloria A Klar

Date: 11/14/2022

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