USA Bird Supply
APPLICATION FOR EMPLOYMENT


USA Bird Supply (the Company) is an equal opportunity employer, which makes employment decisions without regard to race, color, gender, religion, national origin, age, disability, marital status, veteran status, or any other characteristic protected under federal, state or local law. The Company will provide a reasonable accommodation to individuals with disabilities and bona fide religious beliefs. It complies with, and fully supports the Americans with Disabilities Act.

The information requested on this form and its supplement is needed to evaluate your application for employment with this Company. All questions on the form must be answered. Incomplete applications will not be processed.


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Applicant's Personal Data

  First Name      Last Name
  Previous Name
  Address
  City   State   Zip
  Telephone



  Have you previously been employed by USA Bird Supply?  
  Have you previously submitted an employment application?  
  Have you ever interviewed at USA Bird Supply?  
  When?         For What position? 


Applicant's Employment Data

  Position applying for:    
  Date available for work:    
  Minimum salary requirement: $  
  Type of position desired     Full Time     Part Time     Temporary

 
  If hired, will you be able to work the scheduled days and hours required, which may include additional hours, weekends, evening and some holidays?
    Yes     No


 
  Only US Citizens or aliens who have a legal right to work in the US are eligible for employment. Can you, upon employment, provide genuine documentation establishing your identity and eligibility to be legally employed in the US?
    Yes     No


 
  Have you ever been fired or asked to resign from a job?:
    Yes     No

If yes, explain:
 


Work History

  If you are under 18, can you furnish a work permit?
    Yes     No


 
  Did you ever work for any employers under a different name?
    Yes     No


If yes, which name?      

If yes, which employer?

 
  Have you been convicted of a criminal offense?
    Yes     No


 
   
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