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    M.I.

    SUBMITE RESUME


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    Date

    Date Available

    Street Address

    Apartment / Unit #

    City

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    ZIP Code

    Phone

    Email

    Position Applied For

    Desired Salary$

    Are you a citizen of the United States?

    If no, are you authorized to work in the U.S.?

    Have you ever been convicted of a felony?

    If yes, explain

    Previous Employment — Employer 1

    Company

    Phone

    Address

    Supervisor

    Job Title

    Starting Salary$

    Ending Salary$

    Responsibilities

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    To

    Reason for Leaving

    May we contact your previous supervisor for a reference?

    Previous Employment — Employer 2

    Company

    Phone

    Address

    Supervisor

    Job Title

    Starting Salary$

    Ending Salary$

    Responsibilities

    From

    To

    Reason for Leaving

    May we contact your previous supervisor for a reference?

    Previous Employment — Employer 3

    Company

    Phone

    Address

    Supervisor

    Job Title

    Starting Salary$

    Ending Salary$

    Responsibilities

    From

    To

    Reason for Leaving

    May we contact your previous supervisor for a reference?

    Education

    High School

    Address

    From

    To

    Graduate?

    Diploma

    College

    Address

    From

    To

    Graduate?

    Degree

    Other

    Address

    From

    To

    Graduate?

    Degree

    References

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    Full Name

    Relationship

    Company

    Phone

    Full Name

    Relationship

    Company

    Phone

    Full Name

    Relationship

    Company

    Phone

    Background Check Authorization & Signature

    By submitting this application, I authorize ICON Custom Builder, LLC to conduct a light background check and a driving record check. I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

    Full Legal Name (electronic signature)

    Date

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