Last
First
M.I.
SUBMITE RESUME
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Date
Date Available
Street Address
Apartment / Unit #
City
State
ZIP Code
Phone
Email
Position Applied For
Desired Salary$
Are you a citizen of the United States? YesNo
If no, are you authorized to work in the U.S.? YesNo
Have you ever been convicted of a felony? YesNo
If yes, explain
Company
Address
Supervisor
Job Title
Starting Salary$
Ending Salary$
Responsibilities
From
To
Reason for Leaving
May we contact your previous supervisor for a reference? YesNo
High School
Graduate?YesNo
Diploma
College
Degree
Other
Please list three professional references.
Full Name
Relationship
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.
I have read and agree to the statement above.
Full Legal Name (electronic signature)
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