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We have moved! Visit us at 3501 East Main street in Weatherford Oklahoma!

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Applicant Information

First name

Last name

Middle Name

Address

City

Phone

Date Available

State

Zip

Email

Social Security Number

Desired Salary

Position Applying For

Are you a citizen of the United States?

Yes

No

Have you ever worked for this company before?

Yes

No

Are you a registered sex offender?

Yes

No

If no, are you authorized to work in the United States?

Yes

No

If yes, when?

Have you ever been convicted of a felony?

Yes

No

Do you have a valid drivers license?

Yes

No

If yes, please explain felony conviction:

Education

High School:

From:

Did you graduate?

Yes

No

Address:

To:

Diploma:

College:

From:

Did you graduate?

Yes

No

Other:

From:

Did you graduate?

Yes

No

Address:

To:

Diploma:

Address:

To:

Diploma:

References

Please list three professional references

Full Name:

Company:

Relationship:

Phone:

Address:

Full Name:

Company:

Relationship:

Phone:

Address:

Full Name:

Company:

Relationship:

Phone:

Address:

Previous Employment

Company:

Phone:

Address:

Job Title:

From:

Starting Salary:

Supervisor:

To:

Ending Salary:

Reason for leaving:

May we contact your previous employer for a reference?

Yes

No

Company:

Phone:

Address:

Job Title:

From:

Starting Salary:

Supervisor:

To:

Ending Salary:

Reason for leaving:

May we contact your previous employer for a reference?

Yes

No

Company:

Phone:

Address:

Job Title:

From:

Starting Salary:

Supervisor:

To:

Ending Salary:

Reason for leaving:

May we contact your previous employer for a reference?

Yes

No

Military Service

Branch:

Rank at Discharge:

From:

To:

Type of Discharge:

If other than honorable, please explain:

Business: (580) 772-0627
Emergency: (580) 302-3338
Email: burrowsproaudio@gmail.com
Location: 3501 East Main, Weatherford, OK 73096

Oklahoma State License #AC158641

CCTV AND ACCESS CONTROL

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