| Have you previously worked for any McGuire Group facility?YesNo |
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PREVIOUS EMPLOYMENT RECORD (list present or most recent employer first)
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| Have you ever been convicted of any crime or offense, other than a traffic violation? YesNo |
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| No applicant will be excluded from consideration for employment due to prior conviction. Your answer is looked upon as only one of the factors considered in the employment decision and is evaluated in terms of the nature,severity, and date of the conviction. |
Have you ever been discharged or asked to resign by any former employer?YesNo | What special skills or qualifications do you possess?
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| Have you served in the U.S. Armed Forces?YesNo |
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I hereby represent that each answer to a question herein and on any attachments to the application, and all other information otherwise furnished is true and correct. I further represent that such answers and information constitute a full and complete disclosure of my knowledge with respect to the question or subject to which the answer or information relates. I understand that any incorrect, incomplete or false statements or information furnished by me during the selection process will subject me to disqualification from employment or discharge at any time. I hereby authorize my former employers to give any information regarding my employment with them; and in addition, to furnish any other information they may have concerning me.
I understand this Application for Employment does not constitute an expressed or implied contract of employment and, if hired, I have the right to terminate my employment for any reason at any time. I also understand that the employer reserves the same rights provided such action is not inconsistent with any collective bargaining agreement which may govern the "wages" and "conditions of employment" of the position in which I am employed. I understand the employer reserves the right to unilaterally change or modify "wages" and "conditions of employment" at any time without previous notice, provided such are not subject to collective bargaining.
In compliance with the Fair Credit Reporting Act (Public Law 91-508), you are notified that in connection with and in order to better evaluate this application for employment, a report may be obtained which will provide applicable information concerning character, general reputation and personal characteristics including, but not limited to, verification of prior employment, verification with the Department of Motor Vehicles, and a character check, including verification and review of any criminal convictions. You have the right to make a written request within a reasonable period of time for a complete and accurate disclosure of the nature and scope of the report requested.
This employment application will remain active for future consideration for a period of up to six (6) months from date of submission. A new application must be completed after that time, to express a continued interest in employment with our organization.
An offer of employment is subject to satisfactory completion of a medical examination and questionnaire.
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RACE AND ETHNIC IDENTIFICATION
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| The McGuire Group is subject to certain governmental record keeping and reporting requirements for the administration of civil rights laws and regulations. In order to comply with these laws, the employer invites employees to voluntarily self-identify their race and ethnicity. Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information will be kept confidential and will only be used in accordance with the provisions of applicable laws, executive orders, and regulations, including those that require the information or be summarized and reported to the federal government for civil rights enforcement. When reported, data will not identify any specific individual. |
1. Gender FemaleMale
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2. Are you Hispanic or Latino-a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race?
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Yes (Please stop here. It is not necessary to respond to question #3)
No (Please proceed to question #3)
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3. Please check one:
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White (not Hispanic or Latino)-a person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
Black or African American (not Hispanic or Latino)-a person having origins in any of the Black racial groups of Africa.
Native Hawaiian or Other Pacific Islander(not Hispanic or Latino)-a person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
Asian(not Hispanic or Latino)-a person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand and Vietnam.
American Indian or Alaskan Native(not Hispanic or Latino)-a person having origins in any of the original peoples of North and South America(including Central America), and who maintains tribal affiliation or community attachment.
Two or More Races(not Hispanic or Latino)-all persons who identify with more than one of the above five races.
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4. Do you have or have you ever had any disability, impairment, illness or condition, physical or mental, which is permanent in nature, which would adversely effect your ability to perform the job for which you are applying? (Exclude routine illnesses such as the common cold or flu.)
Yes (Please give full details and what accommodations, if any, would assist you to perform those job functions to overcome the effect of your medical condition?) No
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5. Are you a Vietnam Era Veteran? YesNo
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6. Are you a Disabled Veteran? YesNo
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State current draft status, reserve obligation and/or weekend or summer obligation:
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