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Position Applying for
Social Security Number
Desired Monthly Salary
Are you a citizen of the United States?
If no, are you authorized to work in the U.S.?
Do you have a driver's license?
Driver's License Number
Have you ever been convicted of a felony?
If yes, please explain
Did you graduate
Starting Monthly Salary
Ending Monthly Salary
Reason for Leaving
May we contact your previous supervisor for a reference?
Please Read Carefully
In exchange for the consideration of my job application by SUSHIC, LLC:
I authorize investigation of all statements contained in this application. I understand that the misrepresentation of omission of facts called for is cause for dismissal at any time without any previous notice.
Applications agreed :
SUSHIC, LLC is an equal employment apportunity employer. We adhere to a ploicy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age, or disability.
Thank you for completing this application form and for your interest in out business.
4122 Campbell Road, Houston, TX 77080
Phone: 713-973-2387 | Fax: 713-722-0749 | Email: email@example.com