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Employment Application
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Step
1
of 3
Full Name
*
First
Middle
Last
Date
*
Address
*
Street Address
Apartment/Unit #
City
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Alaska
Arizona
Arkansas
California
Colorado
Connecticut
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District of Columbia
Florida
Georgia
Hawaii
Idaho
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Tennessee
Texas
Utah
Vermont
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Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone
*
Email
*
Date Available
*
Currently Employed?
*
Desired Wage:
Division Applying To:
*
DCPS - General
Asphalt
Sweeping
Landscaping
Cleaning
Waterproofing & Coatings
Painting
Are you a citizen of the United States?
*
Yes
No
If no, are you authorized to work in the U.S.?
Yes
No
Have you ever worked for this company?
*
Yes
No
If yes, when?
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Driving History
Please indicate all moving violations within the 3 years. Applicants are subject to provide a current MVR report and continuous checks post-employment per our Insurance carrier requirements.
Date/Offense:
Date/Offense:
Date/Offense:
Date/Offense:
Education
High School
Address
From
To
Did you graduate?
Yes
No
Diploma
College
Address
From
To
Did you graduate?
Yes
No
Diploma
Other
Address
From
To
Did you graduate?
Yes
No
Diploma
Previous
Next
Employment History
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?
Yes
No
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? (copy)
Yes
No
Company
Phone
Address
Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilities
From
To
Reason for Leaving:
Emergency Contact
Name
Relationship
Phone
Disclaimer and Signature
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, documents attached or interview may result in my release from DCPS Inc.
Signature
*
Date
*
How Did You Hear About us?
*
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Phone
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Email *
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