Columbus Percussion
Application for Employment
Columbus Pro Percussion, Inc. is an Equal Opportunity Employer

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Personal Information
Date: April 22, 2024
Name:
Present Address:
Permanent Address:
Phone Number: () -
Alt. Number: () -

Employment Desired
Position:
Start Date:
Salary Desired: $
Are You Currently Employed?
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Are you legally authorized to work in the United States?
Have you ever applied to work here before?
When?

Education History
High School Name:
High School Address:
Years Attended:
Did you graduate?
Subjects studied in High School:

College Name:
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Subjects studied in College:

Trade / Business / Correspondence School Name:
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Subjects studied in School:

General Information
Subject of Special Study / Research Work:
Special Training:
Special Skills:
U.S. Military or Naval Service:
Rank:

Current / Former Employers
(Start with the most recent)
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Dates Worked:
Salary:
Reason for Leaving:

Employer Name:
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Position:
Dates Worked:
Salary:
Reason for Leaving:

Employer Name:
Employer Address:
Position:
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Salary:
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Employer Name:
Employer Address:
Position:
Dates Worked:
Salary:
Reason for Leaving:

References
(List three persons not related to you)
Reference Name:
Reference Place of Employment:
Reference Phone Number: () -
Years Known:

Reference Name:
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Years Known:

Reference Name:
Reference Place of Employment:
Reference Phone Number: () -
Years Known:

Resume
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Authorization
"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of this information.

I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws."

By typing my name in the box below, I agree this statement as written.
Date:
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