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ONLINE APPLICATION FOR EMPLOYMENT

Personal Information

Last Name
First Name	Middle Initial
Address 1
Address 2
City
State	Zip
Daytime Phone	Evening Phone
Cell Phone	Email
Social Security Number
Are you 18 years or older?	Yes No If under 18, list birth date
Are you prevented from lawfully becoming employed in this country because of Visa or immigration status?	Yes No

Employment Desired

Position Desired
Date you can Start
Have you ever applied to Your Weddings Registry .com before?	Yes No
When?
Where?
Referred by

Education

Highest level of education completed
Name of High School
City, State
Graduate	Yes No
Name of College or Trade School
City, State
Major course of study
Graduate	Yes No

General

Subjects of special study or research work
Special Skills
U.S. Military Service
Rank
Present membership in National Guard or Reserves

Employment History
List last three employers starting with the most recent one first

Job 1	From To
Name and Address of Employer
Salary	$ per
Position
Reason for leaving
Job 2	From To
Name and Address of Employer
Salary	$ per
Position
Reason for leaving
Job 3	From To
Name and Address of Employer
Salary	$ per
Position
Reason for leaving
Which of these jobs did you like best?
What did you like most about this job?

References
Give the names of three persons not related to you, whom you have known at least one year.

1. Name
Address
Business
Years Acquainted
2. Name
Address
Business
Years Acquainted
3. Name
Address
Business
Years Acquainted

Please read the following statements carefully and completely before sending application:

By clicking the "Send Application" button below, "I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time.
In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company. I understand that no company representative, other than its president, and then only when in writing and signed by the president, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing."

Consent and Authorization for Checking References

I have applied for employment with Your Weddings Registry .com and provided information about my previous employment. By clicking the "Submit" button below, I authorize my former or current employers and references to release the contents of my employment record with their organizations and to provide any additional information that may be necessary for my application for employment to Your Weddings Registry .com, whether the information is positive or negative.
I authorize Your Weddings Registry .com to investigate all documents presented and statements made in my application for employment and to obtain any and all information concerning my former/current employment. This includes my job performance appraisals/evaluations, wage history, disciplinary action(s) if any, and all other matters pertaining to my employment history. I knowingly and voluntarily release all former and current employers, references, and Your Weddings Registry .com from any and all liability arising from their giving or receiving information about my employment history, my academic credentials or qualifications, and my suitability for employment with Your Weddings Registry .com