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Application for Employment At BackStreeT

Select the items that apply, and then let us know how to contact you.

I am a new applicant.
I have worked here before, loved it, and want to come back.

What type of employment are you seeking.  Full Time  Part Time

What Position are you seeking at BackStreeT. 

FirstLastM.I.

SSN--Phone
Street AddressCity

State

Postal CodeE-mail

Are you a US resident?  yes  no

Birth Date: MM/DD/YY  

If NO, give the country of your citizenship

Work Experience

Employer's Name

Street Address

City

State

Postal Code

Phone
Supervisor's Name

Describe what you did when you were in this companies employ, what did you most and least enjoy about this job.

 

Work Experience

Employer's Name

Street Address

City

State

Postal Code

Phone
Supervisor's Name

Describe what you did when you were in this companies employ, what did you most and least enjoy about this job.

 

Work Experience

Employer's Name

Street Address

City

State

Postal Code

Phone
Supervisor's Name

Describe what you did when you were in this companies employ, what did you most and least enjoy about this job.

 

Highest Level of LearningHS/GED     Associate       Bachelor 
Last Place of Learning

Street Address

City

State

Postal Code

Phone
Course of Study

Wage

per hr.

Have you ever been convicted of a felony? yes   no

Personal References
Name

Name

    

Phone 

Phone 

  APPLICANT CERTIFICATION

     18.  I certify that, to the best of my knowledge and belief, all of the information on and attached to this application is true, correct,
complete and made in good faith.  I understand that false or fraudulent information on or attached to this application may be grounds for not hiring me or for firing me after I begin work, and may be punishable by fine or imprisonment.  I understand that any information I give may be investigated.

I Agree

You may get a FRONT PAGE ERROR when you complete the application and hit the Submit Request button.  All your information has been sent.  We will respond with a reply once we receive your application.

PRIVACY ACT AND PUBLIC BURDEN STATEMENTS 
     BackStreeT and other Federal agencies rate applicants for Employment under the authority of sections 1104, 1302, 3301, 3304, 3320, 3361, 3393, and 3394 of title 5 of the United States Code.  We need the information requested in this form and in the associated vacancy announcements to evaluate your qualifications.  Other laws require us to ask about citizenship, military service, felony status, etc.  We request your Social Security Number (SSN) under the authority of Executive Order 9397 in order to keep your records straight; other people may have the same name.  As allowed by law or Presidential directive, we use your SSN to seek information about you from employers, schools, banks, and others who know you.  Your SSN may also be used in studies and computer matching with other Government files, for example, files on unpaid student loans.  If you do not give us your SSN or any other information requested, we cannot process your application, which is the first step in getting a job.  Also, incomplete addresses, telephone, email,  and ZIP Codes will slow processing.