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Date of Application (mm/dd/yyyy) |
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| Pay Rate Desired: |
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What city are
you applying for (that was listed in the job posting)? |
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| When would you be available to start? |
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| How were you referred to LMS? |
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| If other, please list:
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| If referred, please list by who:
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| First Name: |
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| Last Name: |
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| Street Address: |
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| City: |
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| State: |
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| Zip Code: |
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| Primary Phone: (123)123-1234 |
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| Secondary Phone: (123)123-1234 |
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| Best time of day to reach you: |
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| Email Address: |
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| Do you have any family members or friends that work for LMS? |
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| If yes, please list name (s) and the relationship to you: |
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| Have you ever been employed by LMS, Lawrence Merchandising Services, or
CRS/Lawrence Services? |
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If yes, please list any
other name you may have worked for us under: |
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What is your availability
(check all that apply)? |
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Are you 18 or
older? |
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Can you provide evidence of your legal right to work in
the US? |
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Please list any applicable education/certification/training/skills: |
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Please list your 3 most
recent positions. Include the company name, dates of
employment, title held, and describes main
responsibilities.(do not paste your resume) |
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If experienced in
merchandising, please select amount: |
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Please list what merchandising companies you have worked for and for how long: |
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| Please check any of the following you have performed: |
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Please check all you have daily
access to: |
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Please list any/all cities you are
available to work in (with no drive-time or mileage paid): |
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Equal Employment Opportunity Data: |
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Completion of
this portion of the form is entirely voluntary, and all
information will remain confidential and will not affect your
application for employment. We are required by law to collect
this information for equal opportunity employment purposes, and
it will not become part of your personnel record if you are
hired by this company. |
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Sex: |
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Race/Ethnicity |
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