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IC Application |
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Qualified applicants receive equal consideration. No question is
asked for the purpose of excluding any applicant due to race, creed,
color, national origin, religion, age, sex, handicap, veteran status,
marital status, sexual orientation, or any other characteristic
protected by law. We are equal opportunity I Contract employer.
The field descriptions in BLUE text are required. |
| First Name: |
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Last Name: |
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IC Employment History
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Please list chronologically, beginning with most recent experience.
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| Employer: |
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Address/City: |
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To (MM/YYYY): |
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| Supervisor: |
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Phone: |
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| Salary: |
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| Type of Work: |
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| Reason for Leaving: |
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| Employer: |
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Address/City: |
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To (MM/YYYY): |
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| Supervisor: |
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Phone: |
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| Type of Work: |
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| Reason for Leaving: |
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| Employer: |
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Address/City: |
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| From (MM/YYYY): |
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To (MM/YYYY): |
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Phone: |
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| Reason for Leaving: |
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Education
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Personal Information
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Member of the Drug-Free Workplace Network. Pre-Employment Drug Testing is a Requirement.
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Are you legally authorized to work in the U.S.?:
(If hired, you will be required to provide proof of work authorization.)
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Yes
No
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Are you at least 18 years of age?:
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Yes
No
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Briefly describe skills you may have that you acquired in other employment or armed forces:
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Have you ever been convicted of a crime (felony)?:
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Yes
No
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If yes, give details:
(Convictions are not automatic bar to career opportunities)
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If you are experienced operator of any office machines or equipment, please list:
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Typing speed?:
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wpm |
Shorthand?:
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wpm |
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If you are experienced operator of any plant machines or equipment, please list:
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Do you have any other skills you wish to mention?:
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Are you presently employed?:
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Yes
No
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If so, may we contact your present employer?:
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Yes
No
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| If contracted when would you be available?: |
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Employment References
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List individuals familiar with your job qualifications (No relatives or personal friends).
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| 1) Name of Reference: |
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2) Name of Reference: |
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Occupation: |
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| Address: |
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Address: |
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City/State/Zip: |
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| Phone: |
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Phone: |
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| Relationship: |
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Relationship: |
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| How long known: |
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How long known: |
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Invitation to Identify for Affirmative Action Purposes
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The Truth Solution, Inc., is committed to an equal opportunity I Contracted employment and
advancement of minorities, females, and individuals with disabilities
and veterans. If you fall into one of these protected classifications
we invite you to identify yourself and receive coverage under our
company's Affirmative Action Plan. You may inform us of your desire to benefit under the program at this time and/or any time in the future.
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| Gender: |
Male |
Female |
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Indicate The Appropriate Race/Ethnic Group:
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How Were You Referred To This Job:
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Please read carefully before submitting your IC application
All information contained in this application is true and correct to
the best of my knowledge and belief. I understand that
misrepresentations or omissions of any kind may result in denial of
employment as an Independent Contractor or be cause for subsequent dismissal if I am hired. I
authorize the company to investigate my responses on this application
and contact any or all of my former employers or any individuals
familiar with me or my IC employment background for the purpose of
verifying any information, I have provided and/or for the purpose of
obtaining any information, whether favorable or unfavorable, about me or
my work History as an Independent Contractor employment. I voluntarily and knowingly fully release and hold
harmless any person or organization that provides information pertaining
to me or my IC employment. I understand that upon receiving a job offer, a
physical examination and drug screening may be required. (Note: If
this is a IC job requirement, you will be notified.)
Regardless of whether or not I become contracted as a vendor or service provider by the company, I
recognize that this application is not and should not be considered a contract of IC employment until all Independent Contractor agreements are signed. I understand that employment at the company is
contract work on projects and a Work Station, Work Dashboard, App Subscription, Back Office Software or Web Base App Subscription may be neccessary for access to projects. I understand that I must meet work requirements outlined in IC Contract Agreement.I understand that I enter these agreements on an at-will basis and that my contract employment may be terminated due to Breech or default of contract agreement or if I allow my work dashboard, workstation or IC membership to lapse with or
without cause, and without notice, at any time, at my option or the
company's unless specifically provided otherwise in a written IC employment agreement. I further understand that no company employee or
representative has the authority to enter into a contract regarding
duration or terms and conditions of employment without a written agreement sign by an authorized officer or
official of the company, and then only by means of a signed written
document. We have a policy of no smoking on the premises.
Check this box to certify that you have read and accept the above statement.
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