Flying Colors of Success, Inc.

88 East Main Street

Westminster, Maryland  21157

(410) 876-0838

 

Employment Application

We are an Equal Opportunity Employer

 

Please read carefully, print or type clearly, and complete in full.

 

__________________________________________________________________________

Last Name          First Name  Middle Initial                                  Social Security Number

 

__________________________________________________________________________

Address (Number & Street, Apartment or Box Number)    City            State         Zip Code

 

_________________________________________

Phone Number  (include area code)

 

Are you at least 18 years old?     (    ) Yes     (    ) No

 If not, do you have a valid work permit?   (    ) Yes     (    ) No   (    ) Not Applicable

Do you have a legal right to work in the United States?  (    ) Yes     (    ) No

 

If hired, it will be necessary for you to promptly submit documentation of your identity and right to work in the U.S.

 

Position or Type of Work Desired (in order of preference)

 

1. ____________________ 2. ____________________ 3. ________________________

 

Seeking:

Preference    (    ) Full-time (    ) Part-time (    ) Substitute

Shift:

Available to work holidays?  (    ) Yes        (    ) No

Available to work weekends?  (    ) Every    (    ) Every other  (   ) Some    (    ) None

 

Date available to start: ____________________    Presently employed?  (    ) Yes   (    ) No

 

Rate of pay expected $______________ per _____________

 

How were you referred?________________________________________________________________________

 

Have you ever worked for F.C.S., Inc. before?  (    ) Yes   (    ) No   If yes, when?  ________

 

Have you ever applied to work at F.C.S., Inc. before?  (    ) Yes   (    ) No   If yes, when?  ___________________

 

Can you perform the functions of this job with or without reasonable accommodation?  

(    ) Yes    (    ) No

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Military   (Complete section if you served in the Armed Forces)

 

What was your final rank? _______________________ 

Period of active duty from _____________ to ____________

                                              month/year          month/year

Describe your major duties and any special training:

 

_________________________________________________________________________

 

What type of discharge did you receive? ________________________________________