Employment Application

Taylor-Starkewood Enterprises Application

It is the policy of this company to provide equal employment opportunities to all qualified persons without regard to race, creed, color, religious belief, sex, age, national origin, physical or mental handicap or veteran status.

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Personal Information

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Permanent Address (if different from above)

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Additional Information

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Military Service

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Employment History

Present or Most Recent Employer

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Prior Employer

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Prior Employer

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Education

High School

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Technical or Vocational School

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College or University

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College or University

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Position Information

Position Specifications

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Skills

Please describe any skills you have in the following areas:

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Certification

I hereby certify that my answers and assertions set forth in this application are true and complete to the best of my knowledge. If I am employed, I understand that any false statements on this application shall be considered sufficient cause for my dismissal. I hereby authorize this company to investigate any aspect of my prior educational and employment history.

Furthermore I understand that if I am hired, employment with this company is "at will," which means that either the company or I can terminate my employment for any reason not prohibited by state or federal law.

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Please Attach Current Resume with Application.

References

I HEREBY AUTHORIZE THE RELEASE OF REQUESTED INFORMATION BELOW REGARDING MY PAST EMPLOYMENT TO TAYLOR-STARKEWOOD ENTERPRISES.
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Employee Reference

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Employee Reference

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Employee Reference

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Taylor Starkewood Behavioral Health Services

105 Holly Hill Drive, Suite A  |  Petersburg Va. 23805 |  (804) 733-8847 | login