Champion Installs, Inc.
9631 Elk Grove Florin Road
ELK GROVE, CA 95624
Ph. 888-627-5180
 
We are an Equal Opportunity Employer
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Employment Desired

Position(s) applying for*
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Personal Information

Have you ever applied to or worked for our Company before?
If yes, when?
How did you learn about our company? *
How many years fixture installation and/or merchandising experience do you have? *
Do you possess a valid Drivers License?
Are you available to travel out of town overnight for up to four weeks at a time?
When traveling, are you willing to share a room with a coworker?
Are you at least 18 years old? (If under 18, hire is subject to verification that you are of minimum legal age.)
If hired, can you present evidence of your U.S. citizenship or proof of your legal right to live and work in this country ?
Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodation ?
If no, describe the functions that cannot be performed.
(Note: We comply with the ADA and consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. Hire may be subject to passing a medical examination, and to skill and agility tests.)

Employment History

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Dates of Employment

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Dates of Employment

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Reason for Leaving

 

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Dates of Employment

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Name & Address of Employer

Position Title & Responsibilities

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Reason for Leaving

 

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Dates of Employment

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To :

Name & Address of Employer

Position Title & Responsibilities

Supervisor & Phone Number

Reason for Leaving

 

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I hereby certify that I have not knowingly withheld any information that might adversely affect my chance for employment and that the answers given by me are true and correct to the best of my knowledge.
Date*:
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