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200 Clinton Ave W Suite 600 | Huntsville, AL 35801
256-327-3420 Office | cmshsv.com


APPLICANT INFORMATION







QUALIFICATIONS

Are you a citizen of the United States?

Do you have a valid Driver's License?

Have you ever been convicted of a felony?

Have you served in the military?

AVAILABILITY

How many hours are you willing to work a week?

When are you available to work? *Multiple shifts available

Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Start Time
End Time

EDUCATION

High School



College / University




Trade School




Other




PERSONAL / PROFESSIONAL REFERENCES

Reference One






Reference Two






Reference Three





PRIOR WORK EXPERIENCE

Current / Most Recent















Prior One















Prior Two














DISCLAIMER AND SIGNATURE

Provide your signature in the area below to insert in appropriate lines.



By Signing, I hereby certify that the above information, to the best of my knowledge, is correct. I understand that falsification of this information may prevent me from being hired or lead to my dismissal if hired.


AUTHORIZATION FOR RELEASE OF INFORMATION

I, , hereby authorize Capital Management Services to obtain a drug screen report, a criminal background report and to verify any and/or all information on my application for use in determining my qualifications for employment. I understand this information is confidential and will be used only for employment screening purposes.