Nebraska's #1 Voted Computer Repair Company

Application

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    Personal Information

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    Are you 18 or Older?*YesNo

    Desired Employment

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    Which location(s) would you like to be considered for?LincolnOmahaPapillion
    Are you Employed Now?YesNo
    If so, may we inquire of your current employer?YesNo
    Have you applied to Schrock Before?YesNo
    If so, where?LincolnOmahaPapillion
    Have you worked for Schrock before?YesNo
    If so, where?LincolnOmahaPapillion
    Who referred you to Schrock?
    Employment AgencyNewspaper AdvertisingFriendInternet AdState Employment OfficeCollege Placement ServiceWalk-inOther

    Education

    School LevelName / Location of School# of years attenededDid you graduate?Subjects Studied
    Middle School
    High School
    College
    Trade School
    Other

    General Information

    Former Employers

    Please list former employers starting with the most recent

    Employer One

    Employer Two

    Employer Three

    Employer Four

    Employer Five

    References

    NameE-mail / PhoneBusiness / RelationshipYears Acquainted

    Service Record

    Branch of Service:

    Date of discharge:

    Have you ever been convicted of a felony? YesNo
    If yes, explain. (will not necessarily exclude you
    from consideration):

    Authorization

    "I CERTIFY THAT THE FACTS CONTAINED IN THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND UNDERSTAND THAT, IF EMPLOYED, FASIFIED STATEMENTS ON THIS APPLICATION SHALL BE GROUNDS FOR DISMISSAL.
    I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED HEREIN AND THE REFERENCES AND EMPLOYERS LISTED ABOVE TO GIVE YOU ANY AND ALL INFORMATION CONCERNING MY PREVIOUS EMPLOYMENT AND ANY PERTINENT INFORMATION THEY MAY HAVE, PERSONAL OR OTHERWISE AND RELEASE THE COMPANY FROM ALL LIABILITY FOR ANY DAMAGE THAT MAY RESULT FROM UTILIZATION OF SUCH INFORMATION. I ALSO UNDERSTAND AND AGREE THAT NO REPRESENTATIVE OF THE COMPANY HAS ANY AUTHORITY TO ENTER INTO ANY AGREEMENT FOR EMPLOYMENT FOR ANY SPECIFIED PERIOD OF TIME, OR TO MAKE ANY AGREEMENT CONTRARY TO THE FOREGOING, UNLESS IT IS IN WRITING AND SIGNED BY AN AUTHORIZED COMPANY REPRESENTATIVE."

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