Applicant's Full Name:
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First Name
Last Name
Address:
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Address 1
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Email:
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Phone Number:
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How did you hear about SpaceBound?
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Please specify comment block below if applicable:
Please specify how you heard of SpaceBound?
Please select the position you are applying for:
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Date Available for Work?
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Neogtiable Salary Range?
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Type of Employment Desired?
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Have you filed an application here before?
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If you have previously filed an application with us, please provide date:
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Have you ever been employed by SpaceBound before?
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If necessary, when is the best time to call you?
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If you are under 18, can you furnish a work permit?
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Are you authorized to work in the United States?
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Are you on layoff and subject to recall?
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Will you relocate if the job requires it?
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Will you travel if required by job?
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Are you able to meet the attendance requirements of the position?
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Are there any restrictions that would inhibit you from doing the job based on the qualifications?
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If there are any restrictions that would prohibit you from doing the job based on the qualifications, explain them here:
Summarize any special training, skills, licenses, certificates and/or characteristics of yourself that may qualify you as being able to perform job-related functions for the position in which you are applying:
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School 1 - Name:
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School 1 - Years Completed:
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School 1 - Degree/Diploma:
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School 1 - GPA/Class Rank:
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School 1 - Major:
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School 1 - Minor:
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School 2 - Name:
School 2 - Years Completed:
School 2 - Degree/Diploma:
School 2 - GPA/Class Rank:
School 2 - Major:
School 2 - Minor:
School 3 - Name:
School 3 - Years Completed:
School 3 - Degree/Diploma:
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School 3 - Major:
School 3 - Minor:
Employer/Company 1 - Name:
Company 1 - Dates Employed (From/To Including Years):
Company 1 - Phone Number:
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Company 1 - Address:
Company 1 - Hourly Rate/Salary (Starting):
Company 1 - Hourly Rate/Salary (Final):
Company 1 - Job Title:
Company 1 - Immediate Supervisor's Name and Title:
Company 1 - Do you give permission for us to contact your previous employer?
Company 1 - I would like to discuss with you:
Company 1 - Summarize the nature of the work performed and the job responsibilities:
Employer/Company 2 - Name:
Company 2 - Dates Employed (From/To Including Years):
Company 2 - Phone Number:
(###)
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Company 2 - Address:
Company 2 - Hourly Rate/Salary (Starting):
Company 2 - Hourly Rate/Salary (Final):
Company 2 - Job Title:
Company 2 - Immediate Supervisor's Name and Title:
Company 2 - Do you give permission for us to contact your previous employer?
Company 2 - I would like to discuss with you:
Company 2 - Summarize the nature of the work performed and the job responsibilities:
Employer/Company 3 - Name:
Company 3 - Dates Employed (From/To Including Years):
Company 3 - Phone Number
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Company 3 - Address:
Company 3 - Hourly Rate/Salary (Starting):
Company 3 - Hourly Rate/Salary (Final):
Company 3 - Job Title:
Company 3 - Immediate Supervisor's Name and Title:
Company 3 - Do you give permission for us to contact your previous employer?
Compnay 3 - I would like to discuss with you:
Company 3 - Summarize the nature of the work performed and the job responsibilities:
Please explain any gaps in employment, if applicable:
Have you ever been convicted of a felony?
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By checking this box, you are acknowledging that you understand that SpaceBound requires background checks.
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Please list any foreign language(s) you know and describe your skill level:
Reference 1 - Name:
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Reference 1 - Phone Number:
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Reference 1 - Years Known
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Reference 1 - Relationship to Reference:
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Reference 2 - Name:
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Reference 2 - Phone Number:
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(###)
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Reference 2 - Years Known:
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Reference 2 - Relationship to Reference:
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Reference 3 - Name:
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Reference 3 - Phone Number:
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(###)
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Reference 3 - Years Known:
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Reference 3 - Relationship to Reference:
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List special accomplishments, publications, awards: (Exclude information, which would reveal sex, race, religion, national origin, age, color, disability or any other protected status.)
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