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Employment Prescreen (For Our Las Vegas Area Locations)
Items in bold are mandatory.
First Name
Last Name
Do you have a valid
Social Security Card?
Present Address
Address #2
City
State
Zip Code
Telephone Number
Email
Are You 18 Years or Older?
Do You Have a valid NV
Driver License?
Can you drive a manual
transmission?
Department Desired
Date You Can Start?
Salary Desired
Are You Employed Now?
Employer:
Position
Salary
Supervisor
Phone Number
Start Date
End Date
Referred By?
Previous Employer
Previous Position
Previous Salary
Previous Supervisor
Previous Employer Phone
Number
Start Date
End Date
If applying for a Drivers Position
will you be driving your own
vehicle?
(answer yes if applying
for any other positions)
Are you bilingual?(english/spanish)
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