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Silkworm Job Application

  • Silkworm, Inc. is an equal opportunity employer and does not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion, ancestry, age, sex, marital status, national origin, disability or handicap, or veteran status.

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  • Name*Your full legal name

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  • Address*Your legal address

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  • Previous Address*(if less that 2 years at current address)

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  • Phone Number*Please include area code

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  • Drivers License or State ID Number*

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  • ID Expiration Date*

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  • ID State*

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  • Position You Would Like To Apply For*

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  • Scheduling*

    Full Time

    Part Time

    Temporary

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  • Date Available*When can you start working?

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  • Desired Pay*Hourly Rate in $

    8.25 – 11.775

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  • Are you legally eligible for employment in the United States*(If offered employment, you will be required to provide documentation to verify eligibility)

    Yes

    No

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  • 11. Have you ever been employed at Silkworm?*a. If yes, please state dates of employment

    Yes

    No

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  • Silkworm Start Date*From previous employment

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  • Silkworm End Date*From previous employment

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  • Education History

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  • High School*List school and graduation date

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  • College*List college, graduation date, degrees awarded and any other relevant information

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  • Vocational/Technical School*List school, graduation date, credentials awarded and any other relevant information

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  • Other Training/Degrees*Please list any additional training or certification you may have

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  • Skills*Please list any skill you have that are relevant to the position you are applying for (Touch typing/WPM, software knowledge, etc.)

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  • Employment History — List most recent employer first, including Military Service

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  • Previous/Current Employer*Please List: Company Name, Telephone, Address, Dates of employment (From, To), Salary, Supervisor Name, Department, Duties, Full/Part Time, Number of Hours/Week, Reason for Leaving, If employment was under a different name, indicate name:

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  • May we contact this employer*

    Yes

    No

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  • Previous Employer*Please List: Company Name, Telephone, Address, Dates of employment (From, To), Salary, Supervisor Name, Department, Duties, Full/Part Time, Number of Hours/Week, Reason for Leaving, If employment was under a different name, indicate name:

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  • References

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  • Professional Reference 1*Name, Address, Phone Number

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  • Professional Reference 2*Name, Address, Phone Number

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  • Personal Reference 1*Name, Address, Phone Number

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  • Personal Reference 2*Name, Address, Phone Number

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  • Resume Upload*Please attach your resume or other relevant files.Upload

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    • Applicants Certification and Agreement*(Check all to certify you have read and understand)

      I do hereby certify that the facts set forth in the above employment application is true and complete to the best of my knowledge and authorize Silkworm, Inc. to verify their accuracy and to obtain reference information on my work performance. I hereby release Silkworm, Inc. from any/all liability of whatever kind and nature that, at any time, could result from obtaining and having an employment decision based on such information.

      I understand that, if employed, falsified statements of any kind or omissions of facts call for on this application shall be considered sufficient basis for dismissal.

      I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules, and regulations of employment of the Employer. However, I further understand that neither the policies, rules, regulations of employment nor anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offer is for an indefinite duration and at will and that either I or the Employer may terminate my employment at any time with or without notice or cause.

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    • Please enter your full name and today’s date to sign this document.*

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