Merendino Cemetery Care

We consider applicants for all positions without regard to race, color, religion, national origin, age, veteran status, the presence of a non-job-related medical condition or disability or any other legally protected status.

• Personal Information

Last Name:

First Name:

Middle Name:

Address:

City:

State:

Zip:

Phone:

Social Security:

E-mail:

Are you over 18?

yes no

Wage/Salary Desired:

Position Applying for:

Date Available:

Full-Time Part-Time

Do you have a valid driver's license?

yes no

How many hours/week:

(if part-time)

• Education

TYPE OF SCHOOL	NAME OF SCHOOL	LOCATION	# OF YEARS	MAJOR & DEGREE
High School
College

• Work Experience

Please list your past work experience beginning with your most recent job held.

Employer Name:

Employment Dates: from

Address:

Salary:

Reason for Leaving:

Phone:

Job Title:

Employer Name:

Employment Dates: from

Address:

Salary:

Reason for Leaving:

Phone:

Job Title:

Employer Name:

Employment Dates: from

Address:

Salary:

Reason for Leaving:

Phone:

Job Title:

• References

Please provide three employment references that we may contact to discuss your previous employment.

NAME	TITLE	COMPANY	ADDRESS	PHONE

• Certification & Agreement

I certify that all information on this application is true and correct. I also certify that I have accounted for all my work experience and training on this application. It is my understanding that the company may make a thorough investigation of my entire work and personal history and may verify all data given in my application for employment, related papers, or oral interviews. I authorize such investigation and the giving and receiving of any information requested by the company and I release from liability any person giving or receiving any such information. I understand that falsification of data so given or other derogatory information discovered as a result of this investigation will prevent my being hired, or if hired, will subject me to immediate dismissal. I further understand that this is an application for employment and that no employment contract is being offered. I understand that if I am employed, such employment is for an indefinite period of time and that the company can change wages, benefits and conditions at any time. I further understand my employment can be terminated with or without cause and with or without notice at any time at the option of either the company or myself.


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