Merendino Cemetery Care
employment application

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:
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   to
Address: Salary:
Reason for Leaving:
Phone: Job Title:
Employer Name: Employment Dates:  from   to
Address: Salary:
Reason for Leaving:
Phone: Job Title:
Employer Name: Employment Dates:  from   to
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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