Application for Employment

21. If Other, please explain:

75. May we contact your supervisor? *

Yes

33. Branch of Service:

41. Start Date and End Date: *

80. Reason for Leaving: *

71. Start Date and End Date: *

85. Have you been convicted of a felony or misdemeanor within the last 5 years? *

Yes

14. Date You Can Start:

98. Do you have reliable transportation? *

Yes

52. Address: *

83. Weight: *

47. Supervisor Title:

89. If you can lift 100lbs with an accommodation, explain how you would do so and with what accommodation?

13. What is your expected salary range? *

46. Name of Supervisor:

1. First Name: *

90. Are you able to stand on your feet for long periods of time, up to several hours a day? *

Yes

5. City: *

66. Name of previous employer: *

16. If so, may we contact your current employer? *

Yes

70. Zip Code: *

60. May we contact your supervisor? *

Yes

35. Discharge Date:

81. Please list THREE professional references whom we may contact: *

18. Have you ever applied to or worked for Revolution Services Group? *

Yes

45. May we contact your supervisor? *

Yes

7. Zip Code: *

72. Job Title: *

28. Other Education:

58. Starting Salary:

43. Starting Salary:

39. State: *

94. What foreign languages do you speak fluently?

69. State: *

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Once printed, fill out all applicable fields and scan to email the application to revoinformation@gmail.com

37. Address: *

54. State: *

50. Reason for Leaving: *

34. Rank:

44. Final Salary:

Application for Employment

62. Supervisor Title:

2. Last Name: *

65. Reason for Leaving: *

10. Email Address: *

61. Name of Supervisor:

12. What position or positions are you applying for? *

67. Address: *

6. State: *

Please submit a Resume/CV before filling out your application *

68. City: *

11. Referred By:

32. Have you ever served in the U.S. Armed Forces? *

Yes

63. Supervisor's Phone:

48. Supervisor's Phone:

40. Zip Code: *

77. Supervisor Title:

17. Are you legally authorized to work in the U.S.? *

Yes

3. Social Security Number:

29. Major or course of study at this institution:

93. If yes, please explain:

9. Secondary Phone Number:

36. Name of present or last employer: *

99. "I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws." *

I AGREE

I DISAGREE

23. Degree earned:

56. Start Date and End Date: *

73. Starting Salary:

92. Were you ever seriously injured? *

Yes

51. Name of previous employer: *

88. Are you able to lift 100lbs with or without accommodation? *

Yes

55. Zip Code: *

97. Do you have your own tools that you can bring to the jobsite? *

Yes

8. Phone: *

30. Degree or certification at this institution:

57. Job Title: *

38. City: *

26. How many years of college did you complete at this institution?:

59. Final Salary:

82. Height: *

4. Current Address: *

95. What foreign languages do you write fluently?

79. Description of Work: *

42. Job Title: *

19. If yes, when did you apply or work for us?

22. High School:

87. I understand that I may be required to take one or more drug tests and/or physical examinations as a condition of hiring or continued employment. I agree to consent to take such test(s) at such time as designated by Revolution Services Group and to release Revolution Services Group, its directors, officers, agents or employees from any claim arising in connection with the use of such test(s). *

I AGREE

I DISAGREE

84. Are you a U.S. citizen? *

Yes

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Please fill out all applicable fields. Fields marked with an asterisk (*) are required to submit your application.

53. City: *

74. Final Salary:

27. Which degree or diploma did you earn at this institution?

64. Description of Work: *

86. If yes, describe:

Application for Employment

91. If you can stand on your feet for long periods of time with an accommodation, explain how you would do so and with what accommodation?

25. College major or course of study:

76. Name of Supervisor:

24. College:

96. What foreign languages do you read fluently?

49. Description of Work: *

78. Supervisor's Phone:

15. Are you currently employed? *

Yes

31. Summarize any job-related training, skills, licenses, certifications and/or other qualifications: