Personal Information
Name
Date of Birth
Address
Email
Phone Number
If Yes, please provide company names and details
Employment Desired
Date you can start
Hourly rate/Salary desired
Position desired
Customer Service Representative
Referral Source
How did you hear about us?
Walk In
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Referral
Other - Please explain
Explanation
Explanation
If Yes, who?
Education
High School
Location of school
College or University
Location of school
Degree Received
Subjects Studied/Major
Trade, Business or Correspondence School
Lorain of School
Degree Received
Subjects Studied/Major
Do you have any special skills, experience and/or training that would enhance your ability to perform the position applied for? If yes, explain.
Employment History Include your last seven (7) years of employment history, including periods of unemployment, starting with the most recent and working backwards in time. Incomplete information could disqualify you from further consideration.
Employed From
Employed To
Employer Name
Address
Immediate supervisor and title
Job Title
Summarize the nature of work performed and job responsibilities
Reason for leaving
Employed From
Employed To
Employer Name
Address
Immediate supervisor and title
Job Title
Summarize the nature of work performed and job responsibilities
Reason for leaving
Employed From
Employed To
Employer Name
Address
Immediate supervisor and title
Job Title
Summarize the nature of work performed and job responsibilities
Reason for leaving
References Give the names of three persons not related to you, whom you have known at least three (3) years.
Name
Address
Phone
Email
Company
Years Acquainted
Name
Address
Phone
Email
Company
Years Acquainted
Name
Address
Phone
Email
Company
Years Acquainted
Please read carefully before submitting I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Ohio Utilities Protection Service to hire me. If I am hired, I understand that either Ohio Utilities Protection Service or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Ohio Utilities Protection Service has the authority to make any assurance to the contrary.
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