130 High Street · San Luis Obispo, CA 93401 · Ph: 805-543-0785 · Fax: 805-543-0852
To be considered for employment, please fill out the form below:
Give below the names of (3) persons not related to you, whom you have known at least (1) year.
Please read these instructions carefully before completing the form.
If you are applying for a job with a different company: At an appropriate time (near a job offer) we may ask you to arrange personal reference calls with bosses you've had.
Please start with your present or most recent position. REMINDER: Do not combine jobs. Fill out a complete section of this form for every job where job title changed.
What is your best guess as to how this supervisor would rate your overall performance?
If you are leaving or have left the company, please indicate your motivation to leave
High School (Highest grade completed)
College/Graduate School (Highest grade completed)
Willing to relocate?
Do you have the legal right to work for any employer in the U.S.?
Would you be willing to arrange reference calls with supervisors you've had in the past decade, as a last step before a final job offer?
I certify that answers given in this Glacier Ice SLO Career History Form are true, accurate and complete to the best of my knowledge. I authorize investigation into all statements I have made on this Form as may be necessary for reaching an employment decision. I understand that I may be asked to arrange reference calls with managers I've worked for.
In the event I am employed, I understand that any false or misleading information I knowingly provided in my Career History Form or interview(s) may result in discharge and/or legal action. I understand that if employed, I am required to abide by all rules and regulations of the employer and any special agreements reached between the employer and me.
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