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DFS Oskaloosa, LLC is an Equal Opportunity Employer

Full Name*

First Middle Last

Current Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Are you 18 years of age or older?*

Yes
No

Are you legally able to work in the United States?*

Yes
No

Have you ever been convicted of a felony?*

Yes
No

Do you have a current valid driver’s license?*

Yes
No

Are you a military Veteran?*

Yes
No

If yes, list dates of active duty:*

Have you ever been known by any other name(s) that this company will require to verify any of the information on this application?*

Yes
No

Position

Which position are you applying for?*

Date You Can Start*

Desired Wage*

Are you available for work*

Full Time
Part Time
Temporary
Seasonal

Education

Do you have a High School Diploma or GED?*

Yes
No

Name of last school attended:*

City / State*

Last year of school completed*

Select highest degree earned*

Area of Concentration and/or degree(s), certificates, licenses, endorsements:*

Other Training or Skills (Factory or Office Machines Operated, Special Courses, Computer Skills, etc*

Employment History

List employers, starting with the current or most recent. Explain all gaps in time of employment.

Company Name*

Job Title*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Start Date*

End Date*

Rate of Pay*

Detailed Job Duties*

Reason for Leaving*

Company Name

Job Title

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Start Date

End Date

Rate of Pay

Detailed Job Duties

Reason for Leaving

May we contact your former employers to verify this information?*

Yes
No

May we contact your present employer?*

Yes
No

The law prohibits discrimination in hiring due to age, race, color, creed, sex, national origin, religion, disability or veteran’s status.

Please provide any additional information about your abilities or interests that makes you a good candidate for this position:*

I authorize investigation of all statements contained in the application, including a criminal background check, pre-employment alcohol & drug screen, and motor vehicle history report. I understand that omission or misrepresentation of facts is cause for dismissal.

Agreement*

By checking this, I agree to the above statement. (required)

Career Application

DFS Oskaloosa, LLC Application for Employment

Position

Education

Employment History