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THE LARKO GROUP APPLICATION FOR EMPLOYMENT
This application has been designed to assist us in better identifying your job search priorities. Each question is very important. We need all of this information in addition to your resume. Please fill out this application accurately and completely. Thank you!

CONTACT INFORMATION
Date:
First Name:
Middle Name:
Last Name:
Address 1:
Address 2:
City:
State:
Zip:
E-mail Address:
Home Phone:
Work Phone:
Social Security #:

In case of emergency please contact:
Emergency contact phone #:
Relationship:

POSITION WANTED
Position Applied For:
Alternate Position:
Salary Requirement:
How did you hear of our services:

EDUCATIONAL INFORMATION
Highest Educational Level:
Dates Attended:
Major:
Diploma/Degree:
Computer Skills:
Software: (Microsft Word, Excel, PowerPoint, etc.)
Other Skills: (Typing, Shorthand, Dictaphone, Accounting, A/P, A/R, Payroll, etc.)	List Languages and other skills not listed above:
List companies or agencies contacted:
List two co-workers as business references:
(Co-worker one) Name:
Title:
Company:
Relationship:
Phone: (Include area code):
(Co-worker two) Name:
Title:
Company:
Relationship:
Phone: (Include area code)

Employment History - Current/Most Recent
Dates of employment:
Title:
Company Name:
Address 1:
Address 2:
City:
State:
Zip:
Nature of Business:
Phone:
Person who hired you:
Name/Title of supervisor:
Phone:
Reason for Leaving:
Starting Position/Salary:
Ending Position/Salary:
Date of last increase:
Bonus:
Overtime:
Total Compensation:

Employment History - Previous (One)
Dates of employment:
Title:
Company Name:
Address 1:
Address 2:
City:
State:
Zip:
Nature of Business:
Phone:
Person who hired you:
Name/Title of supervisor:
Phone:
Reason for Leaving:
Starting Position/Salary:
Ending Position/Salary:
Date of last increase:
Bonus:
Overtime:
Total Compensation:

Employment History - Previous (Two)
Dates of employment:
Title:
Company Name:
Address 1:
Address 2:
City:
State:
Zip:
Nature of Business:
Phone:
Person who hired you:
Name/Title of supervisor:
Phone:
Reason for Leaving:
Starting Position/Salary:
Ending Position/Salary:
Date of last increase:
Bonus:
Overtime:
Total Compensation:

Disclaimer: I hereby affirm that the information provided on this application (and accompanying resume, if any) is true and complete to the best of my knowledge. In this regard, the undersigned hereby gives and grants to The Larko Group full authority to verify prior employment information, contact personal references, and order an investigative Consumer Report, either on behalf of a specific prospective employer or for unknown prospective employers and that the result of this investigation may include information on the character, general reputation, personal characteristics and mode of living of the undersigned. The Larko Group shall upon request by the applicant, advise the applicant of the nature and scope of the report.

By clicking the submit button you agree to the above disclaimer.