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M<br />

erit<br />

Corporation<br />

EMPLOYMENT APPLICATION<br />

Complete the application online from the FBLA-PBL Web site. Use the tab key to move through the document.<br />

GENERAL INFORMATION<br />

Name (Last)<br />

Law<br />

Address (Mailing Address)<br />

4361 South Hickory Level Road<br />

E-mail Address<br />

josephklaw@yahoo.com<br />

(First)<br />

Joseph<br />

(City)<br />

Carrollton<br />

(State)<br />

GA<br />

(Middle Initial)<br />

K<br />

(Zip)<br />

30116<br />

Home Telephone<br />

( ) -<br />

Cell Phone<br />

(678) 276 - 9355<br />

POSITION<br />

Position or Type of Employment Desired<br />

Security (Internship)<br />

Will Accept:<br />

Part-Time<br />

Full-Time<br />

Have you ever been employed at the Merit Corporation before? Yes No<br />

Are you able to perform the essential functions of the job you are applying for, with or without<br />

reasonable accommodation? Yes No<br />

Salary Desired<br />

None Expected<br />

Date Available Weekends<br />

EDUCATION AND TRAINING<br />

School or Institution Name and Address of School Major<br />

High School Bremen High School; Bremen, GA College Prep<br />

Spanish Pathway<br />

College<br />

College<br />

Other<br />

Special Abilities and Skills<br />

Communication Skills<br />

Flexibility/Adaptation Skills<br />

Good Work Ethic<br />

Teamwork Skills<br />

Time Management Skills Negotiation/Persuasion Skills<br />

Organization Skills<br />

Professional Certificates or Licenses Held<br />

Year<br />

Graduated<br />

Degree<br />

2017 Diploma<br />

Extracurricular Activities<br />

Bremen Swim Team Member<br />

Fusion Youth Ministries<br />

Future Business Leaders of America Member (1 year)<br />

Health Occupational Students of America Member (2 years)<br />

Member of Boy Scouts of America<br />

Present Community and Professional Affiliations<br />

Languages Read, Written or Spoken Fluently Other Than English<br />

None<br />

REFERENCES<br />

AN EQUAL OPPORTUNITY EMPLOYER


List below names and addresses of persons who are qualified to answer questions concerning your fitness for the position(s) you seek other than<br />

those listed in your credential file.<br />

Name Position Address Telephone<br />

Don Law Employer 215 Providence Dr. Carrollton, GA 30116 678 405 9823<br />

WORK EXPERIENCE—Most recent first, include voluntary work and military experience<br />

Employer Don Law Telephone Number (678) 405 - 9823 From (Month/Year)<br />

Address 215 Providence Dr. Carrollton, GA 30116<br />

June 2012<br />

Job Title Lawn Care Number Employees Supervised 1 To (Month/Year)<br />

Specific Duties (Maximum 350 characters)<br />

Present<br />

Lawn Maintenance<br />

Hours Per Week<br />

- Weed eating<br />

1-2<br />

- Edging<br />

- Leaf Blowing<br />

Last Salary<br />

$20/hr<br />

Supervisor<br />

Travis Law<br />

Reason For Leaving n/a May We Contact This Employer? Yes No<br />

Employer N/a Telephone Number ( ) - From (Month/Year)<br />

Address<br />

Job Title Number Employees Supervised To (Month/Year)<br />

Specific Duties (Maximum 350 characters)<br />

Hours Per Week<br />

Last Salary<br />

Supervisor<br />

Reason For Leaving May We Contact This Employer? Yes No<br />

Employer N/a Telephone Number ( ) - From (Month/Year)<br />

Address<br />

Job Title Number Employees Supervised To (Month/Year)<br />

Specific Duties (Maximum 350 characters)<br />

Hours Per Week<br />

Last Salary<br />

Supervisor<br />

Reason For Leaving May We Contact This Employer? Yes No<br />

I certify the information contained in this application is true, correct, and complete. I understand that, if employed, false statements reported on<br />

this application may be considered sufficient cause for dismissal.<br />

Signature of Applicant_________________________________________________________ Date________________<br />

AN EQUAL OPPORTUNITY EMPLOYER

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