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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