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SODEXO EMPLOYMENT APPLICATION APPLICATION FOR ...

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May we contact your present employer to verify the above? Yes, you may contact anytime. Do not contact now. You may contact at a later date. _______________________________________________(Please specify, for example: after acceptance of offer or a specific date, if appropriate.)Have you ever been dismissed or forced to resign from employment? Yes NoIf yes, please explain:______________________________________________________________________________________________________________________________________________________________________________________________EDUCATION HISTORYType of SchoolName and Address ofSchool/GED Testing CenterDates AttendedFromToMonth/Year Month/YearGraduatedType of Degree, Diplomaor CertificateMajor/Minor/Fieldof StudyHigh School/GEDTesting CenterCollege or University Yes No GED Yes NoOther Education orTraining Yes NoAcademic Achievements or Activities: Please list academic honors, scholarships, or fellowships, memberships in academic honorary societies, or participation in oroffices held in extracurricular activities you consider significant.__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________List current professional license(s), registration(s), and professional organizations or affiliates, if any.(You must include license / registration numbers in specific states / jurisdictions where you may be licensed or registered.)____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________PROFESSIONAL OR PERSONAL REFERENCESName Years Known Occupation Complete Address TelephoneAre any of your professional references associated with your current employer? YesIf yes, may we contact that individual now? Yes, you may contact anytime. Do not contact now. You may contact at a later date. _____________________________________________________(Please specify, for example: after acceptance of offer or a specific date, if appropriate.) No3 Revised 4/12

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