LMBI, Inc. ROC# 239411

Employment Application

Position(s) applied for:

How did you learn about LMBI, Inc. ?
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First Name *
Middle Name
Last Name *

Street Address *
City *
State *
Zip Code *

Home phone
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Email *

Have you ever been employed by Landmark Metal Builders before? YesNo
If yes, give date:

Have you ever applied with Landmark Metal Builders before? YesNo
If yes, give date:

Are you currently employed? YesNo
If yes, state employer:
May we contact your current employer? YesNo

Date available for work:
Desired wage and salary:

Available to work: Full-timePart-time morningsPart-time afternoonsPart-time eveningsTemporary
If temporary, indicate dates available:

Are you currently on "lay-off" status and subject to recall? YesNo

Can you travel if a job requires it? YesNo

If you are under 18 years of age, can you provide required proof of your eligibility to work? YesNo

Are you prevented from lawful employment in this country because of Visa or Immigration status? YesNo (Proof of citizenship or immigration status will be required upon employment)

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