West Suburban Currency Exchange


Name:
Address:
Address2:
City:
State:
Zip:
Phone:
Social Security Number:
Education (highest grade/level attained):
Major (if applicable):
Special Training (languages, machine operation, etc.):
Prospective employees will receive consideration without discrimination because of race, creed, color, sex, age, national origin, handicap, or veteran status.

Present Employer:
City:
State:
Zip:
Phone:
Duties:
From (state month and year):	to
Immediate Supervisor:
Salary:	Start: End:
Reason for leaving:

Previous Employer:
City:
State:
Zip:
Phone:
Duties:
From (state month and year):	to
Immediate Supervisor:
Salary:	Start: End:
Reason for leaving:

Previous Employer:
City:
State:
Zip:
Phone:
Duties:
From (state month and year):	to
Immediate Supervisor:
Salary:	Start: End:
Reason for leaving:

How many hours per week are you interested in?

What hours are you available?:
Days:
Eves:
Sat:	to
Sun:
Salary required?	per hour

I HEREBY AUTHORIZE WEST SUBURBAN CURRENCY EXCHANGES, INC. TO CONTACT PRIOR EMPLOYERS TO OBTAIN ANY AND ALL INFORMATION RELATED TO MY PAST WORK EXPERIENCE. FALSIFYING INFORMATION COULD LEAD TO DISMISSAL. I UNDERSTAND THAT IF HIRED, THERE WILL BE AN EMPLOYMENT AT WILL. THAT IS, I CAN BE DISCHARGED AT ANY TIME FOR ANY REASON, AND THAT I ALSO MAY TERMINATE MY EMPLOYMENT AT ANY TIME FOR ANY REASON.
I Agree

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