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Application for Employment

Celebree provides equal employment opportunities for all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, veteran status, marital status or other prohibited characteristics in accordance with applicable federal, state and local laws.

*Denotes required fields.

Personal Data

Today's Date: Desired Location:

Last Name*: First Name*: Middle Initial:

Street Address:

City: State: ZIP:

Home Phone*: Mobile Phone:

Email*:

Employment Information

For which position are you applying*? Wage Desired*:

Have you ever been employed by Celebree Enterprises or its affiliates?  Yes No

How did you hear about this opportunity?

Are you legally eligible for employment in the United States*?  Yes No

Type of employment desired*:

Are you currently employed?  Yes No

Have you ever been convicted of a crime which has not been annulled, expunged or sealed by court*?  Yes No

If "yes", describe in full:

Note that a "yes" answer to the above question will not necessarliy prevent employment. We will consider the relevant circumstances.

Education and Training

High School

Name & City*:

Course of Study:

Years Completed:

Degree*:

College

Name & City:

Course of Study:

Years Completed:

Degree:

Graduate

Name & City:

Course of Study:

Years Completed:

Degree:

Special Training

Name & City:

Course of Study:

Years Completed:

Degree:

Additional Information

Work Experience

(Start with your present or most recent employer)

Employer #1

Employer: Dates of Employment: to

Address:

Phone: Supervisor:

Job Title: May we contact for a reference?  Yes No

If you do not wish for us to contact please describe your reason below:

Duties:

Last rate of pay: Reason for leaving:

Employer #2

Employer: Dates of Employment: to

Address:

Phone: Supervisor:

Job Title: May we contact for a reference?  Yes No

If you do not wish for us to contact please describe your reason below:

Duties:

Last rate of pay: Reason for leaving:

Employer #3

Employer: Dates of Employment: to

Address:

Phone: Supervisor:

Job Title: May we contact for a reference?  Yes No

If you do not wish for us to contact please describe your reason below:

Duties:

Last rate of pay: Reason for leaving:

Your Resume

Upload your resume:

Electronic Signature

UNDER MARYLAND STATE LAW AN EMPLOYER MAY NOT REQUIRE OR DEMAND ANY APPLICANT FOR EMPLOYMENT OR PROSPECTIVE EMPLOYMENT OR ANY EMPLOYEE TO SUBMIT TO OR TAKE A POLYGRAPH, LIE DETECTOR OR SIMILAR TEST OR EXAMINATION AS A CONSIDERATION OF EMPLOYMENT OR CONTINUED EMPLOYMENT.

Applicant Name*: Date*: