APPLICATION FOR EMPLOYMENT

INCOMPLETE APPLICATION WILL NOT BE ACCEPTED

NNCIL is an equal opportunity employer. No questions on this application is asked for the purpose of excluding any applicant’s consideration for employment due to race, color, religion, sex, age, national origin, veteran’s status or disability. ANY APPLICANT WILL BE IMMEDIATELY REJECTED FOR EMPLOYMENT OR, IF HIRED, TERMINATED WITHOUT NOTICE FOR GIVING FALSE INFORMATION IN THIS APPLICATION FOR FAILING TO ACCURATELY PROVIDE INFORMATION REQUESTED. IF HIRED, EMPLOYMENT IS FOR NO FIXED TERM AND THE COMPANY OR THE EMPLOYEE CAN TERMINATE EMPLOYMENT AT ANY TIME

GENERAL INFORMATION

1. Full Name

2. Other Names

List all other names you have worked under or are known by:

3. SSN

4. Address

5. Mailing Address

If different from previous address.

6. Telephone Number

7. Position Applying For

What position are you applying for?

8. Are you computer skilled? Yes No

If yes, list computer programs with which you are familiar:

9. Do you have reliable transportation to get to work? Yes No

10. Do you have a valid Nevada driver’s license? Yes No

11. Have you been convicted of a moving traffic violation within the last 5 years?
Yes No

12. Have you ever been convicted of a misdemeanor, gross misdemeanor or felony?
Yes No

If yes, please provide statement below:

13. Education Level

14. What prompted your application?

Employment Agency
Own Accord
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Employee Referral
Other