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Contact

• First Name

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• Last Name

  *
• Address
• City
• State
• Zip Code
• Email

  *
• Phone
• Can you provide proof of employment eligibility?

  Yes No
• Are you at least over the age of 18 years old?

  Yes No

Position Information

Education Background

High School

College

Graduate School

Trade / Technical School

Employment History

Please provide information about your last three employers beginning with the most recent.

Employer #1

• Start Date:
• End Date:

Employer #2

• Start Date:
• End Date:

Employer #3

• Start Date:
• End Date:

Professional References

If you are applying for your first job, academic references will be accepted.

Reference #1

Reference #2

Reference #3

Disclaimer

I certify that my answers are true and complete to the best of my knowledge. I authorize Mid Columbia Marine & Motorsports to make such investigations and inquiries of my personal, employment, educational, or financial history and other related matters as may be necessary for an employment decision. I hereby release employers, schools or persons from all liability when responding to inquiries in connection with my application. I understand Mid Columbia Marine & Motorsports may run my credit and background check, and all employees must pass a drug test before hire. I understand that if hired, I will be an at will employee; both I and the employer can terminate the employment relationship at any time for any reason. I also understand that if hired I will be required to abide by the company's policies and procedures as a condition of my employment.

In the event I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge.

• Signature:
• Date:

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