APPLICATION FOR EMPLOYMENT

PARKHURST MANUFACTURING COMPANY, INC.
18999 HWY Y – P.O. BOX 1323
SEDALIA, MO 65302-1323
660-826-8685

All parts of application must be completed. Complete addresses and phone numbers are needed on references and previous employers.

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PERSONAL INFORMATION

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EMERGENCY CONTACT

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EDUCATION

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SPECIAL SKILLS AND QUALIFICATIONS

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EMPLOYMENT EXPERIENCE:

(Current or most recent employer first)
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REFERENCES

List two references other than previous employers or relatives.
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APPLICANTS STATEMENT


I certify by my submission of this application that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary for arriving at an employment decision. In the event of employment, I understand that false or misleading information given in my application or interviews may result in discharge. I understand also that I am required to abide by all rules and regulations of the company.
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