First Name:							 
														
								
												
								Last name:							 
														
								
												
								Street Name:							 
														
								
												
								City:							 
														
								
												
								State:							 
														
								
												
								Zipcode:							 
									
								
												
								Cell Number:							 
									
								
												
								Email							 
														
								
								
								
					
Employment Desired 				
								
												
								Position:							 
														
								
												
								Date you can start:							 
						
		
								
												
								Salary desired:							 
														
								
								
					
Education 				
								
					
High School: 				
								
												
								 School Name and Location:							 
														
								
												
								Years Attended:							 
														
								
												
								 Did You Graduate:							 
														
								
												
								 Subjects Studied:							 
														
								
					
College: 				
								
												
								 School Name and Location:							 
														
								
												
								Years Attended:							 
														
								
												
								 Did You Graduate:							 
														
								
												
								 Subjects Studied:							 
														
								
					
Trade, Business or Correspondence School: 				
								
												
								 School Name and Location:							 
														
								
												
								Years Attended:							 
														
								
												
								 Did You Graduate:							 
														
								
												
								 Subjects Studied:							 
														
								
					
General: 				
								
												
								 US Military or Naval Service: 							 
														
								
												
								 Special Skills, Licenses, Etc.: 							 
														
								
					
Employment History 				
								
					
Employer 1: 				
								
												
								 Date Mon. & Yr. (From/To): 							 
														
								
												
								 Name and Address of Employer: 							 
														
								
												
								 Salary: 							 
														
								
												
								 Position: 							 
														
								
												
								 Reason for Leaving: 							 
														
								
					
Employer 2: 				
								
												
								 Date Mon. & Yr. (From/To): 							 
														
								
												
								 Name and Address of Employer: 							 
														
								
												
								 Salary: 							 
														
								
												
								 Position: 							 
														
								
												
								 Reason for Leaving: 							 
														
								
					
Employer 3: 				
								
												
								 Date Mon. & Yr. (From/To): 							 
														
								
												
								 Name and Address of Employer: 							 
														
								
												
								 Salary: 							 
														
								
												
								 Position: 							 
														
								
												
								 Reason for Leaving: 							 
														
								
					
Employer 4: 				
								
												
								 Date Mon. & Yr. (From/To): 							 
														
								
												
								 Name and Address of Employer: 							 
														
								
												
								 Salary: 							 
														
								
												
								 Position: 							 
														
								
												
								 Reason for Leaving: 							 
														
								
					
References 				
								
					
Reference 1: 				
								
												
								Name:							 
														
								
												
								Address:							 
														
								
												
								Business:							 
														
								
												
								Years Acquainted:							 
														
								
					
Reference 2: 				
								
												
								Name:							 
														
								
												
								Address:							 
														
								
												
								Business:							 
														
								
												
								Years Acquainted:							 
														
								
					
Reference 3: 				
								
												
								Name:							 
														
								
												
								Address:							 
														
								
												
								Business:							 
														
								
												
								Years Acquainted:							 
														
								
					
Reference 4: 				
								
												
								Name:							 
														
								
												
								Address:							 
														
								
												
								Business:							 
														
								
												
								Years Acquainted:							 
														
								
					
Emergency Contact
 				
								
												
								In case of emergency notify:							 
														
								
												
								Emergency home:							 
														
								
												
								Emergency cell:							 
														
								
												
								Emergency work:							 
														
								
					 I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentation are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time. In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company. I understand that no company representative, other than its President or Vice President, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing. *  
				 
								
					Supreme believes that diversity and inclusion among our team is the driving principle guiding our success of building teams and cultivating leaders to create a company with equality for all.
				 
								
					
						
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