Port City Group ::: Submit Resume

Personal Data
Name
Address

Phone Number
Email Address
Referred By
Are you 18 years of age or older?	Yes No
Position Desired
Shift Available
When can you start?
Salary desired
Are you employed now?	Yes No
Where?
May we contact your employer?	Yes No
Have you ever applied to Port City Group before?	Yes No
When?
Education
Job Related Skills

Employment History	(Please list most recent first)

Company
Start Date
End Date
Job Title
Job Duties
Start Wage
End Wage

Company
Start Date
End Date
Job Title
Job Duties
Start Wage
End Wage

Company
Start Date
End Date
Job Title
Job Duties
Start Wage
End Wage

Job References

Name
Relationship
Phone

Name
Relationship
Phone

Name
Relationship
Phone

I understand that this on-line application is a tool for gathering information on potential candidates and that I may be asked to submit a resume or fill out an application on location with the company before I am considered for employment. I also understand that submission of an on-line application does not guarantee me an interview with the company. By submitting this on-line application you authorize Port City Group to contact former employers and all other relevant sources as it sees fit in order to verify the facts and information furnished about your qualifications and character. This releases any such employers, persons, or organizations from any and all liability on account of furnishing such information, and you waive any written notice of the release of such records as may be required by state or federal law.

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