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Job Title:	Account Representative
Reference #:	CLA001134
Location:	GA-Atlanta/Gwinnett County

Personal Information:

* - required fields

*First Name:

*Last Name:

Email:

*Primary Phone:

Secondary Phone:

*Street Address:

*City:

*State:

*Postal Code:

Work Interest:

*Work Type:

*Date Available:

*Location of Interest:

*Functional Area of Interest:

*Shift:

1st 2nd
3rd Weekend

*Are you currently authorized to work in the U.S. on a full-time basis?

Yes No

*Have you ever been previously employed by Crown?

Yes No

If Yes, when?

From:

To:

*Referral Service/Source:

*Referred By:

Education:

Education	Name & Location of School	Did you graduate?	Degree/Certificate Earned	Major/Subjects studied
*High School/Vocation School		Yes No GED
Trade, Business or Correspondence School		Yes No	Certificate
College		Yes No	Associates Bachelor Graduate Other

Military History:

List any special skills or training as a result of service in the military:

Other Personal Info:

*Have you ever been convicted of a felony? (Do not disclose sealed or expunged records of convictions or arrests.)

Yes No

If Yes, explain

Skills:

Computer Skills:

Word Excel:

If Other Computer Skills, explain:

Print Reading
Use Precision Measuring Instruments
Keyboarding W.P.M.

Special Skills and Qualifications

Resume:

Resume:

Attach resume in .txt, .doc or .pdf format

Cover Sheet:

Employment History:

Complete present and past employment history beginning with your most recent. If you do not have employment history, check the box 'No Employment History'.

No Employment History

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References: Please provide the name of three (3) persons not related to you, who have known you for at least one year and have knowledge of your work performance.

References:

	Name	Business	Telephone	Years Acquainted
1
2
3

* Indicates required fields

Crown is an Equal Opportunity, Affirmative Action Employer.

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