Sound Options, Inc.

"My partner and I live in Vermont, and both of us have aging parents who live in Washington..."
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"I am a bachelor and I have a fairly simple life...That all changed about two months ago..."
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"they say you can never go home again? I did. My parents needed me, but it was quite a shock..."
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Job Application

Identification

First Name:
Middle Name:
Last Name:
Address
City:
State:
Zip Code:
Phone:
Email:

Work Preferences

Position Applied For?

Are You Willing To Travel?	Yes, what percentage of time? No
Date Available:
Desired Salary:

Education

*High School:*	Year Graduated: GPA:
*College:* (include degree, and program or major coursework):	Year Graduated: GPA:
Other: (include year graduated, degree, and program or course work):

1.	yes no	Have you ever worked for this company? If yes, list date of last employment and your name at that time:
2.	yes no	Are you over 18 years of age?
3.	yes no	Are you a U.S. citizen, permanent resident, or authorized to work in the United States?
4.	yes no	Do you have a valid driver’s license? Issuing State: Number: Expiration:
5.	yes no	Have you ever been convicted of a felony? If so, explain.

6. List any professional, technical licenses, occupational licenses, certifications related to the type of employment you are seeking, (e.g. paramedic, RN, LPN, Medical Assistance, etc.). Indicate license number and expiration date.

7. Please indicate your skills regarding the following software:

	*Beginner*	*Intermediate*	*Advanced*	*None*
*Word*
*Excel*
*Access*
*Outlook*
*QuickBooks*

8. How did you learn of employment opportunities at Sound Options, Inc.?

Step 1 of 4