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Application For Employment
Items marked with * are required fields

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Address: * * * *

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Willing to work: Check all that apply.

Education
Name and Location of School (City and State) Major / Minor Field of Study Degree / Certificate Received

Last High School Attended:





G.E.D.:



College / University / Vocational:




Do you have any of the following skills or certifications?

Employment Experience: Start with your present or last job and go back at least five (5) years, listing former employers.
You may include military service assignments and volunteer activities.

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Rate of Pay: Employed From:

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Rate of Pay: Employed From:

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Rate of Pay: Employed From:

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Rate of Pay: Employed From:

 

Professional References: (Most recent supervisors or instructors required. Do not list friends or relatives.)

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I hereby authorize Counterpoint, Inc. to inquire as to my record with any or all of my former employers with no liability arising there from. I hereby certify that all information above is true and complete to the best of my knowledge. I am aware that falsification or misrepresentation of required information is grounds for dismissal or disqualification from employment with Counterpoint, Inc. Criminal background checks are required upon hire.

By signing below electronically, the electronic signature represents the same as your writen signature, and Counterpoint, Inc. will be given permission to treat this electronic signature as if it is a written signature.

COUNTERPOINT IS AN EQUAL OPPORTUNITY EMPLOYER

Administrative Offices
116 East Lewis, Livingston, MT 59047
(406) 222-2472