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Joining Our Team

Joining eXsusa Career Form
  1. Joining eXsusa
  2. Enter your Name(*)
    Please type your full name.
  3. Date of Birth(*)
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  4. E-mail(*)
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  5. Country (*)
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  6. City/State(*)
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  7. Home Number(*)
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  8. Cell number(*)
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  9. Work number (*)
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  10. Job Designation (*)
  11. Upload Resume(*)
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  12. Upload CV(*)
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  13. How did you hear about us? (*)
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  14.  
  1. Employment History
  2. Are you currently employed?(*)
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  3. Current / Last Employers name (*)
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  4. Position Title(*)
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  5. Employer Phone Number(*)
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  6. Supervisor Name(*)
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  7. May we contact your employer?(*)
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  8. If No, please explain(*)
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  9.  
  1. Education Background
  2. Are you currently a student?(*)
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  3. Highest level of education?(*)
    Please specify your position in the company
  4. Current / Last School Attended (*)
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  5. Your major / study field(*)
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  6.  
  1. Work Experience
  2. Are you a United States Citizen?(*)
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  3. What work experience do you have? (*)
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  4. List any language you speak other than English(*)
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  5. Do you have physical or emotional limitations that should be considered when placing you in a job?
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  6. If Yes please explain (*)
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  7. Are you currently First Aid Certified? (*)
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  8. If Yes what is your current certification number and expiration date? (*)
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  9. Have you been convicted of a felony in the last seven years?
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  10. If Yes please explain(*)
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  11.  
  1. Referencee
  2. Please provide 3 personal and professional references who will be able to vouch for your professionalism, reliability to care for children. Please list no more than ONE family member.
  3. 1.Name(*)
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  4. Relationship (*)
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  5. Contact number(*)
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  6. 2.Name (*)
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  7. Relationship (*)
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  8. Contact number (*)
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  9. 3.Name(*)
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  10. Relationship(*)
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  11. Contact number(*)
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  12.  
  1. Additional Information
  2. Your Goals in 5 years(*)
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  3. Any other pertinent details you think might be important to your assigned jobs?(*)
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  4.