Personnel Manual

4. What is your birthday? 5. Are you over the age of 18?

Experience 1. What is your work experience? 2. Why did you leave your last employer? 3. What level of schooling or education programs have you completed? Marital/Family Status 1. What's your marital status? 2. Who do you live with? 3. Do you plan to have a family? When? 4. How many kids do you have? 5. What are your childcare arrangements? 6. What is your maiden name? 7. May I have the name of a relative to contact in case of an emergency? 8. Would you be willing to relocate if necessary?

9. Travel is an important part of the job. Would you be willing to travel as needed by the job? (This question is okay as long as ALL applicants for the job are asked it.) 10. This job requires overtime occasionally. Would you be willing and able to work overtime as necessary? (Again, this question is fine as long as ALL applicants for the job are asked it.) 11. May I have the name of a person to contact in case of an emergency? (cannot ask their relationship to the applicant) 12. What is your skin color? 13. Attach a photograph to the application. 14. To what clubs or social organizations do you belong? 15. Do you belong to the NAACP, B’nai, B’rith or any other organization the nature or character of which indicates the religion, race, or national origin of its members? 16. Do you belong to any professional or trade groups or other organizations that you consider relevant to your ability to perform this job? (Omit those that indicate your race, religion, color, national origin, ancestry, sex, or age.) 17. Are you honest? 18. Are you trustworthy?

19. Do you belong to a church? 20. What denomination are you? 21. Do you go to church regularly? 22. What religious holidays do you observe?

Personal 1. Do you own your own home? 2. How long have you lived at your current address?

3. Do you own a car? 4. How tall are you? 5. How much do you weigh?

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Proprietary and Confidential Information

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