{"content":[{"text":"Job Responsibilities ______________________________________________________________ \n _______________________________________________________________________________ \n _______________________________________________________________________________ \n _______________________________________________________________________________ \n Pay: $__________ Week/Month Reason for Leaving ___________________________________","bbox":{"left":0.058824,"top":0.043712,"width":0.861654,"height":0.131298}},{"text":"3. Employer’s Name ________________________ Position ______________________________ \n Address _________________________________ Phone ________________________________ \n Dates of Employment _______________________ Supervisor __________________________ \n Pay: $________ Week/Month Reason for Leaving ___________________________________","bbox":{"left":0.058824,"top":0.209495,"width":0.858255,"height":0.103545}},{"text":"Job Responsibilities ______________________________________________________________ \n _______________________________________________________________________________ \n _______________________________________________________________________________ \n _______________________________________________________________________________","bbox":{"left":0.058824,"top":0.334381,"width":0.860837,"height":0.10369700000000004}},{"text":"(Attach additional pages to application to list any other employers)","bbox":{"left":0.058824,"top":0.461057,"width":0.524749,"height":0.018874000000000002}},{"text":"Church/Community Involvement \n ______________________________________________________________________________________________","bbox":{"left":0.058824,"top":0.496351,"width":0.854456,"height":0.040326000000000084}},{"text":"______________________________________________________________________________________________","bbox":{"left":0.058824,"top":0.548299,"width":0.854456,"height":0.017317000000000027}},{"text":"______________________________________________________________________________________________","bbox":{"left":0.058824,"top":0.57739,"width":0.854408,"height":0.017317000000000027}},{"text":"References \n Name","bbox":{"left":0.058824,"top":0.614028,"width":0.126315,"height":0.040073000000000025}},{"text":"Address","bbox":{"left":0.357533,"top":0.636784,"width":0.06529299999999999,"height":0.017317000000000027}},{"text":"Phone No.","bbox":{"left":0.636389,"top":0.636784,"width":0.08068900000000001,"height":0.017317000000000027}},{"text":"1.","bbox":{"left":0.088235,"top":0.673236,"width":0.013544,"height":0.017279000000000044}},{"text":"________________________________________________________________ \n _________________________________________________________________ \n _________________________________________________________________","bbox":{"left":0.117686,"top":0.670467,"width":0.709065,"height":0.073129}},{"text":"2.","bbox":{"left":0.088235,"top":0.699448,"width":0.013544,"height":0.017279000000000044}},{"text":"3.","bbox":{"left":0.088235,"top":0.725547,"width":0.013544,"height":0.017279000000000044}},{"text":"Fair Credit Reporting Act Disclosure: In making this application it is acknowledged that we may request information \n regarding your character, employment, and background. Upon written request, information concerning the above will be \n obtained. False or incomplete information in this application is grounds for termination of employment consideration or \n employment, if already employed. Potential candidates will be required to have a background check prior to employment.","bbox":{"left":0.058824,"top":0.771001,"width":0.872686,"height":0.06091599999999997}},{"text":"I CERTIFY THAT THE ABOVE INFORMATION IS ACCURATE AND COMPLETE: \n _____________________________________________________ \n Signature of Applicant","bbox":{"left":0.058824,"top":0.853791,"width":0.603377,"height":0.056454000000000115}},{"text":"_____________________ \n Date","bbox":{"left":0.705997,"top":0.873483,"width":0.19044400000000006,"height":0.03676200000000007}},{"text":"May 2021","bbox":{"left":0.058824,"top":0.965724,"width":0.07163600000000002,"height":0.017279000000000044}}],"images_bbox":[],"images_bbox_not_text_overlap":[]}