Are you interested in working for Payroll Management? We invite you to complete and submit the on-line application. You may also call us at (207) 783-6880 or visit us at 100 Manley Road, Auburn, Maine. For more information please see our Contact Us page.  APPLICATION FOR EMPLOYMENT Name Address Telephone E-Mail For which kind of work are you applying? What special qualifications do you have?  EDUCATION  High School Name of School City State Graduation Date  College Name of School City State Major Graduation Date Years Attending  Other Schooling Name of School City State Course Title Course Length Graduation Date Name of School City State Course Title Course Length Graduation Date  WORK EXPERIENCE Company Address City State Start Date Departure Date Reason for Leaving Duties Beginning Wage Ending Wage Company Address City State Start Date Departure Date Reason for Leaving Duties Beginning Wage Ending Wage Company Address City State Start Date Departure Date Reason for Leaving Duties Beginning Wage Ending Wage  BUSINESS/PERSONAL REFERENCES Name Address City State Occupation Name Address City State Occupation Name Address City State Occupation  FINAL NOTES AND AUTHORIZATION I certify that the answers provided to the questions on this form are true to the best of my knowledge. I authorize Payroll Management, Inc., or its designated representative to obtain information regarding my application, while I am employed by (or seeking employment with) the company. I understand that any misstatement of the facts on this form may be grounds for termination of employment. I Agree I Disagree In lieu of an actual signature, please validate this claim by retyping your e-mail address: Questions, Comments, Remarks Although we may, or may not, be hiring at this time, be assured that careful consideration will be given to your application.

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Member of: - American Payroll Association - Independent Payroll Providers Association - Better Business Bureau