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Customer Login

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Password:
 
AFFCO
1015 East Sixth Street
Anaconda, MT 59711
(406)563-8494
 
 
On-Line Application for Employment
 
 
  Personal Information:  
* Required Fields
First Name:
   *
Last Name:
   *
Middle Initial:
  
Street Address:
  
Address(cont.):
  
City:
   *
State:
  
Zip:
  
Work Phone:
  
Home Phone:
   *
E-Mail:
  
 
 
Applying for:
    
Regular Employment:
  
Temporary Employment:
  
Summer Employment:
  
Full-Time:
  
Part-Time:
  
       
  Describe briefly the job or type of work you are seeking:
 
   
Date Available:
   < enter as MM/DD/YYY
Minimum salary or wage requirement:
  
Do you have a High School or GED Diploma:
   Yes No
 
 
College:
    
Name of School:
  
School Location:
  
Degree/Diploma:
   Yes No
Major Subject:
  
Minor Subject:
  
       
 
Graduate School:
    
Name of School:
  
School Location:
  
Degree/Diploma:
   Yes No
Major Subject:
  
Minor Subject:
  
 
  Describe any other education not included above:
 
   
 
Employment History 1:
    
Name of Firm:
  
Location:
  
Dates of Employment:
  
Position:
  
Supervisor:
  
 
 
Employment History 2:
    
Name of Firm:
  
Location:
  
Dates of Employment:
  
Position:
  
Supervisor:
  
 
 
Employment History 3:
    
Name of Firm:
  
Location:
  
Dates of Employment:
  
Position:
  
Supervisor:
  
 
  Describe any United States Military Service: