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MEMBERSHIP REGISTRATION

 

 

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APPLICANT INFORMATION
First Name*
Last Name*
Email*
Confirm Email*
Phone Number*
Password*
Confirm Password*
Address
Suite/ Apt
City
State
Zip
Social Security
Date Of Birth
Driver License # or State ID#
Ethnicity
If other, please explain
Are you a citizen of the United States? Yes   No
If no, are you authorize to work in the U.S.? Yes   No
Have you ever been convicted of a felony? Yes   No
If yes, what was date of incarceration
If yes, what or when is your release date?
Have you ever been convicted of a misdemeanor Yes   No
If yes, what was date of incarceration
Do you currently have any pending charges? Yes   No
If yes, please explain
Are you on Probation or Parole? Yes   No
If yes, what is your date of release?
If yes, what is your Probation/Parole Officer name
Your Probation/Parole Officer phone number
Your Probation/Parole Officer email (if applicable)
Do you have auto insurance? Yes   No
If so, Driver Insurance Carrier
Driver insurance Policy Number
   
EDUCATION
Did you attend high school? Yes   No
If so, High School name
High School address
What years did you attend?
Did you graduate? Yes   No
Did you attend college? Yes   No
If so, College name
College address
What years did you attend?
REFERENCES  - please list up  to 3 references
Full Name
Relationship
Company
Phone Number
Full Address
Full Name
Relationship
Company
Phone Number
Full Address
Full Name
Relationship
Company
Phone Number
Full Address
PREVIOUS EMPLOYMENT
Company
Address
Phone
Job Title
Starting Salary
Ending Salary
Responsibilities
Date Started
Date Ended
Reason for leaving
May we contact your previous supervisor for a reference? Yes   No
Supervisors name
Company
Address
Phone
Job Title
Starting Salary
Ending Salary
Responsibilities
Date Started
Date ended
Reason for leaving
May we contact your previous supervisor for a reference? Yes   No
Supervisors name
 
MILITARY SERVICE
 
Have you ever been in the military Yes   No
If so, what branch
Enlisted date
Discharge date
Rank at Discharge
Type of discharge
If other than honorable, explain
 
Do you have reliable transportation? Yes   No
Are you willing to provide a urine sample? Yes   No
What is your housing condition? Yes   No
 
Are you completing this application for yourself? Yes   No
If no, please explain
 
Upload your Resume
must be PDF or Word file
 
Upload your Photo
 
MAKE PAYMENT
 
I want to start my XFFH membership  $150
   
I need XFFH to write my resume and cover letter $75 (This payment is a deposit amount)
   
Direct Job Site Submission $25 (This payment is a deposit amount)
   
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