Job Application - please fill out the form accurately and thoroughly so we can respond in a timely manner. Thank you.
Name (First & Last Name)
Street Address
Primary Contact Number
Date of Birth
E-Mail Address *
Position Applying For
Date Available for Work
1. Current Employer
Start and End Date of Employment
Job Functions
Supervisor Name and Contact Number
Reason for Leaving
What Value did you add for your Clients or Customers?
2. Previous Employer
Start and End Date of Employment
Job Functions
Supervisor Name and Contact Number
Reason for Leaving
What Value did you add for your Clients or Customers?
If hired, can you provide proof of U.S. citizenship or proof of your legal right in US?
Are you able to perform all of the essential functions of the job for which you are applying with or without reasonable accommodation?
Have you ever been convicted of a felony or misdemeanor?
Please list your references
Equal Employment Opportunity Statement This company is committed to the principles of equal employment opportunity and is committed to make employment decisions based on merit. We are committed to complying with all Federal, State and local laws providing for equal employment opportunities, as well as all laws related to terms and conditions of employment. The Company desires to maintain a work environment that is free of sexual harassment and discrimination due to race/ ethnicity, religion, color, national origin, sexual orientation, physical or mental disability, age or any other status protected by Federal, State or local laws. The Company will make reasonable efforts to accommodate those physical or mental limitations of an otherwise qualified employee unless undue hardship would result for the company.
Complete and Accurate Information I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I have personally completed this application. I understand that any omission or misstatement of material fact on this application, or any other document used to secure employment, shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.
At-Will Employment I understand and agree that if I am employed, my employment will be “at-will”, which means that the Company may terminate the employment relationship at any time, with or without cause and with or without notice. Likewise, the Company will respect my right to terminate my employment at any time, with or without cause and with or without notice. I further understand that any prior representation, whether expressed or implied to the contrary is hereby superceded and that no promise or representation contrary to the foregoing is binding on thpresident.
Investigation Authorization I authorize investigation into all statements and references contained in this application. Said investigation may include credit, driving, criminal background, references and other background checks. By applying for this job, I also authorize post-hire investigation into my credit, driving and criminal background.
Company Obligation I understand and agree that the Company’s acceptance of this job application does not mean that a position for which I am qualified is open (unless specifically posted) or that the company has agreed to hire me. I understand that the Company is under no obligation to hire me as the result of accepting this completed application.
Please Sign and Date I HAVE READ AND UNDERSTAND THE ABOVE POLICY STATEMENTS AND AGREE TO BE BOUND BY THEM IF EMPLOYED BY THE COMPANY.
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