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English (US)
Application for Employment
Thank you for your interest in employment with our Company. We appreciate your application and look forward to the possibility of you joining our team. This sheet is for your information. Please read it carefully. If you need any assistance or accommodation to facilitate the completion of this form or during any of the application process, please notify the person who provided the form and every effort will be made to provide you with the help you request. Please print all information so it can be easily read. Be certain that all questions are completely answered. Incomplete application forms will not be considered. Use the abbreviation “N/A” if a particular provision or section in the form is not applicable to you. If you need additional space, you may use the back of this form. This application form is intended for use in evaluating your qualifications for employment. This is not a contract for employment. False or misleading information submitted via this form or during the interview process is grounds for terminating the application process, or, if discovered after employment, for terminating employment. A background check and/or consumer report may be requested by the Company. Employment decisions are made solely on the basis of qualifications to perform the work for which you are applying. Qualifications include education, training, and work experience. Credentials and experience will be verified through schools, former employers, and any other applicable sources. As an Equal Opportunity Employer, we make decisions to hire and promote without regard to race, color, national origins, religion, sex, age, disability, or another legally protected status. You should understand that the position for which you are applying is considered at-will, which means that you, or the Company, can terminate employment at any time with no reason required. No one except the Company President has the authority to amend this agreement. We appreciate your interest. By continuing, you acknowledge that you have read and understood the above information.
What position are you applying for?
*
Business Development (Texas)
Field Installer (Mandeville, LA)
Tent Manufacturing Technician (Mandeville, LA)
Desired Salary:
*
Date Available for Work:
*
-
Month
-
Day
Year
Date
Availability:
*
Ful-Time
Part-Time
PERSONAL INFORMATION
Name:
*
First Name
Last Name
Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone Number:
-
Area Code
Phone Number
Cell Phone Number:
-
Area Code
Phone Number
Email Address:
example@example.com
Social Security Number:
*
Are you a U.S. Citizen?
*
Yes
No
If "no", are you legally authorized to work in the United States?
Yes
No
If selected for employment, are you willing to submit to a pre-employment drug screening test?
*
Yes
No
Have you ever been convicted of a felony?
*
Yes
No
If "yes", what city and state is your conviction in?
If yes, what was the charge you were convicted of?
If yes, what was the outcome of your conviction?
EDUCATION
Education 1:
*
Please list school name, location, years attended, degree received, and major:
Education 2:
Please list school name, location, years attended, degree received, and major:
Education 3:
Please list school name, location, years attended, degree received, and major:
Other training, certifications, or licenses held:
PREVIOUS EMPLOYMENT
Please list three previous employers.
Employer:
*
Employment Start Date:
*
Employment End Date:
Are you still employed with this employer?
*
Yes
No
Work Phone:
*
-
Area Code
Phone Number
Pay Rate:
*
Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Position:
*
Duties Performed:
*
Supervisors Name & Title:
*
Reason for Leaving:
*
May we contact this employer?
*
Yes
No
Employer:
*
Employment Start Date:
*
Employment End Date:
*
Are you still employed with this employer?
*
Yes
No
Work Phone:
*
-
Area Code
Phone Number
Pay Rate:
*
Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Position:
*
Duties Performed:
*
Supervisors Name & Title:
*
Reason for Leaving:
*
May we contact this employer?
*
Yes
No
Employer:
*
Employment Start Date:
*
Employment End Date:
*
Are you still employed with this employer?
*
Yes
No
Work Phone:
*
-
Area Code
Phone Number
Pay Rate:
*
Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Position:
*
Duties Performed:
*
Supervisors Name & Title:
*
Reason for Leaving:
*
May we contact this employer?
*
Yes
No
Upload Resume:
Browse Files
Cancel
of
Upload Cover Letter:
Browse Files
Cancel
of
REFERENCES
Please list three.
Name:
*
First Name
Last Name
Title:
*
Company:
*
Phone Number:
-
Area Code
Phone Number
Name:
*
First Name
Last Name
Title:
*
Company:
*
Phone Number:
*
-
Area Code
Phone Number
Name:
*
First Name
Last Name
Title:
*
Company:
*
Phone Number:
-
Area Code
Phone Number
ACKNOWLEDGEMENT AND AUTHORIZATION
*
I certify that all answers given herein are true and complete to the best of my knowledge.
I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge.
Signature
Clear
Date
*
-
Month
-
Day
Year
Date
Submit
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