Language
English (US)
BestNest, Inc. Employment Application
BestNest, Inc. is an equal opportunity employer. All applicants are considered without regard to race, age, color, gender, ethnic group, national origin, religion, citizenship, marital status, sexual orientation, veteran status, physical or mental disability, or medical condition.
PERSONAL INFORMATION
Full name
*
First Name
Middle Name
Last Name
Today's Date
*
/
Monat
/
Tag
Jahr
Current address
*
Address Line 1
Address Line 2
City
State
Zip Code
E-mail
*
Primary Telephone #
*
-
Alternate Telephone #
-
Are you 18 or older?
*
Yes
No
Driver's License #
State
Type
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EMPLOYMENT DESIRED
Position Applied For (check all that apply)
*
Advertising
Graphic Design
Purchasing
Customer Service
Merchandising
Shipping & Receiving
Other
Desired Pay
Earliest Start Date
*
/
Month
/
Day
Year
Date
Are you currently employed?
*
Yes
No
Would you like to work: (check all that apply)
*
Full-Time Only
Part-Time Only
Summer
Temporary
Full-Time or Part-Time
What times are you available to work?
Sunday
Thursday
Monday
Friday
Tuesday
Saturday
Wednesday
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EDUCATION
Please list highest level attained
*
SKILLS
(not all may be necessary for the job you seek)
Computer Skills (Hardware/Software)
Other Skills, Knowledge, Areas of Expertise
*
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EMPLOYMENT HISTORY
Please list your last three employers, or three most relevant.
Start Date
/
Month
/
Day
Year
Date
End Date
/
Month
/
Day
Year
Date
Job Title
Employer Name
Employer Address
Supervisor Name & Job Title
Phone Number
Please enter a valid phone number.
Start Date
/
Month
/
Day
Year
Date
End Date
/
Month
/
Day
Year
Date
Job Title
Employer Name
Employer Address
Supervisor Name & Job Title
Phone Number
Please enter a valid phone number.
Start Date
/
Month
/
Day
Year
Date
End Date
/
Month
/
Day
Year
Date
Job Title
Employer Name
Employer Address
Supervisor Name & Job Title
Phone Number
Please enter a valid phone number.
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REFERENCES
Please provide three references (not relatives or previous employers).
Reference #1
Name
Address
Phone #
Relationship
Years Known
Reference #2
Name
Address
Phone #
Relationship
Years Known
Reference #3
Name
Address
Phone #
Relationship
Years Known
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GENERAL
May we contact your present employer?
Yes
No
Will you be able to perform the job functions for the position you are applying for with or without reasonable accommodation?
*
Yes
No
Have you ever been convicted of a felony crime?
*
Yes
No
If yes, please explain
If offered employment, will you be able to provide proof of identity and authorization to work in the U.S.?
*
Yes
No
Do you have any pre-existing injuries, including back, shoulder, and foot, that may prevent you from performing any of the job functions required for the applied for position?
*
Yes
No
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APPLICANT STATEMENT
I understand and agree to the following: •This application is not a contract of employment. • Should the employer hire me and should any of the information I have given in this application be found false, misleading, or incomplete, I shall be subject to dismissal. • The employer follows an “at will” employment policy, meaning I or the employer may terminate employment at any time for any reason consistent with applicable law. • All hired persons must provide proof of identity and authorization to work in the US. Failure to produce such proof will result in denial of employment. • I authorize investigation of all statements given on this application. The employer may contact any educational institution, reference, or employer listed on this application, except my current employer if so noted, to verify the information I have given. I hereby release all involved parties from any liability arising from such an investigation. • I certify that all the information given in this application is complete and true. (Draw your signature in the box)
*
Clear
PRE-EMPLOYMENT AND CONTINUED EMPLOYMENT DISCLOSURE AUTHORIZATION AND RELEASE
SECTION 604(a) OF THE FAIR CREDIT REPORTING ACT, 15 U.S.C. 1681b(a), ENUMERATES THE PERMISSIBLE CIRCUMSTANCES UNDER WHICH A CONSUMER REPORTING AGENCY MAY FURNISH YOUR CONSUMER REPORT TO A THIRD PARTY SUCH AS YOUR EMPLOYER. ONE SUCH PERMISSIBLE PURPOSE, LISTED AT SECTION604(a)(3)(B), IS THAT “ANY CONSUMER REPORTING AGENCY MAY FURNISH A CONSUMER REPORT…TO A PERSON WHICH IT HAS REASON TO BELIEVE INTENDS TO USE THE INFORMATION FOR EMPLOYMENT PURPOSES.” THEREFORE, IT IS LAWFUL UNDER FEDERAL LAW FOR THIS EMPLOYER TO SEEK AND OBTAIN, FOR EMPLOYMENT PURPOSES, A COPY OF YOUR CONSUMER REPORT FROM A CONSUMER REPORTING AGENCY. (Draw initials in the box)
*
I understand that in connection with my application for Employment, and/or for Continuous Employment, BestNest Inc, their agents, assigns or any other authorized third parties (collectively, the “Investigators”) may be performing, requesting, obtaining or conducting a background check on me. This background check may include an inquiry into my Employment History, Education, General Character or Reputation, Work Experience, Volunteer Experience, Driving, Credit History, and/or Criminal History. This consent authorizes the employer to procure a consumer report and/or an investigative consumer report at any time during my employment for an employment purpose. (Draw initials in the box)
*
I have read this Pre-Employment and Continued Employment Disclosure and by signing below, hereby authorize Investigators to conduct a background check as described herein. I hereby release any and all Investigators from any and all liability related to the procurement or disclosure of any information provided by me or obtained about me. (Draw initials in the box)
*
I further direct and authorize Investigators to conduct the background check and further authorize any third parties who may be the custodians of or in possession of the requested Information, to disclose such Information to Investigators in connection with this background check. A photocopy/facsimile of this authorization may be accepted with the same authority as the original and I specifically waive any written notice from any present or former employer who may provide information based upon this authorized request. Educational institutions are authorized to release my Grade Point Average. (Draw initials in the box)
*
Although furnishing your Social Security Number is not optional, it shall be used for NO other purpose than to make the process for conducting a background search more accurate. It shall not be sold, or in any way transferred to a third party except for the express purpose of conducting the background check. (Draw initials in the box)
*
Employee or Prospective Employee Signature (Draw your signature in the box)
*
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