Employment Application Form

Employment Application:
This Application for Employment will remain valid for 60 days from the date received. It will be reviewed for any open position available during this time frame. After 60 days have passed, a new application must be submitted for consideration for all open positions.
Employment Application:

Complete all sections which pertain to you, sign and date. A resume may be required but is not a substitute for completing this Application for Employment ("Application"). The Application allows the Company to determine your qualifications and experience and contains an Applicant Statement and Agreement. By signing the Application, you authorize the Company to verify the information contained in the Application. Falsification of the information on the Application or failure to provide accurate information may result in disqualification from employment or termination of employment if discovered after hire.

Employment Interviews:

Several personal and/or telephone interviews may be conducted with you in order to obtain more detailed information regarding your background and qualifications. The Company complies with the Americans and Disabilities Act Amendments Act of 2008 (ADAAA). During the interview process you may be asked questions concerning your ability to perform job-related functions.

Employment Eligibility Verification (Form I-9):

This form is required by the U.S. Citizenship and Immigration Services (USCIS). If you are hired, this form will be used to verify your identity and right to work in the United States.

Records Check:

There may be verification and information checks with the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles, and credit bureaus.
Applicant Information:
Today's Date*

MonthDayYear
Date
Full Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Home Phone

Area CodePhone Number
Cell Phone*

Area CodePhone Number
Available Start Date*

MonthDayYear
Date
E-mail
example@example.com
Desired Pay
HourlySalary
Position Applied For*
Employment Desired*

Full-timeSeasonalPart-time

References:
Full Name*

First NameLast Name
Relationship*
Company*
Title*
Email
Phone*

Area CodePhone Number
Full Name

First NameLast Name
Relationship
Company
Title
Email
Phone

Area CodePhone Number
Full Name

First NameLast Name
Relationship
Company
Title
Email
Phone

Area CodePhone Number
Military Service:
Are You A Veteran?*

YesNo
Branch
Rank at Discharge
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Type of Military Discharge

HonorableOther
Please Explain

Send Application:
Employment Verification

I understand that I have a right to receive a copy of this authorization on request and that a photographic, scanned, faxed, or emailed copy of this authorization shall be as valid as the original. I certify that the answers in given herein are true and complete to the best of my knowledge. I authorize the investigation of all statements in this application and give the Company permission to contact schools, previous employers, references, and others and release the Company from any liability as a result of such contact. I understand that any false information, omission or misrepresentation of information requested or provided in connection with this application may remote me from further consideration for employment. I also understand that false information, omissions or misrepresentations at any time may be cause for termination of employment.

At Will Employment

If accepted for employment, the Company will make every effort to provide steady continuous work, although the Company has no employment contracts and cannot guarantee the permanence of any position. Job tenure can be affected by many factors (business, economic condition, changes in laws or Company policies, conformity to work rules, job performance, etc.) in addition, employees may elect on their own accord to seek jobs in other fields or with other employers.

I understand that my employment with the Company is for no specific term and may be terminated by me or the Company with or without notice and cause at any time. I further understand that no oral promise, Company policy, custom, business practice or other procedure (including Company handbook or personnel manuals) constitutes an employment contract or modification of the at will employment relationship between me and the Company.

The contents of any employment handbook or personnel manuals, as well as other Company policies and practices are subject to change or modification by the Company, solely at its discretion, without notice. I also understand that no supervisor or other official of the Company has the authority to enter into any agreement with me or make any agreement contrary to the foregoing.

Consent to Pre-Employment Drug Testing

I acknowledge that, together with my Application, the Company has provided me with a copy of its written Pre-Employment Drug Testing Policy Statement. I understand that, by signing the Application below, I consent to the Company's right to require me to submit to a test for the presence of drugs in my system prior to employment and at any time during my employment, to the extent permitted by law. I further understand that a Drug-Free Workplace program is in effect and that a positive result for the drugs tested may be grounds for termination from employment. I understand that any offer of employment may be contingent upon satisfactory drug testing. I understand that should I decline to sign this consent, the Pre-Employment Drug Testing Policy Statement, or take any of the required drug tests, my Application may be rejected.
I certify that all information contained in thie Application for Employment is true and accurate to the best of my knowledge and belief; and I have read, understand, and agree to be legally bound to all of the terms in the Applicant Statement and Agreement.
Attach Resume

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Name*

First NameLast Name
Date*

MonthDayYear
Date
Signature*

Clear
Please sign your name
Please verify that you are human*
Should be Empty: