QIS Job Application

Quality Import Service
Application for Employment
Equal Opportunity Employer

In order to provide equal employment and advancement opportunities to all individuals, employment decisions at Quality Import Service will be based on merit, qualifications, and abilities. Quality Import Service does not discriminate in employment opportunities or practices on the basis of race, color, religion, sex, national origin, age, disability, or any other characteristic protected by law. Quality Import Service will make reasonable accommodations for qualified individuals with known disabilities unless doing so would result in an undue hardship. This policy governs all aspects of employment, including selection, job assignment, compensation, discipline, termination, and access to benefits and training.
GENERAL INFORMATION
Full Name *

First Name Last Name
E-mail *
Phone Number *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Last 4 of SSN *
Do you have a valid drivers license? *

Yes No
If hired, can you furnish proof that you are eligible to work in the U.S.? *

Yes No
Are you at least 18 years of age or older? *

Yes No
Are you at least 21 years of age or older? *

Yes No

EMPLOYMENT HISTORY INFORMATION
Work History: Current and previous 2 employers (most current employer listed first)
Company Name
City, State
Position Held
Start Date

Month Day Year
Date
Date Finished

Month Day Year
Date
Employer phone

Area Code Phone Number
Salary
Supervisor name

First Name Last Name
Describe your duties:
Reason for leaving
NEXT EMPLOYER
Company Name
City, State
Position Held
Start Date

Month Day Year
Date
Date Finished

Month Day Year
Date
Employer phone

Area Code Phone Number
Salary
Supervisor name

First Name Last Name
Describe your duties:
Reason for leaving
NEXT EMPLOYER
Company Name
City, State
Position Held
Start Date

Month Day Year
Date
Date Finished

Month Day Year
Date
Employer phone

Area Code Phone Number
Salary
Supervisor name

First Name Last Name
Describe your duties:
Reason for leaving

Additional Information
Have you ever been convicted of a felony? *

Yes No
If yes, please give date and explain
Have you ever plead guilty, no contest, or been convicted of a crime? *

Yes No
If yes, please give date and explain
Have you ever been employed under a name other than the name used on this application? *

Yes No
If yes, please give date and explain

I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, educational, financial and other related matters as may be necessary for an employment decision. I hereby release employers, schools or individuals from all liability when responding to inquiries in connection with my application.

Certain consumer reports may be obtained as part of the evaluation of this job application/employment. The reports may include your driving record, an assessment of your insurability under the company's insurance coverages or other consumer reports.

By submitting this form you hereby authorize the company to procure such reports and additional reports from time to time as it deems appropriate, to evaluate your insurability and for other permissible purposes.

In the event I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge.

I understand and agree that, if hired my employment is "at will" and is not for a definite period and may, regardless of circumstances, be terminated at any time without prior notice by the Company. I further acknowledge that no contract of employment will be valid against the company.

If hired I acknowledge that I will read and abide by the Company Handbook & Policies & Procedures.

I acknowledge that as a condition of my employment, I will be required to agree to be bound by the terms of and sign this application. Failure to sign this Agreement shall result in revocation of my offer of employment.
Choose One *

I ACCEPT I DO NOT ACCEPT
Signature *

Clear
Please verify that you are human *
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Quality Import Service

Application for Employment

Equal Opportunity Employer

GENERAL INFORMATION

JOB INTEREST

EMPLOYMENT HISTORY INFORMATION

Additional Information

EDUCATION INFORMATION