Employment Application Form

Productions Unlimited, Inc.

Employment Application
Name: *

First Name Last Name
Phone Number: *

Area Code Phone Number
E-mail Address:
Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
How were you referred to us?

Walk-In Employee Facebook Indeed.com
Position applying for: *
Desired Salary/ Hourly Rate:
Are you willing to work any overtime? :
Type of employment desired? :
Do you currently have a driver's license? :
Upload Resume:
Job Skills & Training
Describe your skills: *
Training or Certifications:
References Please list three (3) references that are familiar with your work life.
Reference 1
Name: *

First Name Last Name
Phone Number: *

Area Code Phone Number
Years Known: *
Company: *
Work Relationship: *
Reference 2
Name: *

First Name Last Name
Phone Number *

Area Code Phone Number
Years Known: *
Company *
Work Relationship *
Reference 3
Name *

First Name Last Name
Phone Number *

Area Code Phone Number
Years Known: *
Company *
Work Relationship *
Instructions for answering the next two questions: Do not include convictions that were sealed, eradicated, earased, annulled by a court, or expunged, or convictions that resulted in referral to a diversion program.
Within the past 7 years, have you plead guilty or no contest to, or been convicted of, any criminal offence related to the position for which you are applying, other than the applicable exceptions listed above?
Have you ever been arrested for any matters related to the position to which you are applying, for which you currently are out on bail or on your own recognizance pending trail?
Criminal Offenses Only: If you answered Yes to either of the above two questions, please provide the date(s) and explain in accordance with the above instructions so that individual circumstances can be considered.
Criminal convictions or arrests will not automatically disqualify an applicant from a particular job. Productions Unlimited will consider the nature of the crime, its seriousness, the substantial relation to the position’s functions and qualifications, the number of occurrences, the applicant’s age at the time of the crime, the time elapsed since the crime, the applicant’s entire work and educational history, employment references and recommendations, and the business necessity of any exclusion when required by law.

Work Experience: Please list the names of your present and/or previous employers in chronological order with most current or last employer listed first. Account for all periods of time including any period of unemployment. If self-employed, supply operating name and business references. You may include any verifiable work performed on a volunteer basis, internships, or military service. Failure to completely respond to each inquiry may disqualify you for consideration from employment.
Employer #1
Employer:
Address:
Type of Business:
Starting Date:
Ending Date:
Supervisor's Name:
May We Contact?
Job Title:
Duties:
Starting Pay:
Ending Pay:
Reason for Leaving:
What will this employer say was the reason your employment was terminated?
Employer #2
Employer:
Address:
Type of Business:
Starting Date:
Ending Date:
Supervisor's Name:
May We Contact?
Job Title:
Duties:
Beginning Pay:
Ending Pay:
Reason for Leaving:
What will this employer say was the reason your employment was terminated?
Employer #3
Employer:
Address:
Type of Business:
Starting Date:
Ending Date:
Supervisor's Name:
May We Contact?
Job Title:
Duties:
Beginning Pay:
Ending Pay:
Reason for Leaving:
What will this employer say was the reason your employment was terminated?

I certify that all the information on this application, my résumé, or any supporting documents I may present during any interview is and will be complete and accurate to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of any information may result in disqualification from consideration for employment or, if employed, disciplinary action, up to and including immediate termination.
PRODUCTIONS UNLIMITED IS AN AT-WILL EMPLOYER AS ALLOWED BY APPLICABLE STATE LAW. THIS MEANS THAT REGARDLESS OF ANY PROVISION IN THIS APPLICATION, IF HIRED, THE COMPANY OR I MAY TERMINATE THE EMPLOYMENT RELATIONSHIP AT ANY TIME, FOR ANY REASON, WITH OR WITHOUT CAUSE OR NOTICE. NOTHING IN THIS APPLICATION OR IN ANY DOCUMENT OR STATEMENT, WRITTEN OR ORAL, SHALL LIMIT THE RIGHT TO TERMINATE EMPLOYMENT AT-WILL.NO OFFICER, EMPLOYEE OR REPRESENTATIVE OF THE COMPANY IS AUTHORIZED TO ENTER INTO AN AGREEMENT— EXPRESS OR IMPLIED—WITH ME OR ANY APPLICANT FOR EMPLOYMENT FOR A SPECIFIED PERIOD OF TIME UNLESS SUCH AN AGREEMENT IS IN A WRITTEN CONTRACT SIGNED BY THE PRESIDENT OF THE COMPANY. IF HIRED, I AGREE TO CONFORM TO THE POLICIES, RULES, AND REGULATIONS OF THE COMPANY, AND I UNDERSTAND THAT THE COMPANY HAS COMPLETE DISCRETION TO MODIFY SUCH POLICIES, RULES AND REGULATIONS AT ANY TIME, EXCEPT THAT IT WILL NOT MODIFY ITS POLICY OF EMPLOYMENT AT-WILL.

I authorize Productions Unlimited or its agents to confirm all statements contained in this application and/or résumé as it
relates to the position I am seeking and to the extent permitted by federal, state, or local law. I agree to complete any requisite authorization forms for the required employment screening process.
I authorize and consent to, without reservation, any party or agency contacted by this employer to furnish the above mentioned information. I hereby release, discharge, and hold harmless, to the extent permitted by federal, state, and local law, any party delivering information to Productions Unlimited or its duly authorized representative pursuant to this authorization from any liability, claims, charges, or causes of action which I may have as a result of the delivery or disclosure of the above requested information.
I hereby release from liability Productions Unlimited and its representative for seeking such information and all other persons,
corporations, or organizations furnishing such information.
If hired by Productions Unlimited, I understand that I will be required to provide genuine documentation establishing my
identity and eligibility to be legally employed in the United States by this Company. I also understand Productions Unlimited
employs only individuals who are legally eligible to work in the United States.

I CERTIFY THAT ALL OF THE INFORMATION THAT I HAVE PROVIDED ON THIS APPLICATION IS TRUE, ACCURATE, AND
COMPLETE.
Signature *

Clear
Date: *

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Date
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Productions Unlimited, Inc.