APPLICATION FOR EMPLOYMENT
We are an equal opportunity employer and do not unlawfully discriminate in employment. No question on this application is used for the purpose of limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Equal access to employment, services, and programs is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the organization.
Today's Date
*
-
Month
-
Day
Year
Date
Name
*
First Name
Middle Initial
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Cell Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Alternate Phone
Please enter a valid phone number (optional).
Format: (000) 000-0000.
Drivers License / State ID Number
Employment Information
Desired Position
*
i.e. Sales, Warehouse, Admin, etc.
Availability
*
Full-Time
Part-Time
Available Start Date
*
-
Month
-
Day
Year
Date
Have you previously been employed by Dodd Camera?
*
Yes
No
Are you able to meet attendance requirements?
*
Yes
No
Do you have any objections to working overtime if necessary?
*
Yes
No
Can you travel if required by this position?
*
Yes
No
Can you submit proof of legal employment authorization and identity?
*
Yes
No
If you are under 18, can you furnish a work permit if required?
*
Yes
No
N/A
Have you been convicted of a felony in the last seven years?
*
Yes
No
If yes, please explain:
How were you referred to our organization?
*
i.e. Job Board, Current Employee, Social Media, etc.
Back
Next: Employment History
Employment History
Please provide employment information from your past three employers, starting with the most recent.
Employer #1
Add an second employer
Employer #2
Add a third employer
Employer #3
Skills and Other Qualifications
Summarize any job-related training skills, licenses, certificates, and/or other qualifications:
Skills/Qualifications:
Back
Next: Education & References
Educational History
Please list school name, location, years completed, course of study and any degrees or certifications earned.
High School
College / Technical Training / Other
Add an additional college / technical school
College / Technical Training / Other
Back
Next: References and Signature
References & Rèsumè
Reference #1
*
Reference #2
*
Reference #3
*
Résumé Uploader
You can upload a résumé here.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Signature & Authorization
I hereby authorize the potential employer to contact, obtain, and verify the accuracy of the information contained in this application from all previous employers, educational institutions, and references. I also hereby release from liability the potential employer and its representatives for seeking, gathering, and using such information to make employment decisions and all other persons or organizations providing such information. I understand that any misrepresentations or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate termination of my employment if I am employed, whenever it may be discovered. If I am employed, I acknowledge that there is no specified length of employment and that this application does not constitute an agreement or contract for employment. Accordingly, either the employer or I can terminate the relationship at will, with or without cause, at any time, so long as there is no violation of federal or state laws. I understand that it is the policy of the organization not to refuse to hire or otherwise discriminate against a qualified individual with a disability because of that persons need for a reasonable accommodation as required by the ADA. I also understand that if I am employed, I will be required to provide satisfactory proof of identity and legal work authorization within three days of being hired. Failure to submit such proof within the required time shall result in immediate termination of employment. I represent and warrant that I have read and fully understand the fore mentioned, and that I seek employment under these conditions.
Applicant Signature
*
Signature Date
*
-
Month
-
Day
Year
Date
Submit My Application
Should be Empty: