Employment Application
We Rock the Spectrum Midland
General Information
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
We Rock the Spectrum Midland is an equal opportunity employer and does not discriminate against any applicant or employee because of race, color, religion, sex, national origin, disability, age, or military or veteran status in accordance with federal law. In addition, We Rock the Spectrum Midland complies with applicable state and local laws governing non discrimination in employment in every jurisdiction in which it maintains facilities. We Rock the Spectrum Midland also provides reasonable accommodation to qualified individuals with disabilities in accordance with applicable laws.
If hired, can you furnish proof 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
Have you ever worked with special needs children or have personal experience with special needs children?
*
Yes
No
Explain
Job Interest
Type of employment desired (check all that apply)
*
Full-Time
Part-Time
Summer Only
Salary/HR Required
*
Check each day you are available to work (please note that most positions require weekend availability)
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Are you willing to work (check all that apply)
*
Days (9 a.m. - 2 p.m.)
Evenings (2 p.m. - 7 p.m.)
Holidays
Employment History
Please list employers most recent first
Employer
City, State
Position Held
Start Date
-
Month
-
Day
Year
Date
End Date
-
Month
-
Day
Year
Date
Employer Phone Number
Please enter a valid phone number.
Supervisor Name
Describe your duties:
Reason for leaving:
May we contact previous employer?
Yes
No
Previous Employer 2
Employer
City, State
Position Held
Start Date
-
Month
-
Day
Year
Date
End Date
-
Month
-
Day
Year
Date
Employer Phone Number
Please enter a valid phone number.
Supervisor Name
Describe your duties:
Reason for leaving:
May we contact previous employer?
Yes
No
Previous Employer 3
Employer
City, State
Position Held
Start Date
-
Month
-
Day
Year
Date
End Date
-
Month
-
Day
Year
Date
Employer Phone Number
Please enter a valid phone number.
Supervisor Name
Describe your duties:
Reason for leaving:
May we contact previous employer?May we contact previous employer?
Yes
No
Additional Information
Have you ever been convicted of a felony?
*
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 explain
Education
High School
High School Name
Did you graduate?
*
Yes
No
Attending
College
Name & City/State of College/University
Major
Did you graduate?
Yes
No
Attending
Other Education
Name & City/State of College/University
Major
Did you graduate?
Yes
No
Attending
Professional Licenses
Type of License
State Granting License
Date Completed
-
Month
-
Day
Year
Date
Type of License
State Granting License
Date Completed
-
Month
-
Day
Year
Date
References
Reference Name 1, Relationship, Company, Phone
Reference Name 2, Relationship, Company, Phone
Reference Name 3, Relationship, Company, Phone
You should hire me because?
*
Resume (optional)
Browse Files
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Please read carefully before signing application
I have submitted the attached form to the company for the purpose of obtaining employment. I acknowledge that the use of this form, and my filling it out, does not indicate that any positions are open, nor does it obligate the company to further process my application.
My signature below attests to the fact that the information that I have provided on my application, resume, given verbally, or provided in any other materials, is true and complete to the best of my knowledge and also constitutes authority to verify any and all information submitted on this application. I understand that any misrepresentation or omission of any fact in my application, resume or any other materials, or during any interviews, can be justification for refusal of employment, or, if employed, termination from We Rock the Spectrum Midland employ.
I also affirm that I have not signed any kind of restrictive document creating any obligation to any former employer that would restrict my acceptance of employment with We Rock the Spectrum Midland in the position I am seeking.
I understand that this application is not an employment contract for any specific length of time between We Rock the Spectrum and me, and that in the event I am hired, my employment will be “at will” and either We Rock the Spectrum Midland or I can terminate my employment with or without cause and with or without notice at any time. Nothing contained in any handbook, manual, policy and the like, distributed by We Rock the Spectrum Midland to its employees is intended to or can create an employment contract, an offer of employment or any obligation on We Rock the Spectrum Midland part. We Rock the Spectrum Midland may, at its sole discretion, hold in abeyance or revoke, amend or modify, abridge or change any benefit, policy practice, condition or process affecting its employees.
I acknowledge that as a condition of my employment, I will be required to agree to be bound by the terms of and sign the Employee Agreement. Failure to sign this Agreement shall result in revocation of my offer of employment.
Signature
*
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