Employment Application Form:

Application for Employment:
Equal Opportunity Employer: The Company is an equal opportunity employer. Applicants are considered for positions without discriminating on the basis of race, color, religion, national origin, ancestry, sex, gender identity or expression, sexual orientation, age, disability, genetic information, marital status, arrest and court record, credit history, reproductive health decision, domestic or sexual violence victim status, veteran/military status, citizenship status, pregnancy, breastfeeding, or any other characteristic protected by federal, state, or local law.
Today's Date

MonthDayYear
Date
Job/Position you are applying for (must be filled in)
Are you able to perform the essential functions of this position with or without reasonable accommodation?

YesNo
General Information
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com

Employment History

STARTING WITH PRESENT or MOST RECENT, list your last three previous employers. Include self employment, military service, summer, and part-time jobs.
Company Name
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Position & Duties
Start Date
End Date
Type "Present" if still employed
Name & Title of Supervisor
Phone Number
Please enter a valid phone number.
Pay $
Starting
Pay $
Leaving
Reason for Leaving
Company Name
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Start Date
End Date
Type "Present" if still employed
Position & Duties
Name & Title of Supervisor
Phone Number
Please enter a valid phone number.
Pay $
Starting
Pay $
Leaving
Reason for Leaving
Company Name
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Start Date
End Date
Type "Present" if still employed
Position & Duties
Name & Title of Supervisor
Phone Number
Please enter a valid phone number.
Pay $
Starting
Pay $
Leaving
Reason for Leaving

Miscellaneous
May we contact your current employer(s)?

YesNo
Do you know anyone presently working for our company? blank
If so, who? blank
Education

List your education history: High School, College, Other (trade school, special training, etc.)
School
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
No. of years attended
Degree(s)
School
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
No. of years attended
Degree(s)
School
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
No. of years attended
Degree(s)

References

(Not relatives)
Name
Telephone No.
Occupation
Name
Telephone No.
Occupation
Name
Telephone No.
Occupation

Upload a Resume

Optional
Cancelof
Acknowledgment & Submit Application
NOTE:

It is the policy of this Company to hire only U. S. citizens and noncitizens who are authorized to work in this country. (As a condition of employment, you will be required to produce original documents establishing your identity and authorization to work, and to complete the U.S. Immigration and Naturalization Service’s Form I-9.)

ACKNOWLEDGMENT & CERTIFICATION:

By signing below, I certify that all statements made on this application are true and complete to the best of my knowledge. I understand that my application will not be considered if it is incomplete. Further, I understand that any misrepresentation or omission made herein, when discovered, may disqualify me from consideration for employment or subject me to discharge if I am hired. I authorize the Company to investigate my work history, education, character, reputation, and background as it deems necessary for purposes of considering my application for employment. In exchange for the Company’s consideration of my application for employment, I hereby release the Company and all providers of information (including, but not limited to, any of my former employers and educational institutions attended, and personal references) from all liability relating to or arising out of any inquiry by the Company regarding my work history, education, character, reputation, and background.

After an offer of employment is made, but before employment duties begin, applicants may be required to undergo a criminal conviction check, physical or medical examination (or drug test) at Company expense and by a Company-chosen physician, with the offer of employment conditioned on the result of such examination. Employees, at any time during the course of their employment, may be required to undergo a criminal conviction check, medical (or drug) examination at Company expense and by a Company-chosen physician. I agree to provide the Company with any authorization or release which may be required for a pre-employment medical examination or drug test.

This application is not a contract of employment and cannot create a contract of employment for any specific period. I understand that if I am employed, my employment is “at will” and can be terminated at any time, either by myself or the Company, with or without cause or reason and with or without notice. Only Mahi Pono, LLC, is authorized to modify the Company’s at-will employment policy or enter into any agreement contrary to this policy. Any such modification must be in writing and signed by the employee and Mahi Pono, LLC.

This application will be considered for only three months. I understand that if I have not been hired within three months of completing this application, and I still wish to be considered for employment, I must complete another application.
Signature

Clear
Signature Date

MonthDayYear
Date
For questions regarding the application process please email careers@mahipono.com.
Should be Empty:

Application for Employment:

General Information

Employment History

Miscellaneous

Education

References

Upload a Resume

Acknowledgment & Submit Application