Simple Job Application Form

Full Name*

First NameMiddle NameLast Name

Birth Date*

MonthDayYear

Social Security Number*

Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email Address*

example@example.com

Phone Number*

If you have a resume, please upload it here.

Position You Are Applying For*

What type of time commitment are you looking for in this position?*

	Select Type of Position You Desire
Full-Time
Part-Time

Minimum Salary Requiremnt

Available Start Date

Date

Are you legally eligible for employment in the United States?*

YesNo

Are you 18 years of age or older?*

YesNo

If no, please state your age

Is there anything that would prevent you from performing in a reasonable and safe manner the activities involved in the position for which you have applied?*

YesNo

Education*

	School Name & Location	Years	Course of Study	Graduation Year
High School
Business/Tech/Trade
College

Previous Work History*

	Company Name	Start Date	End Date	Reason For Leaving	Pay	Job Title
1
2
3

List your computer, foreign language skills and work experience that you feel qualifies you for the job for which you are applying.

If a license is required for the position for which you are applying (drivers or others), please list the following:

	Please ensure all information is correct.
License Number
State of Issuance
License Type

Have you eve been convicted of a crime other than a traffic offense, had adjudication of a crime withheld, pled nolo contendere, or are currently being charged for a crime not yet adjudicated?*

YesNo

If yes, please state the nature of the event and the date it took place.

Terms and Conditions*

I certify that all the information on this application, my resume, or any supporting documents is correct, and I understand that any misrepresentation or omission of any information will result in disqualification from consideration for employment or, if employed, my termination. I understand that this application is not a contract, offer or promise of employment. If hired, I will be able to resign at any time for any reason; likewise, the company can terminate my employment at any time, with or without any reason. I authorize the company or its agents to investigate all statements contained in this application and/or resume. I further understand that a credit and background check may be made conducted. I hereby authorize my former employers, educational institutions or individuals named to furnish all information pertaining to my work or educational record. I release my former employers, education institutions, supervisors, co-workers and references from all liability. I understand that as a condition of employment I may be required to sign a non-compete agreement and/or conflict of interest statement. I understand that my employer has a drug-free workplace that includes a post-accident drug-testing program. I also understand that all employees of the location may be subject to urinalysis and/or blood screening or other medically recognized tests designed to detect the presence of alcohol or controlled drugs. If detected, an offer of employment will be withdrawn. If employed, I understand that the taking of alcohol and/or drug tests is a condition of continual employment and I agree to undergo random, fitness for duty, return to work and reasonable suspicion alcohol and drug testing. Refusal to take such tests when asked may result in termination. I understand this company hires only U.S. citizens or individuals who are legally eligible to work in the United States. This application is current for thirty (30) days. At the conclusion of this time, if you have not heard from the Employer and still wish to be considered for employment it will be necessary for you to complete a new application.

Applicants will be considered without discrimination because of race, color, sex, age, religion, national origin, marital status, disability, or veteran’s status. CITE Armored, also provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act (ADA) and applicable state and local laws.

In applying for employment with CITE Armored (“Company”), I hereby authorize the Company, or any designated agent(s) working on the Company’s behalf, including but not limited to reporting agencies or professional investors to obtain and review those reports checked off below as well as following up on information presented in the reports. The Company, or its agents may also request these reports and information during any employment as a condition of continued employment. My consent extends to any possible investigations performed during the employment, including those related to complaints of discrimination, harassment, theft or other conduct. It is my understanding the information being obtained will not be used in violation of any federal or state equal opportunity law or regulation, and that, before any adverse action is taken, based on upon review of such investigative consumer report, I will be provided with a copy of said report as well as a summary of consumer’s rights. I understand the nature and scope of said inquiries may include, but are not limited to, verification, inspection and/or reporting of any lawfully available records or information pertaining to work history; social security number, education; workers’ compensation claims, criminal and civil court related actions; driving history (including traffic related offenses); personal financial status (including consumer credit reports); and any other information available from any public or otherwise documented record. It may also include inquiries regarding any past or present business, professional or personal activities. I hereby state that to the best of my knowledge all information I have provided to the Company, and any reporting agency, in any form, is true and accurate. I understand that any misrepresentation made to the Company or reporting agency by me will exclude me from further consideration as a candidate for employment or advancement, and may result in termination of my employment with the Company if I am hired or advanced by the Company before such misrepresentation is discovered. I fully understand this authorization, waiver and release of liability is not an offer or a contract for employment by the Company. It is also understood that the Company operates under an “at-will” employment policy and that this authorization and release does not alter or affect this policy in any manner.

I hereby authorize the Company, reporting agency, or investigator to request, obtain and examine all records that may relate to my arrest, conviction and/or imprisonment at any time prior to this date, to the extent permitted by law

I hereby authorize the Company, reporting agency or investigator to make inquiry into, investigate, and examine all records that may relate to my current or past credit worthiness; such information to include (but not be limited to) a retail credit report provided by any of the commercial retail credit reporting companies.

I hereby authorize the Company, reporting agency or investigator to request an employment background report.

I hereby authorize the Company or reporting agency to request an educational background report.

I hereby authorize the Company, reporting agency or investigator to acquire and examine a copy of my current Motor Vehicle Record.

I hereby consent, authorize, and permit the company, its agents, assigns, and all reporting agencies to conduct in whole or in part the checks, searches, and investigations listed hereinabove.