LAMBOO APPLICATION

Application for Employment
Date

MonthDayYear
Date
We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, disability
(other than one preventing the performance of essential job functions), or any other legally protected status. This application must be
completed in full. Answer every question.
Employment Eligibility
The Immigration Reform and Control Act of 1986 prohibits the employment of unauthorized aliens, and requires employers to verify the employment eligibility of all new employees. An offer of employment made by the Company will be conditioned upon your providing the documentation required by the law as evidence of your personal identity and authorization to work in the United States. Any offer of employment is also conditioned upon the successful completion of a background investigation, a post-offer physical evaluation (if applicable) and a drug screen.
Personal Data
Name

Last NameFirst Name
Middle Initial
Suffix (Jr/Sr)
Other names under which you have worked. Please indicate N/A if you have no other names:
Social Security Number
ex: 111-111-1111
Date of Birth
ex: 01/01/2000
Present Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
If hired, can you provide proof of eligibility to work in the us?

YesNo
Are you below the age of 18?

YesNo
Position Interest
Position Desired
Salary Requirement
Date Available

MonthDayYear
Date
Employment
Do you have a commitment to another employer that might affect your employment with us?

YesNo
Are you on layoff and subject to recall to another employer?

YesNo
Work History
Company Name:
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Job Title
Duties
Dates Employed From:

MonthDayYear
Date
Date Employed To:

MonthDayYear
Date
Supervisor Name:
Reason for Leaving:
If currently employed, may we contact your current employer?

YesNo
Company Name:
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Job Title
Duties
Dates Employed From:

MonthDayYear
Date
Date Employed To:

MonthDayYear
Date
Supervisor Name:
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
Job Title
Duties
Dates Employed From:

MonthDayYear
Date
Date Employed To:

MonthDayYear
Date
Supervisor Name:
Reason for Leaving:
Have you worked for any other employer in the last three years?

YesNo
Education & Training
High School or GED (Testing Site)
City
State
Did you graduate?

YesNo
Trade School/Technical School
City
State
Course of Study or Major
Did you graduate?

YesNo
Degree
College/University
City
State
Course of Study or Major
Did you graduate?

YesNo
Degree
Graduate School
City
State
Course of Study or Major
Did you graduate?

YesNo
Degree
Please indicate the name(s) used during the highest level of education:
Do you plan on furthering your education? If so, what course?
Additional Information

Please include any other information you think would be helpful to us in considering you for employment, such as additional work experience, accomplishments, specialized training or certifications, etc. (Exclude all information indicative of age, race, religion, color, national origin, or disability.)
References

Please list at least three business or school related references that Lamboo Technologies may contact regarding your application. Do not include relatives.
Reference #1 Name

First NameLast Name
Reference #1 Phone Number
Please enter a valid phone number.
Years Known & Relationship
Occupation
Reference #2 Name

First NameLast Name
Reference #2 Phone Number
Please enter a valid phone number.
Years Known & Relationship
Occupation
Reference #3 Name

First NameLast Name
Reference #3 Phone Number
Please enter a valid phone number.
Years Known & Relationship
Occupation
Prior Address Information

Please indicate all addresses--other than the current address indicated on Page 1--that you have used in the last two years.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Dates To & From
ACKNOWLEDGEMENT & SIGNATURE

I authorize Lamboo to investigate information on this application and to consult with any other individual or organization named in this application. I authorize all named individuals and organizations to provide any information to Lamboo and I release from all liability any individual or
organizations providing such information.

I understand that after receiving a conditional offer of employment I may be required to satisfactorily complete a physical evaluation which may include testing for illegal drugs. I also understand that refusal to undergo the evaluation or unsatisfactory results may preclude my employment.

I understand that as a condition of any employment resulting from this application, I may be required to sign any of Lamboo's policies on the use of Computing and Communication Systems, and Lamboo's Confidential Information Agreement which, among other things, will obligate me to protect Lamboo's proprietary information and to assign to Lamboo any inventions relating to the business of Lamboo or resulting from my employment with Lamboo. I also understand that refusal to sign the agreements will prevent me from being employed.

I understand that if I am hired by Lamboo. I will be required to comply with all Lamboo's policies and procedures and that my hours, days of work and shift times will be scheduled by company management.

I understand that I am applying for a position as an at-will employee of the company. If hired, I understand that my employment may be terminated by the company at any time for any reason and that similarly, I may resign my employment at any time for any reason. I also understand that no Lamboo representative is authorized to make any oral assurance or promise of continued employment and that nothing can alter my status as an at-will employee except a written employment agreement, specifying aduration of employment, which issigned by the President of Lamboo.

I certify that all information on this application is true and correct and without material omissions. I understand that if any of the information I have provided on this application, or in the application process, is determined at any time to be incorrect or false, then this application will be void and if I have been employed, my employment may be terminated
Signature

Clear
Date

MonthDayYear
Date
Should be Empty:

Application for Employment

Employment Eligibility

Personal Data

Position Interest

Employment

Work History

Education & Training

Additional Information

References

Prior Address Information

ACKNOWLEDGEMENT & SIGNATURE