SanVar Staffing Employment Application

SANVAR STAFFING LLC

Updated 2/15/2023
Employment Application

Please Print
SanVar Staffing LLC is an equal opportunity employer and does not discriminate against otherwise qualified applicants on the bases of race, color, creed, religion, ancestry, age, sex, marital status, national origin, disability or handicap, or veteran status.

Equal access to programs, services and employment is available to all persons. Those applicants requiring accommodation to the application and/or interview process should contact a representative of the Personnel Department.
Position(s) applied for
Date*

MonthDayYear
Date
Name*

Last NameFirst NameMiddle Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Telephone*
Format: (000) 000-0000.
Driver's License Number if job related:*

NumberState
Are you at least 18 years of age? Have you ever been employed by SanVar Staffing LLC.F. Are you legally eligible for employment in the United States? (If you are offered employment, you will be required to provide documentation to verify eligibility
YesNo
YesNo
YesNo
Date available for work*

MonthDayYear
Date
Full-TimePart-TimeSeasonalEducational Co-op
YesNo
EDUCATION:

Please indicate education or training below.
1234
YesNo
YesNo
YesNo
Vocational School or Training:
EMPLOYMENT HISTORY:

List your last (2) employers, assigements or volunteer activities, starting with the most recent including military experience.
Job 1:*

EmployerJob Title
From:*

MonthDayYear
Date
To:*

MonthDayYear
Date
Phone Number:*
Please enter a valid phone number.Format: (000) 000-0000.
Address:*
Immediate Supervisor/Title:*
Summarize the Nature of Worked Performed and Job Responsibilities:*
Reason for leaving:*
Starting Pay:*
Per:*
Ending Pay:*
Per:*
Job 2:

EmployerJob Title
From:

MonthDayYear
Date
To:

MonthDayYear
Date
Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Address:
Immediate Supervisor/Title:
Summarize the Nature of Worked Performed and Job Responsibilities:
Reason for Leaving:
Starting Pay:
Per:
Ending Pay:
Per:
List any specific skill you are capable of performing:*
List any equipment you are capable of operating:
PLEASE READ CAREFULLY AND SIGN BELOW
I here certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize SanVar Staffing LLC to verify their accuracy and to obtain reference information on my work performance. I hereby release SanVar Staffing LLC from any/all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based on such information.

I understand if employed, falsified statements of any kind or omissions of facts called for on this application shall be considered sufficient basis for dismissal.

I understand should an employment offer be extended to me and accepted, I will fully adhere to the policies, rules and regulations of employment of the Employer. I understand and agree that my employment is at will and can be terminated by either party with or without notice, at any time, for any reason or no reason. No one other than an officer of the company has any authority to enter into any agreement for employment for any specific period or to make any agreement contrary to the foregoing and then only in writing signed by an officer. You are hereby authorized to make any investigation of my personal history and financial and credit record through any investigationor credit agencies or bureaus of your choice
The information above is true and accurate to the best of my knowledge.
Applicant Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

SANVAR STAFFING LLC

Employment Application

PLEASE READ CAREFULLY AND SIGN BELOW