Employment Application

Employment Application
Full Legal Name*

First NameMiddle NameLast Name
Date of Birth*

MonthDayYear
Phone Number*
(###) ###-####
E-mail*
example@example.com
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Number of years at this address*
Who referred you to our company?
I can speak English:*

FluentlyPoorlyNot at all
I can read English:*

FluentlyPoorlyNot at all
I can write English:*

FluentlyPoorlyNot at all
Please list any additional languages by which you are fluent.
I am a U.S. Citizen or am authorized to work in th U.S. on an unrestricted basis:*

YesNo
Have you ever been convicted of a felony? (This does not automatically exclude you from employment)*

YesNo
If yes, please explain
Do you have reliable transportation?*

YesNo
Please list your availability in 4 hour blocks. *
Earliest Start Date*

MonthDayYear
Education History
High School
High School Name
High School City, State
Years Attended
Focus of Study
Graduated

YesNo
College
College Name
Years Attended
Focus of Study
Graduated

YesNo
Other Education
Other education:
Employment History

List your current or most recent employment first. Please list all jobs in the last 2 years (including self-employment and military service) that you have held, beginning with the most recent, and list and explain any gaps in employment.
Most Recent Employer
Most Recent Employer Name
Type a question

Date Started Date Ended

Dates worked for
Most Recent Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Salary
Type of work perfomed
Reason for Leaving
Supervisors Name and Position
Second Most Recent Employer
Second Most Recent Employer Name
Type a question

Date Started Date Ended

Dates worked for
Second Most Recent Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Salary
Type of work perfomed
Reason for Leaving
Supervisors Name and Position
References

List any two non-relatives who would be willing to provide a reference for you.
Reference #1
Reference #2
Additional Information
Please provide any other information that you believe should be considered, including whether you are bound by any agreement with any current employer.
Upload CV/Resume

Cancelof
Certification
I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for the rejection of my application or, if employment commences, immediate termination. I authorize Sitti Sitters, LLC to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education. If an employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by its CEO, the employment relationship will be "at-will." In other words, the relationship will be entirely voluntary in nature, and either I or my employer will be able to terminate the employment relationship at any time and without cause. With appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer will have the right. Moreover, no agent, representative, or employee of Sitti Sitters, LLC, except in a specific written contract of employment signed on behalf of the organization by its CEO, has the power to alter or vary the voluntary nature of the employment relationship.*

I HAVE CAREFULLY READ THE ABOVE CERTIFICATION, AND I UNDERSTAND
Should be Empty:

Employment Application

Education History

High School

College

Other Education

Employment History

Most Recent Employer

Second Most Recent Employer

References

Additional Information

Certification