Promising Tomorrows Applicant Screening Form
Name of Applicant
*
First Name
Middle Name
Last Name
Date of Birth
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Applied Position
Position Name Applying For
*
Last/Current Employer
*
Reason for Leaving
*
We require work history for at least the last 1-2 years and the reason for leaving the position.
Expected Hourly Wage $
*
Date Available to Start
*
-
Month
-
Day
Year
Date
Dates/Times Available:
*
Do you have experience for the position you are applying?
*
Yes
No
How many years of working experience do you have?
*
Less than 1 year
1 - 3 years
3 - 5 years
5 - 10 years
More than 10 years
Other
Do you have active driver's license?
*
Yes
No
Do you know anyone who is currently working or have worked for this company you are applying?
*
Yes
No
Are there any open/pending/processing legal proceedings that you are currently involved in?
*
Yes
No
Were you referred by a current employee?
*
Yes
No
Who?
The business does not tolerate drug use before or during the shift and will conduct drug testing as needed. Are you willing to comply?
*
Yes
No
Our company does not tolerate employees working under the influence of alcohol. Are you willing to comply?
*
Yes
No
Are you willing to work flexible hours (such as rotating shifts, night shifts, weekends and on holidays)?
*
Yes
No
I agree with the following statements
*
I hereby authorize the management of the company I am applying to investigate my background, and other details deemed necessary.
I hereby certify that all the information I have provided in this application form is correct and complete. I understand that any misrepresentation, falsification or willful concealment of facts may disqualify my application or lead to termination if I have been hired.
I understand that the information indicated in this form or conveyed during any interview with the management or representatives of the company is not intended to guarantee or be used as an employment contract. Likewise, I understand that filling out this form does not obligate the company to hire me.
I understand that I am fully responsible for answering the call of the company's office representative and submit all necessary required documents on time to avoid delay on the process of my employment and onboarding. I understand that any delay of submission and lack of my requirements may disqualify my application or, if hired, lead to my termination.
I have read and fully understand the content of this form and I give my consent on my own accord.
Date
*
-
Month
-
Day
Year
Date
Signature
*
Submit
Submit
Should be Empty: