Employment Application Form

Standard Application for Employment

It is our policy to comply with all applicable state and federal laws prohibiting discrimination in employment based on race, age, color, sex, religion, national origin, disability or other protected classifications. Please carefully read and answer all questions. You will not be considered for employment if you fail to completely answer all the questions on this application. You may attach a résumé, but all questions must still be answered.
Personal Information:
Full Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
E-mail
example@example.com
Birth Date

MonthDayYear
Are you authorized to work in the U.S. on an unrestricted basis?*

YesNo
Have you ever been convicted of a felony? (Convictions will not necessarily disqualify an applicant for employment.)*

YesNo
If yes, explain:
Do you have any previous employment with Eads Quality?*

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

YesNo
Employment Desired:
Position Applying For*
Date You Can Start*

MonthDayYear
Date
Salary Desired ($)*
Education:
High School
Name of High School Attended
Number of Years Attended
Graduated?

YesNoGED
College
Name of College/University Attended
Number of Years Attended
Area of Study/Degree
Graduated?

YesNo
Graduate School
Name of Graduate School Attended
Number of Years Attended
Area of Study/Degree
Graduated?

YesNo
Trade School/Other
Name of Trade/Technical/Other School Attended
Number of Years Attended
Area of Study/Degree
Graduated?

YesNo
Skills/Qualifications:
Skills
List any special skills or experience that you feel would help you in the position you are applying for (leadership, organizations/teams, etc.):
Qualifications
Please list any education or training you feel relates to the position applied for that would help you perform the work, such as schools, colleges, degrees, vocational or technical programs, and military training.
Work History:

Start with your present or most recent employment and work back. Use separate sheet if necessary (INCLUDE PAID AND UNPAID POSITIONS)
Job Title #1
Company Name
Supervisor's Name
Phone Number
City
State
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Salary ($)
Reason for Leaving?
Duties
May We Contact Your Present Employer?

YesNoN/A
Job Title #2
Company Name
Supervisor's Name
Phone Number
City
State
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Salary ($)
Reason for Leaving?
Duties
Job Title #3
Company Name
Supervisor's Name
Phone Number
City
State
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Salary ($)
Reason for Leaving?
Duties
Job Title #4
Company Name
Supervisor's Name
Phone Number
City
State
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Salary ($)
Reason for Leaving?
Duties
References:

Please list three professional references not related to you, with full name, email address, phone number, and relationship. If you don't have three professional references, then list personal, unrelated references.
Reference 1*
Name of Reference
Relationship
Years Acquainted
Phone Number
Please enter a valid phone number.
Email
example@example.com
Reference 2*
Name of Reference
Relationship
Years Acquainted
Phone Number
Please enter a valid phone number.
Email
example@example.com
Reference 3*
Name of Reference
Relationship
Years Acquainted
Email
example@example.com
Phone Number
Please enter a valid phone number.
Cover Letter & Resume (Optional):
Cover Letter

Cancelof
Resume

Cancelof
Applicant Declaration:
I certify that the facts set forth in this Application for Employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize the Employer to make an investigation of any of the facts set forth in this application and release the Employer from any liability. The employer may contact any listed references on this application.

I acknowledge and understand that the company is an “at will” employer. Therefore, any employee (regular, temporary, or other type of category employee) may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without cause, with or without notice to the other party.
Date*

MonthDayYear
Date
Signature*

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Standard Application for Employment

Personal Information:

Employment Desired:

Education:

Skills/Qualifications:

Work History:

References:

Cover Letter & Resume (Optional):

Applicant Declaration: