JOB APPLICATION

JOB APPLICATION

VernonCom is an equal opportunity employer. VernonCom does not discriminate in employment with regard to race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment),sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service or any other characteristic protected by law.
PERSONAL INFORMATION

Incomplete information could disqualify you from further consideration. Please complete all fields.
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityCounty

Postcode
Phone Number*
Please enter a valid phone number.
Email Address*
example@example.com
Position Applied For
Professional Background
Resume/CV Upload

Cancelof
Cover Letter
LinkedIn Profile (Optional)
Information
Are you eligible to work in the U.S.?

YesNo
Are you at least 18 years or older? (If no, you may berequired to provide authorization to work).

YesNo
Date you can start

MonthDayYear
Date
Hourly rate/Salary desired
Are you available to work :

Full-TimePart-TimeTemporary
Are you currently employed?

YesNo
If so, may we contact your present employer?

YesNo
Do you know anyone who works for VernonCom?

YesNo
If so, who?
Education

Name, location and degree from school
High School
University
Trade, Business School
Experience
Employer Name
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Address
Phone Number
Please enter a valid phone number.
Job Title
Name of Direct Supervisor
Summarize the nature of work performed and job responsibilities
Employer Name
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Address
Phone Number
Please enter a valid phone number.
Job Title
Name of Direct Supervisor
Summarize the nature of work performed and job responsibilities
Additional Information
Do you have any special skills, experience and/or training that would enhance yourability to perform the position applied for? If yes, explain?
Reference 1 of 2
Reference 1 - Name

First NameLast Name
Reference 1 - Profession
Reference 1 - Contact Number
Please enter a valid phone number.
Reference 1 - Email
example@example.com
Reference 2 of 2
Reference 2 - Name

First NameLast Name
Reference 2 - Profession
Reference 2 - Contact Number
Please enter a valid phone number.
Reference 2 - Email
example@example.com
Please read carefully before signing.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for VernonCom to hire me. If I am hired, I understand that either VernonCom or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of VernonCom has the authority to make any assurance to the contrary.I attest with my signature below that I have given to VernonCom true and complete information on this application. No requested information has been concealed. I authorize VernonCom to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal
Name

First NameLast Name
I have completed this application form truthfully and to the best of my knowledge. I understand that any misleading information could jeopardise my application process.
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JOB APPLICATION

PERSONAL INFORMATION

Professional Background

Information

Education

Experience

Additional Information

Reference 1 of 2

Reference 2 of 2

Please read carefully before signing.