Rally Employee Application
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Cell Phone Number
Please enter a valid phone number.
Birth Date
-
Month
-
Day
Year
Date
Do you have a valid Driver's License?
Yes
No
If yes, please share the State and Driver's License Number
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone Number
Please enter a valid phone number.
Emergency Contact Relation
Are you legally eligible to work for employment in the USA?
Yes
No (If not, verification required)
Type of Work Desired
Full Time
Part Time
In what area would you like to work?
Office
Production
Sales Representative
Please share why you feel you qualify for this/these jobs?
Have you ever been convicted of a crime?
Yes
No
If yes, please describe in full:
Are you over 18 years of age?
Yes
No (If no, a work permit is required from your high school)
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Education History
Please share about your education history
Name
Years Completed
Did you graduate?
Degree and Field
Elementary
Highschool
College
Other
Please share any special skills and qualifications: Lise Job-related licenses, skills, training, honors, awards, and special accomplishments.
Were you ever in the U.S. Armed Forces?
Yes
No
If yes, please share if you received any training in the U.S. Armed Forces that is relevant to the position applied for?
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Employment History
Please share about your previous three employers.
Employer 1
Name
Supervisor Name
First Name
Last Name
Supervisor Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Position Title
Dates in Position
(x/x/xxxx-x/x/xxxx)
Please share about the work you did
Salary
Reason for Leaving
Employer 2
Name
Supervisor Name
First Name
Last Name
Supervisor Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Position Title
Dates in Position
(x/x/xxxx-x/x/xxxx)
Please share about the work you did
Salary
Reason for Leaving
Employer 3
Name
Supervisor Name
First Name
Last Name
Supervisor Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Position Title
Dates in Position
(x/x/xxxx-x/x/xxxx)
Please share about the work you did
Salary
Reason for Leaving
I hereby give permission to contact the employers listed above concerning my prior work experience.
Yes
No
Are you comfortable with us contacting your present employer?
Yes
No
Please provide three personal references that are not former employers or relatives. Please provide name & occupation, address, and phone number.
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Please upload a copy of your resume.
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Please read below:
A background check will be performed before a final offer of employment. Rally reserves the right to perform random drug and alcohol tests. Company policies are located in the Employee Handbook provided to employees at the time of employment. The facts set forth in my application for employment are true and complete. I understand that if employed, any false statement on this application may result in my dismissal. I also understand that this application is not intended to be a contract of employment. Furthermore, this application does not obligate the employer in any way if the employer decides to employ me. You are hereby authorized to make any investigation of my personal history and financial and credit record through any investigative agencies, credit agencies, or bureaus of your choice. I understand that I have the right to make a written request within a reasonable period of time to receive additional, detailed information about the nature and scope of any investigative report that is made.
Please sign to indicate you read and understand the paragraph above.
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