• APPLICATION FOR EMPLOYMENT

  • Bison Specialty Services, LLC is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.

  • PERSONAL INFORMATION

  • Incomplete information could disqualify you from further consideration. Please complete all fields.
  • Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Social Security Number

  • EMPLOYMENT POSITION

  • How did you hear about us?
  • Position(s) applying for
  • Can you work overtime, including weekends?
  • Date you can start
     - -
    2 digit month, 2 digit day, 4 digit year

  • Personal Information

  • Have you ever applied to or worked for this company before?
  • Are you at least 18 years or older?
  • Are you a U.S. citizen or approved to work in the United States?
  • Will you consent to a mandatory controlled substance test?
  • Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation?
  • Have you ever been convicted of a criminal offense (felony or misdemeanor)?
  • Will you consent to a Criminal Background Check?
  • (Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)
  • Have you ever been terminated from employment or asked to resign by an employer?

  • Job Skills/ Qualifications

  • (Note: Bison Specialty Services, LLC complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/ employees to perform essential functions.)
  • Job Skills/ Qualifications
    Rows

  • EMPLOYMENT HISTORY

  • Include your last three (3) places of employment history, including periods of unemployment, starting with the most recent and working backwards in time.
    Incomplete information could disqualify you from further consideration.
  • From (Job 1)
     - -
    2 digit month, 2 digit day, 4 digit year
  • To (Job 1)
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • From (Job 2)
     - -
    2 digit month, 2 digit day, 4 digit year
  • To (Job 2)
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • From (Job 3)
     - -
    2 digit month, 2 digit day, 4 digit year
  • To (Job 3)
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.

  • REFERENCES

  • Please provide (3) personal and professional references below:
    Rows
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  • BACKGROUND CHECK AUTHORIZATION

  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.

  •  

    The information contained in this application is correct to the best of my knowledge. I herby authorize Bison Specialty Services, LLC and its designated agents and representatives to conduct a comprehensive review of my background causing a consumer report and/or an investigative consumer report to be generated for employment and/or volunteer purposes. I understand that the scope of the consumer report/ investigative consumer report may include, but is not limited to the following areas: verification of social security number; current and previous residences; employment history; education background; character references; drug testing; civil and criminal records from any criminal justice agency in any or all federal, state, county jurisdictions; driving records; birth records, and any other public records. 

    I further authorize any individual, company, firm, corporation, or public agency (including the Social Security Administration and law enforcement agencies) to divulge any and all information, verbal or written, pertaining to me, to Bison Specialty Services, LLC or its agents. I further authorize the complete release of any records or data pertaining to me which the individual, company, firm, corporation, or public agency may have, to include information or data received from other sources.

    I herby release Bison Specialty Services, LLC, the Social Security Administration, and its agents, officials, representative, or assigned agencies, including officers, employees, or related personnel both individually and collectively, from any and all liability for damages of whatever kind, which may, at any time, result to me, my heirs, family, or associates because of compliance with this authorization and request to release.

  • Date Signed: *
     - -
    2 digit month, 2 digit day, 4 digit year

  • Please read carefully before signing.

  • The relationship between you and Bison Specialty Services, LLC is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or Bison Specialty Services, LLC. No representative of Bison Specialty Services, LLC has the authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your "at will" employment status, except for a written statement signed by you and either our Executive Vice- President/ Chief Operations Officer or the Company's President.

    I attest with my signature below that I have given to Bison Specialty Services, LLC true and complete information on this application. No requested information has been concealed. I authorize Bison Specialty Services, LLC 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.

  • Date
     - -
    2 digit month, 2 digit day, 4 digit year
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