Employment Application

Team V.I.P 716 Inc.

EMPLOYMENT APPLICATION

Team V.I.P 716 Inc.

EMPLOYMENT APPLICATION
I. Personal Information
Your Name:*

First NameMiddle NameLast Name
Address:*

Street Address

Street Address Line 2

CityState

Zip Code
Cell Phone:*

Area CodePhone Number
Home Phone:

Area CodePhone Number
E-mail Address:*
If hired, can you provide proof that you are legally able to work in the United States?*

YesNo
How were you referred to us?*
Have you ever been convicted of a criminal offense (felony or misdemeanor)?*

YesNo
Please state nature of offense(s), date(s), city, state and disposition of the offense:
Do you have any relatives or friends that are or have been employed by Team V.I.P 716 Inc.?*

YesNo
List relatives & friends that are currently or you know that have been employed in the past by Team V.I.P 716 Inc.:

II. Employemnt
Days available:*
Hours available:*

OpenLimited - See chart below

Are you over 18 years of age?*

YesNo
When would you be available to start work?

MonthDayYear
Can you provide a work permit?

YesNo
Are you able to perform the essential functions of the job for which you are applying?*

YesNo

III. Skills
Are you able to operate a personal computer? *

YesNo
What types of computer software do you have proficiency in?*
What knowledge, special skills and/or individual capabilities do you have which especially prepare you for the position applied for?*

IV. Education
High School or Trade School
Name & City of School:*
Number of Years Completed:*
Did you graduate? *

YesNo
Major Field(s) of Study: *
College or University
Did you / do you attend college?*

YesNo
Number of Years Completed:
Name & City of School:
Did you graduate?

YesNo
Major Field(s) of Study:
Degree(s) or Diploma(s):

APPLICANT'S STATEMENT

Initial each item as read*

	Initials
The information that I have provided on this application is accurate to the best of my knowledge and may be verified by Team V.I.P 716 Inc. or its agents.
I authorize all the schools, persons and organizations named in this application to provide any relevant information in their possession or knowledge to the agents of Team V.I.P 716 Inc., for use in deciding whether or not to offer me employment and specifically waive any required written notification. I hereby release Team V.I.P 716 Inc., my former employers and all other persons from any and all claims, demands, or liabilities arising out of or in any way related to such inquiry or disclosure.
I understand that Team V.I.P 716 Inc. is committed to maintaining a drug and alcohol free work place. Accordingly, I may be subject to a pre-employment blood test, urinalysis or other drug/alcohol screening. I further understand that if employed, I may be subject to such a drug and alcohol screening if Team V.I.P 716 Inc. has reasonable suspicion to believe that I am under the influence of a drug or alcohol. My consent to submit to such a test is required as a condition of employment and my refusal to consent shall result in a refusal to hire or, if already employed, termination.
I understand and agree that any misrepresentation or omission of facts in this application will be justification for refusal or termination of employment, regardless of the time elapsed before discovery.
I understand and agree that the employment for which I am applying for is at-will and such employment may be terminated at any time with or without cause, without prior notice, by either myself or Team V.I.P 716 Inc. There will be no agreement, express or implied between Team V.I.P 716 Inc. and me for any specific period of employment, nor for continuing or long term employment, unless made in writing, signed by an authorized representative of Team V.I.P 716 Inc. I understand and agree that the employment for which I am applying for is at-will and such employment may be terminated at any time with or without cause, without prior notice, by either myself or Team V.I.P 716 Inc. There will be no agreement, express or implied between Team V.I.P 716 Inc. and me for any specific period of employment, nor for continuing or long term employment, unless made in writing, signed by an authorized representative of Team V.I.P 716 Inc.
I have placed my signature in the space provided below only after I have completed the entire application to the best of my ability and have carefully read the statements above.

Applicants Name:*

First NameMiddle NameLast Name
Today's Date:

MonthDayYear
Signature*

Clear

AUTHORIZATION FOR BACKGROUND AND REFERENCE CHECK

I authorize the Company to thoroughly investigate my references, work record, education, criminal conviction record and any other matters relevant to my suitability for employment. I also authorize my former employers to disclose to the Company, or to anyone acting on behalf of the Company, any and all of my employment records, including my disciplinary reports and letters of reprimand, without giving me notice of such disclosure. I hereby fully release and discharge the Company, my former employers, their respective officers, employees and agents, and all other persons and entities form any and all claims, demands, and liabilities arising out of or in any way relating to such investigation or disclosure.

Please ensure all questions on this application have been completed, even if a resume is submitted. An original application must be received by the Human Resources Department.

Thank you for your interest in employment opportunities with Team V.I.P 716 Inc. Your application will be active for 60 days
Your Name:*

First NameMiddle NameLast Name
Today's Date:

MonthDayYear
Signature*

Clear
Should be Empty:

V. Employment History

AUTHORIZATION FOR BACKGROUND AND REFERENCE CHECK