• bluespace Employment Application

    An Equal Opportunity At-Will Employer - Employment is “at-will” and may be terminated at any time with or without cause or notice.
  • Job Interest

  • Personal

  • Provide ONLY the information requested in this employment application form. Failure to do so will result in disqualification of your application.

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  • Employment History- List Most Recent Employer First

    • Work Experience 2 
    • Work Experience 2:

    • Work Experience 3 
    • Work Experience 3

    • Work Experience 4 
    • Work Experience 4

    • Special Skills

    • Activities

      List Organizations of which you are a current or former member: (Membership in religious, ethnic or foreign organizations will not be used for purposes of discrimination)
    • References 
    • References:

      Please list three personal references whom we may contact:
    • Reference #2

    • Reference #3

    • Applicant Statement and Acknowledgement

      (BE SURE TO READ THE MATERIAL BELOW, AND SIGN WHERE INDICATED)
    • I certify that, to the best of my knowledge, the information given in this application and any attachments are true and correct. I understand that any incorrect, incomplete, false or misleading statement, answer or information will subject my application to disqualification from further consideration, or if employed, may subject me to termination of employment. I hereby agree that the Company may investigate my qualifications with previous employers, personal references and other background security. If employed, I agree to execute a confidentiality/assignment of invention agreement, in consideration of such employment. I understand my employment with the Company is terminable at-will and would not be for any fixed period of time, and I may resign at any time for any reason or the Company may terminate my employment at any time for any reason with or without notice, and that this application is not and is not intended to be a contract for continued employment. I understand that according to law all individuals who are hired must as a condition of employment produce certain documentation to verify their legal authorization to work in the U.S. As a consequence, I understand that offer of employment, (and continued employment) would be contingent on my ability to produce the required documentation within the time period required by law. I have read and understand all of the provisions of this statement and acknowledgement. By signing this application, I hold the Company harmless from any result of the reference check. I hereby authorize and release from liability all former employers, educational institutions, law enforcement agencies or other governmental agencies to provide or release information regarding my employment, education, credit history*, driver’s license and motor vehicle records that may be in their possession, to the Company or its agents. I further understand that an offer of employment (and continued employment) is conditioned upon several criteria, including my satisfactorily passing certain laboratory test (including test for substance abuse) which may be required by the Company.

      (*Please see the disclosure form provided by HR.)

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