Application For Employment

PLEASE FILL IN ALL REQUESTED INFORMATION

Employment Application

PERSONAL INFORMATION

Present Address *
Present Address
Type of employment desired
Are you legally eligible for employment in this country?
Languages
Are you available to work overtime if required?
Are you available to work weekends if required?
Have you been employed at this company before?
As part of our company policy, it is standard procedure to perform a criminal background check on someone we are considering for employment. Would you object to such a procedure?

EDUCATIONAL BACKGROUND

List previous three (3) educational institutions attended, beginning with the most recent.
School #1
Graduated?
School #2
Graduated?
School #3
Graduated?

EMPLOYMENT BACKGROUND

Provide the following information beginning with the most recent employer.

EMPLOYER #1

Employment Dates
Hourly Rate/Salary
May we contact for reference?

EMPLOYER #2

Employment Dates
Hourly Rate/Salary
May we contact for reference?

EMPLOYER #3

Employment Dates
Hourly Rate/Salary
May we contact for reference?

EMPLOYER #4

Employment Dates
Hourly Rate/Salary
May we contact for reference?

PLEASE ANSWER THE FOLLOWING QUESTIONS

REFERENCES

List the name, relationship, number of years acquainted, and phone number of three references. (No relatives please).
Reference #1
Reference #2
Reference #2

I certify that all the information I have provided is true, complete and correct.

I authorize you and your organization to investigate all statements contained on this application. I understand that any misrepresentation or omission of facts called for is cause for immediate disqualification and/or if employed, immediate dismissal.

Furthermore, I understand and agree that if employed, I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same rights to terminate my employment at any time, with or without prior notice, except as may be required by law. This application does not in any way constitute an agreement or contract for employment.

I understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States of America.