Employment Form

  • APPLICATION FOR EMPLOYMENT







  • Please indicate your job referral source(s) and provide the name(s) of the source(s):

  • EMPLOYMENT HISTORY (Begin information with your most recent employer.)

  • Please indicate all computer skills and years of experience. Please name type of software

  • EDUCATIONAL BACKGROUND

  • Please furnish information beginning with your most recent educational experience

  • REFERENCES

  • Please list business references. If you do not have business / work references, then list school or personal references. Do not list any relatives

  • This field is for validation purposes and should be left unchanged.






IMPORTANT – PLEASE READ

I certify that all information I have provided within or attached to this application is true, correct and accurate. I understand that any information provided by me that is discovered to be false, incomplete or misrepresented in any respect will be sufficient cause to eliminate me from further consideration for employment, or may result in immediate termination from the employer’s service if discovered after hire. I authorize the employer, its representatives, employees or agents to contact and obtain information from all references, employers, government and public agencies, licensing authorities and educational institutions and to verify the accuracy of the information I have provided in or attached to this application, résumé or interview. I waive any and all rights and claims I may have regarding the employer, its agents, employees or representative for seeing, obtaining and using truthful and non-defamatory information, in a lawful manner, in the employment process and all other persons, corporations or organizations for 5 furnishing information about me. I understand that this employer is an EEO employer who does not lawfully discriminate in employment and that no question on this application is used for the purpose of limiting or eliminating an applicant from consideration for employment on any basis prohibited by
applicable local, state or federal law. If hired, I agree to conform to the company’s rules and regulations. I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company’s option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause and with or without notice, at any time by the company. I understand that no company representative, other than its President / CEO, and then only in writing and signed by the President / CEO, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing. I understand that this application is current for 30 days from the Date of the Application entered on Page 1. To be considered for employment after that time period, I will have to complete another application. I understand that if I am hired, I will be required to provide proof of my identity and legal authorization to work in the United States and that federal immigration laws require me to complete an I-9 Form within three (3) working days after hire.