Employment Application

Employment Application

THIS APPLICATION MUST BE COMPLETED IN ITS ENTIRETY TO BE A VALID APPLICATION

  • Personal

  • Education

  • School Name & Location
  • School Name & Location
  • School Name & Location
  • Referral Source

  • Employment History

  • Employer 2 (If Applicable)

  • Employer 3 (If Applicable)

  • Professional References (Do not list relatives or previous employers, co-workers are acceptable

    List three reference we may contact who are qualified to evaluate your work abilities.
  • To All Applicants for Employment

    We appreciate your interest in our organization as a place of employment. Your qualifications will be given careful consideration. It is our policy and practice to make employment decisions without regard to race, religion, gender, national origin, age, veteran status, disability, genetic information, or any other status or condition protected by applicable state or federal law, except where a bonafide occupational qualification applies. We comply with the Drug-Free Workplace Act of 1988.
  • Job Applicant's Agreement and Certification

    "I certify that the information given by me in this application is true in all respects, and I agree that if the information is found to be false by any way, it shall be considered sufficient cause for denial of employment or discharge. I authorize the use of any information in this application to verify my statements, and I authorize past employers, all references, and any other persons to answer all questions asked concerning my ability, character, reputation, and previous employment record. I release all such persons from any liability or damages on account of having furnished such information." "I understand that nothing contained in this employment application or in the granting of an interview is intended to create an employment contract between the company and myself for either employment or for providing of any benefit. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon the company unless made in writing. If an employment relationship is established, I understand that I have the right to terminate my employment at any time and that the company retains the same right." "If I am offered employment, I agree to submit to a physical examination whenever requested, and I understand my becoming employed and/or my continued employment are subject to the results of any physical examination related to my job duties in accordance with company policies and procedures" "I understand that if employed. policies, and rules which are issued are not conditions of employment and that the employer may revise policies or procedures in whole or in part, at any time." I understand that this application will be kept an active file for 60 days from the date of completion, after which time i would have to reapply in accordance with established company procedures.
  • Accepted file types: pdf, jpg, doc, xls, docx, Max. file size: 50 MB.