JOBS

JOBS

    PERSONAL INFORMATION

    Full name

    Last*

    First*

    M.I.*

    Date of Birth*

    Address

    Street Address*

    City*

    State*

    ZIP Code*

    Phone*

    E-mail*

    Date Available*

    Position Applied for*

    Have you ever been convicted of a felony?*
    If your answer is yes, explain why

    If under 18 years of age, can you provide a work permit, if hired?*

    Have you ever been convicted of a crime other than a traffic violation?*
    If “YES”, please explain: (Note: Conviction is not an automatic bar to employment. Each case will be considered on its own merits):

    Specialized technical training/skills (i.e. equipment operation, machines used, etc.) including bilingual ability (If relevant to the position for which you are applying):

    EDUCATION

    High School

    Address

    From

    To

    Did you graduate?

    Degree:

    College

    Address

    From

    To

    Did you graduate?

    Degree:

    Other

    Address

    From

    To

    Did you graduate?

    Degree:

    REFERENCES

    Please list two professional references

    Full Name*

    Relationship*

    Company*

    Phone*

    Full Name

    Relationship

    Company

    Phone

    PREVIOUS EMPLOYMENT

    Company*

    Phone*

    Address*

    Supervisor*

    Job Title*

    Responsibilities*

    From

    To

    Reason for Leaving*

    May we contact your previous supervisor for a reference?*

    Company

    Phone

    Address

    Supervisor

    Job Title

    Responsibilities

    From

    To

    Reason for Leaving

    May we contact your previous supervisor for a reference?

    DISCLAIMER AND SIGNATURE


    If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. I agree to have any of these statements checked by the Company unless I have indicated to the contrary. Furthermore, I understand that falsification or omission of any material information on this application, or presenting misleading information on this application or failure to pass the physical examination if required, If I receive a job offer, may be considered sufficient cause for immediate termination. I agree that if employed, II will abide by all policies and procedures established by the employer.

    I hereby acknowledge that my employment is “at will” that I may resign at any time and the Company may terminate my employment at any time, with our without cause and with or without notice. That any assurances of continued employment, oral or by conduct, shall not be interpreted as changing the nature of the employment relationship unless specifically acknowledged in writing by the president of the employer and that I am not employed by any written express or implied contract.