Application for Employment

Application for Employment

DRUG SCREENING: We are committed to maintaining a DRUG-FREE workplace. All offers of employment are contingent upon successful completion of pre-employment drug screen.

PRE-EMPLOYMENT PHYSICAL: We are committed to maintaining a healthy and safe workplace. All offers of employment are contingent upon successful completion of a pre-employment physical.

REFERENCES: We are concerned about bias in the workplace, violence in the workplace, falsified applications and employee theft. By signing this application, you authorize us to conduct a personal background check and authorize others to provide us with information, which is personal and confidential.

An Equal Opportunity Employer

First, Last, Middle
No., Street, City, State, Zip
No., Street, City, State, Zip

Employment Desired

Personal Information

(if under 18, hire is subject to verification that you are of legal age.)

(Note: We comply with DAD & consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. Hire will be subject to passing a medical examination, drug screen and agility tests.)

(Felony or misdemeanor convictions will not necessarily disqualify an applicant from employment. The nature of the offense, the date of the offense, the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)

Education, Training and Experience

(Please omit those indicating race, color, religion, sex, national origin, ancestry, age or existence of disability.)

Empoyment / Work Experience

Please list below all present and past employment for the last 10 years, starting with your most recent employer. Account for all periods of unemployment. You must complete the section even if attaching a resume.

References

ACKNOWLEDGMENT: (Please Read and Sign)

I hereby certify that the information contained in this application form is true and correct to the best of my knowledge and agree to have any of the statements checked out by the Company unless I have indicated to the contrary. I authorize the references listed above, as well as all other individuals whom the Company contacts, to provide the Company any and all information concerning my previous employment, education and any other pertinent information that they may have. Further, I release all parties and persons from any and all liability for any damages that may result from furnishing such information by the Company or its agents, employees or representatives. I understand that an misrepresentation, falsification or material omission of information on this application may result in my failure to receive and offer or if I am hired, my immediate dismissal from employment.

In consideration of my employment, I agree to conform to the rules and standards of the Company. I further agree that my employment and compensation can be terminated at will, with or without cause, and with or without notice, at any time, either at my option or at the option of the company. I understand that no employee or representative of the Company, other than the president, has the authority to enter into any agreement for employment for any specified period of time, or make any agreement contrary to the foregoing. Further, the president of the Company may not alter the at-will nature of the employment relationship unless the president and I both sign a written agreement that clearly and expressly specifies the intent to do so. I agree that this constitutes an integrated agreement with the respect to the at-will nature of my employment relationship, that is final and fully binding, and that there are no oral or collateral agreements regarding this issue.

I also understand that all offers of employment are conditioned on the provision of satisfactory proof of an applicant's identity and legal authority to work in the United States, as well as the satisfactory completion of a post-offer physical and drug screening