Employment application form

Equal Employment Opportunity and Affirmative Action Employer

    YOUR INFO

    PRESENT ADDRESS
    PERMANENT ADDRESS

    ARE YOU PREVENTED FROM LAWFULLY BECOMING EMPLOYED IN THIS COUNTRY BECAUSE OF VISA OR IMMIGRATION STATUS?

    YesNo

    EMPLOYMENT DESIRED


    YesNo

    YesNo

    YesNo

    EDUCATION


    YesNo

    YesNo

    YesNo

    GENERAL

    FORMER EMPLOYERS

    (List below last three employers, starting with last one first)

    Employer 1

    Employer 2

    Employer 3

    REFERENCES:

    (Give the names of three persons not related to you, whom you have known at least one year)

    1.

    2.

    3.

    EMERGENCY CONTACT:

    (Give the names of three persons not related to you, whom you have known at least one year)

    "I CERTIFY THAT ALL THE INFORMATION SUBMITTED BY ME ON THIS APPLICATION IS TRUE AND COMPLETE, AND I UNDERSTAND THAT IF ANY FALSE INFORMATION, OMISSIONS, OR MISREPRESENTATIONS ARE DISCOVERED, MY APPLICATION MAY BE REJECTED AND, IF I AM EMPLOYED. MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME. IN CONSIDERATION OF MY EMPLOYMENT, I AGREE TO CONFORM TO THE COMPANY'S RULES AND REGULATIONS, AND 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 IT'S PRESIDENT, AND THEN ONLY WHEN IN WRONG AND SIGNED BY THE PRESIDENT, 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."

    To submit your application, please agree to the terms above*


    I Agree

    UPLOAD YOUR COVER LETTER AND RESUME


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