Thank you for sending us your application. If you have asked us to contact you, we will. The following information is from your online application:
Position(s) Applied for: position
Date of Application: date
How did you Learn about us: Learnaboutus
Name:firstname middlename lastname
Current Address: Streetnumber street
City, State Zip
Telephone: Telephone
Social Security Number: SocialSecurityNumber
Best time to contact you: HomeContact
If under 18, can you provide proof of eligibility to work: Under18
Have you ever filed an application with us before? FiledAppBefore
If yes, give date: FiledAppBeforeDate
Have you ever been employed with us before? BeenEmpBefore
If yes, give date: BeenEmpBeforeDate
Do any of your friends or relatives, excluding spouse, work here? FriendWorkHere
If so, what is the:
Name: FriendWorkHereName
Relationship: FriendWorkHereRelationship
Location: FriendWorkHereLocation
Are you currently employed? CurrentEmp
May we contact your present employer? PresentEmployer
Are you lawfully prevented from becoming employed in this country? CitStatus
Date available for work: AvailableForWork
Desired Salary Range: $DesiredSalary to $DesiredSalary1
Are you available to work: WorkAvailableTime
If full time: Shift
If part time: MorningAfternoonNight
If temporary: WorkAvailableTimeTempDate to WorkAvailableTimeTempDate1
Are you currently on lay-off status? LayOff
Can you travel if the job requires it? TravelIf
Education
High School: HighSchoolNameAdd HighSchoolCourse HighSchoolYears HighSchoolDiploma
Undergraduate College: UndergradNameAdd UndergradCourse UndergradYears UndergradDiploma
Graduate/Professional: GraduateAddName GraduateCourse GraduateYears GraduateDiploma
Other: OtherEdDiploma OtherEdCourse OtherEdYears OtherEdDiploma
Work Experience
1. Employer WorkEmp
Address WorkAdd
Telephone WorkTelephone
Starting Position WorkTitle
Supervisor: WorkSupervisor
Reason for Leaving: WorkReasonLeave
Dates Employed: WorkEmpFrom to WorkEmpTo
Starting Wages: WorkPayStart to WorkPayQuit
Work Performed: WorkPerformed
May we contact? MayContact
2. Employer WorkEmp1
Address WorkAdd1
Telephone WorkTelephone1
Starting Position WorkTitle1
Supervisor: WorkSupervisor1
Reason for Leaving: WorkReasonLeave1
Dates Employed: WorkEmpFrom1 to WorkEmpTo1
Starting Wages: WorkPayStart1 to WorkPayQuit1
Work Performed: WorkPerformed1
May we contact? MayContact1
3. Employer WorkEmp2
Address WorkAdd2
Telephone WorkTelephone2
Starting Position WorkTitle2
Supervisor: WorkSupervisor2
Reason for Leaving: WorkReasonLeave2
Dates Employed: WorkEmpFrom2 to WorkEmpTo2
Starting Wages: WorkPayStart2 to WorkPayQuit2
Work Performed: WorkPerformed2
May we contact? MayContact2
4. Employer WorkEmp3
Address WorkAdd3
Telephone WorkTelephone3
Starting Position WorkTitle3
Supervisor: WorkSupervisor3
Reason for Leaving: WorkReasonLeave3
Dates Employed: WorkEmpFrom3 to WorkEmpTo3
Starting Wages: WorkPayStart3 to WorkPayQuit3
Work Performed: WorkPerformed3
May we contact? MayContact3
Gaps in Employment: EmploymentGaps
Any Special Skills/Training: SpecialTrainingNormal
Any Special Training in the US Military: SpecialTrainingMilitary
Any Professional, Trade, Business or Civic Activities and Offices Held: OfficesHeld
Additional Qualifications: OtherQualifications
Specialized Skills: Terminal PCMAC Typewriter Spreadsheet WordProcessing Shorthand
Typewriter WPM: TypewriterWPM
Shorthand WPM: ShorthandWPM
Production/Mobile Machinery List: MachineryList
Other (list): OtherList
Any Additional Information: AdditionalInfo
Are you capable of performing in a reasonable manner, with or without a reasonable accommodation, the activities involved in the job or occupation for which you have applied? A review of the activities involved in such a job or occupation has been given: CapableOfPerformance
References
1. Name: ReferenceName
Phone Number: ReferencePhoneNumber
Best Time to Call: ReferenceTimeCall
Occupation: ReferenceJob
2. Name: ReferenceName1
Phone Number: ReferencePhoneNumber1
Best Time to Call: ReferenceTimeCall1
Occupation: ReferenceJob1
3. Name: ReferenceName2
Phone Number: ReferencePhoneNumber2
Best Time to Call: ReferenceTimeCall2
Occupation: ReferenceJob2
Applicant's Statement
I certify that answers given herein are true and complete.
I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.
This application for employment shall be considered active for a period of time not to exceed 45 days. Any Applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.
I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this is of an "at-will" nature, which means that the Employee may resign at any time and the Employer may discharge the Employee at any time with or without cause. Is it further understood that this "at-will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.
I have read and hereby understand and acknowledge the terms of the Applicant's statement.
ApplicantsStatement
If any of this information is incorrect, please go back to the Application form and change it. We thank you for taking the time to help us be a better company. If the information is correct, please print this page for you future reference.
