Employment application

Contact information

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First name*

Last name*

Street address*

City*

State*

ZIP code*

Email*

Phone*

Cover letter

Optional. PDF or Word document, 10 MB maximum.

Résumé

Optional. PDF or Word document, 10 MB maximum.

Personal information

Are you legally eligible to be employed in the United States?*

Proof of identity and eligibility will be required upon employment.

YesNo

Are you at least 18 years or older?*

YesNo

Have you ever been convicted of a felony or a misdemeanor which resulted in imprisonment within the last seven years?*

A conviction will not necessarily result in the denial of employment.

YesNo

Have you ever worked for this company before?*

YesNo

Employment desired

When would you be available to begin work?*

What type of employment are you looking for? (select all that apply)*

Part TimeFull-timeSeasonal

Are you currently employed?*

YesNo

If presently employed, why are you considering leaving?

Employment history

Your three most recent employers, most recent first. If this would be your first job, leave this step empty and carry on.

Employer 1

Date started

Last date worked

Employer name

Address

Phone

Job title

Supervisor name & title

Salary / hourly rate

Responsibilities

Reason for separation

May we contact this previous employer?*

YesNo

Employer 2

Date started

Last date worked

Employer name

Address

Phone

Job title

Supervisor name & title

Salary / hourly rate

Responsibilities

Reason for separation

May we contact this previous employer?*

YesNo

Employer 3

Date started

Last date worked

Employer name

Address

Phone

Job title

Supervisor name & title

Salary / hourly rate

Responsibilities

Reason for separation

May we contact this previous employer?*

YesNo

Authorization

Applicant statement

The facts set forth in this application and any supplemental information are true and complete to the best of my knowledge. I understand that, if employed, falsified statements on this application shall be considered sufficient cause for immediate discharge. I hereby authorize investigation of all statements contained herein and employers listed above to give you any and all information concerning my employment, and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the company to hire me. If I am hired, I understand that either the company or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of the company has the authority to make any assurance to the contrary.

I understand that I am required to abide by all rules and regulations of the company.

I agree to the privacy policy.*

I have read the applicant statement above and confirm it.*