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APPLICATION FOR EMPLOYMENT

We consider applicants for all positions without regard to race, religion, creed, color, gender, national origin, citizenship status, age, disability, marital or veteran status, sexual orientation, or any other legally protected status.

PERSONAL DETAILS:

HOW DID YOU HEAR ABOUT US?

Walk-in Advertisement Friend Employment Agency Relative Other
If other, please specify:
Have you ever filled an application with us before? Yes No
If yes, please indicate date:
Are you currently employed? Yes No
If yes, may we contact your present employer? Yes No
Are you prevented from lawfully becoming employed in this Country because of Visa or Immmigration Status? Yes No
Proof of citizenship or immigration status will be required upon employment
On what date would you be able to start work?

Your work availability:

Full Time Part Time Shift Work Temporary Days Evenings Nights Weekends
Are you currently on "lay-off" status and subject to recall? Yes No
Can you travel if a job requires it? Yes No
Have you ever been convicted of a felony in any jurisdiction? Yes No
If yes, please explain:

Education

Name and Address of School
Course of Study
Year of Completion
Diploma/Degree
High School
Undergraduate College
Graduate College
Other (Specify)

Language Proficiency

If you would like to be considered for a position which requires proficiency in a language, please indicate by checking the box and informing us of the language(s) in which you are proficient.

Yes Fluent in:

Please Note: Here the word Proficiency means "B" Level expertise in Listening & Understanding, Speaking, Reading and Writing of a language.

Specialized Skills & Qualifications

Describe any specialized training, apprenticeships, skills or experience:



Describe any job-related training:



State any additional information you feel may be helpful to us in considering your application.


Former Employers

Date (M/Y)
Name & Address of Employer
Net Salary
Position
Duties
Reason for Leaving
From
To
From
To
From
To
From
To

References



APPLICANT'S STATEMENT

I certify that the answers given herein are true and complete to the best of my knowledge. I authorize the release of any information regarding my employment. I also authorize to check my background for any criminal record.

This application for employment shall be considered active for a period of time not to exceed 90 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 organization is of at will employment in certain jurisdictions and that relationship may or may not be changed by any written document or by conduct unless such change is specifically acknowledge 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 immediate discharge from employment from our organization. I understand that I am required to abide by all rules and regulation set forth by the employer.


Signature of Applicant: