Personal Information
Education
Major or Subjects of Study
Major or Subjects of Study
General Information
Please list your areas of highest proficiency, special skills or other items that may contribute to your abilities in performing the above mentioned position.
Most Recent Employers
References
Give below the names of three persons not related to you, whom you have known for at least two years.
Name
Phone Number
Business
Years Known
How do you plan on getting to and from work?
What was your favorite and least favorite thing about your last job?
*
Availability
What is your availability? Place a checkmark when you cannot work! Day shift is 10-6 and night is 5-2 (latest).
Authorization
I certify the facts contained in this application are true & complete to the best of my knowledge & understand, if employed falsifies statements on this application shall be grounds for dismissal and/or prosecution.
I authorize investigation of all statements contained herein & the references/employers listed above to give you any & all information concerning my previous employment & pertinent information they may have, personal or otherwise, & release the company from all liability for any damage that may result from utilization of such information.
I understand that, if employed, I will be required to conform to the instructions, rules and polices of the company. I also understand & acknowledge that if employed, the employment relationship will be “at will,” which means that either I, or the company, have the right to terminate my employment at any time and for any reason, with or without cause or notice.
