Employment application



Company Name __________________Thank you for your interest in our company, [the Company]. ?We are proud to be an equal opportunity employer. ?Our selection decisions are made based upon job requirements and individual qualifications. ?We do not discriminate against any applicant on the basis of race, sex, age, religion, disability, national origin, sexual orientation, marital status, or any other basis prohibited by federal, state or local law. Applicant InformationFull Name:Date:LastFirstAddress:Street AddressApartment/Unit #CityStateZIP CodePhone:EmailWhat position are you applying: When are you available to start: Are you looking for part-time or full-time work? (Circle one)What days are you available for work? (Circle days)Monday Tuesday Wednesday Thursday FridayWhat shifts are you available to work? (Circle times)Morning Afternoon NightJob HistoryCompany: Location:Position / Title:Start Date:End: Duties:Company: Location:Position / Title:Start Date:End: Duties:Company: Location:Position / Title:Start Date:End: Duties:Current QualificationsQualificationExampleDate CompletedProfessional ReferencesName Relationship to youContact’s CompanyContact infoEducationSchoolLocationArea of studyQualification/DegreeStart dateEnding date Date CompletedDegree earned? (Y/N)Why do you want to work here? :_______________________________________________________________________________________________Employment offers may be conditioned upon the successful completion of a background check. [Company] is an at-will employer. ?This means that your employment may be terminated by you or the Company at any time, without advance notice or cause. ?By signing below, I authorize the Company to contact any of my references listed above for purposes of inquiring about my qualifications for the job. ?In addition, I certify that all information I have provided in this application is accurate, to the best of my knowledge. ?I understand that failure to provide accurate information may result in the denial of my application or in my discipline after hire, up to and including the termination of my employment.Signed:_________________________________________________Date: ______________________________Notes to Employer: 1. The template application below is designed to help be a helpful guide but does not constitute legal advice. ?Please check local requirements or consult with a qualified professional to design an application specific to your business.2. Background checks are not legally required but they are a good practice to ensure that you are hiring individuals who are accurately representing their work/education history and criminal background. ?(Please note that special rule apply to background checks, and employers should check federal and local requirements or consult with a qualified professional.)3. Anti-discrimination laws vary by locality. Users should be directed to check local requirements. ................
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