PERSONAL INFORMATION

(Employment is subject to verification of minimum legal age)
Leave SSN Blank to be filled in upon hire.
(EX: Driver's License, Social Security Card, Birth Certificate, Immigration Documents, etc.)

POSITION / AVAILABILITY


EDUCATION / HISTORY





PRIOR WORK RECORD

(Please start with most recent or present employer and complete in full.)




REFERENCES

(Please do not list relatives or former employers)


JOB APPLICANT'S AGREEMENT AND CERTIFICATION

"I certify that I am the person listed above and applying for the position and that the information given by me in this application is true in all respects, and I agree that if the information given is found to be false in any way, it shall be considered sufficient cause for denial of employment or discharge. I authorize the use of any information in this application to verify my statements, and I authorize past employers, all references, and any other persons to answer all questions asked concerning my ability, character, reputation, and previous employment record. I release all such persons from liability or damages on account of having furnished such information."
"I understand that nothing contained in this employment application or in the granting of an interview is intended to create an employment contract between the company and myself for either employment or for the providing of any benefit. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon the company unless made in writing. If an employment relationship is established, I understand that I have the right to terminate my employment at any time and that the company retains the same right."
"If I am offered employment, I agree to submit to a physical examination whenever requested, and I understand that by becoming employed and/or my continued employment are subject to the results of any physical examination related to my job duties in accordance with the company policies and procedures."
"I understand that if employed, policies and rules which are issued are not conditions of employment and that the employer may revise the policies or procedures in whole or in part, at any time.”
“I understand that this application will be kept on active file for 30 days from the date completed, after which time I would have to reapply in accordance with established company procedures.”

PERSONAL INFORMATION

(Employment is subject to verification of minimum legal age)
Leave SSN Blank to be filled in upon hire.
(EX: Driver's License, Social Security Card, Birth Certificate, Immigration Documents, etc.)

POSITION / AVAILABILITY


EDUCATION / HISTORY





PRIOR WORK RECORD

(Please start with most recent or present employer and complete in full.)




REFERENCES

(Please do not list relatives or former employers)


JOB APPLICANT'S AGREEMENT AND CERTIFICATION

"I certify that I am the person listed above and applying for the position and that the information given by me in this application is true in all respects, and I agree that if the information given is found to be false in any way, it shall be considered sufficient cause for denial of employment or discharge. I authorize the use of any information in this application to verify my statements, and I authorize past employers, all references, and any other persons to answer all questions asked concerning my ability, character, reputation, and previous employment record. I release all such persons from liability or damages on account of having furnished such information."
"I understand that nothing contained in this employment application or in the granting of an interview is intended to create an employment contract between the company and myself for either employment or for the providing of any benefit. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon the company unless made in writing. If an employment relationship is established, I understand that I have the right to terminate my employment at any time and that the company retains the same right."
"If I am offered employment, I agree to submit to a physical examination whenever requested, and I understand that by becoming employed and/or my continued employment are subject to the results of any physical examination related to my job duties in accordance with the company policies and procedures."
"I understand that if employed, policies and rules which are issued are not conditions of employment and that the employer may revise the policies or procedures in whole or in part, at any time.”
“I understand that this application will be kept on active file for 30 days from the date completed, after which time I would have to reapply in accordance with established company procedures.”