Employment Application Form
March 10, 2008
This Employment Application form is used to capture a prospective employee’s personal and professional information at a glance. It seeks the name, address, type of work desired, previous work experience, military service history, education, and references. It states that the Company may conduct a background investigation,and releases the Company from any liability resulting from such investigation. It also states that there may be a drug and/or alcohol test as a condition of employment. The employment application will remain active for a period of only 90 days. It requires the prospective employee’s signature.
[Company name] is an equal opportunity employer and does not discriminate on the basis of race, religion, color, national origin, age, sex, gender, disability, or any other characteristic protected by law.
City:______________________ State:________ ZIP ___________
Type of worked desired:________________
Salary desired: ___________
|Name||Occupation||Years Known||Contact Information|
(Please read this statement carefully before signing this application):
I understand that employment with [Company Name] (the Company) is at will, meaning that I or the Company may terminate my employment at any time or for any reason consistent with applicable state or federal law.
I authorize the Company to conduct a thorough background investigation of my work and personal history and verify all data given on this application and during interviews. I hereby release the Company, and its representatives or agents, from any liability that might result from such an investigation. I authorize all individuals, schools, and firms named to provide any requested information and release them from all liability for providing the requested information.
I understand that the Company requires the successful completion of a drug and/or alcohol test as a condition of employment.
I understand this application will be active for a period of 90 days; after that time, if I wish to be considered for employment, I must submit a new application. I certify that all the statements in this completed application are true and understand that any falsification or willful omission shall be sufficient cause for dismissal or refusal to hire.
Signature of Applicant: _________________________________________________________
Date Signed: _________________________________________________________