Last Name
First Name
Middle Name
Other Names Used
Street
City
State
Zip
Home
Cell
Message
Email
Web Page Address
Available Start Date:
Minimum Acceptable Salary:
Minimum Acceptable Salary
Are you legally eligible to work in the United States?
(Federal Law requires proof of identity and employment authorization for all new employees.)
Can you travel if the job requires it?
Do you have a valid driver’s license?
State
Dates Attended From / To:
Highschool - Name
Highschool - Location
Highschool - Dates AttendedFrom / To:
Highschool - Location
College - Name
College - Location
College - Dates Attended From / To:
College - Diploma, Degree & Major
Other (Business, Vocational, Military)
Other (Business, Vocational, Military) - Name
Other (Business, Vocational, Military) - Location
Other (Business, Vocational, Military) - Dates Attended From / To:
Other (Business, Vocational, Military) - Diploma, Degree & Major
Employment History (Please Start With the Most Recent, Ending With Age 18, Excluding Part-Time Positions Held While Obtaining Higher Education—Use Additional Paper as Necessary.):
Employer
Address - Street
Address - City
Address - State
Address - Zip
Telephone
Supervisor Name
Dates From
Dates To
Final Rate of Pay:
Position Held:
Primary Duties:
Reason for Leaving:
Employer:
Address - Street
Address - City
Address - State
Address - Zip
Telephone:
Supervisor Name:
Dates From:
Dates To:
Final Rate of Pay:
Position Held:
Primary Duties:
Reason for Leaving:
Employer:
Street:
City:
State:
Zip:
Telephone:
Supervisor Name:
Dates From:
Dates To:
Final Rate of Pay:
Position Held:
Primary Duties:
Reason for Leaving:
MAY WE CONTACT YOUR PRESENT EMPLOYER?
Technology Skills (List All Skills & Software Applications You Have Experience Using):
Word Processing:
Spreadsheet:
Other Software:
Database:
Explain Internet Skills, Including Email Usage:
Explain Internet Skills, Including Email Usage:
Professional Licenses or Certificates Held:
Professional Licenses or Certificates Held:
Personal Reference (Please list the names of three (3) persons not related to you by blood or marriage.)
Personal Reference - Last Name
Personal Reference - First Name
Personal Reference - Middle Name
Personal Reference - Street
Personal Reference - City
Personal Reference - State
Personal Reference - Zip
Personal Reference - Home Telephone
Personal Reference - Other Telephone
Connection To You (i.e. friend, co-worker):
Personal Reference - Connection To You (i.e. friend, co-worker):
Personal Reference - Occupation:
Personal Reference - Last Name
Personal Reference - First Name
Personal Reference - Middle Name
Personal Reference - Street
Personal Reference - City
Personal Reference - State
Personal Reference - Zip
Personal Reference - Home Telephone
Personal Reference - Other Telephone
Connection To You (i.e. friend, co-worker):
Personal Reference - Connection To You (i.e. friend, co-worker):
Personal Reference - Occupation:
Personal Reference - Last Name
Personal Reference - First Name
Personal Reference - Middle Name
Personal Reference - Street
Personal Reference - City
Personal Reference - State
Personal Reference - Zip
Personal Reference - Home Telephone
Personal Reference - Other Telephone
Connection To You (i.e. friend, co-worker):
Personal Reference - Connection To You (i.e. friend, co-worker):
Personal Reference - Occupation:
Have you ever applied to / worked for EasyWorkforce Software before?
If yes, please explain (include date):
If yes, please explain (include date):
Do you have any friends, relatives, or acquaintances working for EasyWorkforce Software?
If yes, state name and relationship:
If yes, state name and relationship:
If hired, would you have transportation to/from work?
Are you over the age of 18? (If under 18, hire is subject to verification of minimum legal age.)
If hired, would you be able to present evidence of your U.S. citizenship or proof of your legal right to work in the United States?
If hired, are you willing to submit to and pass a controlled substance test?
Are you able to perform the essential functions of the job for which you areapplying, either with/without reasonable accommodation?
If no, describe the functions that cannot be performed.
If no, describe the functions that cannot be performed.
(Note: EasyWorkforce Software complies with the ADA and will consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. It is possible that a hire may be tested on skill/agility and may be subject to a medical examination conducted by a medical professional.)
Have you ever been arrested or convicted of a criminal offense (felony or misdemeanor)?
If yes, please describe the criminal offense and the court’s disposition.
If yes, please describe the criminal offense and the court’s disposition.
(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)
Acknowledgement – Please read before signing
I certify that the foregoing information is true, correct, and complete to the best of my knowledge. I authorize investigation of all statements I have made on this application for employment as may be necessary to arrive at an employment decision. I understand that any false, misleading, or incomplete statements I have knowingly provided herein may be cause for disqualification or if employed, dismissal and/or legal action. I understand that this application is not intended to be either a contract of employment or a guarantee of promotional opportunities. If employed, I understand that such employment is at will and may be terminated by the corporation at any time. The applicant understands that nether this document nor any offer of employment from this employer constitutes an employment contract unless a specific document is executed in writing by the employer and employee jointly. Any oral or written statements to the contrary are hereby expressly disavowed and should not be relied upon. Just as an employee may resign for any reason, the employer may also terminate the employee for any reason. As a condition of employment, I accept the principles that the welfare of the organization depends upon the conduct and honesty of its employees and the trust and confidence of the public in general. EasyWorkforce Software, expects honesty, security and confidentiality from all employees.
If employed, I agree to inform the management of the organization, without delay, of any fraud, false entry, substantial error, embezzlement or employee misconduct, which I discover or know to have taken lace upon any records, property or funds of the organization, and to report any transaction or matter that seems damaging to the organization. On the first day of employment, I agree to furnish EasyWorkforce Software with proof of age, appropriate academic credentials, military separation papers, professional certifications, and other such documents as may be required. I hereby authorize EasyWorkforce Software and/or its designee’s permission and authority to conduct a background investigation and reference checks concerning my past and current activities. I agree and consent to any investigation EasyWorkforce Software and/or its designees may make, including but not limited to, information as to my personal character, general reputation, former employment, education, driving history, criminal history, and any other information contained in public records or obtainable from former employers or references, personal or business. I also understand various clearances may be required as a condition of employment.
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