Employee New Hire Application

EMPLOYEE NEW HIRE APPLICATION

Complete all sections. Inaccurate or omitted information may disqualify you from consideration. All statements are subject to verification. This application does not constitute an employment contract. Please print legibly.

Personal Information

Position Information

Employment History

List most recent employers first. Include at least two employers. Attach additional pages if necessary.

Education

Professional References (3)

Legal Disclosures & Authorizations

At-Will Employment: If hired, employment is at-will unless a written agreement signed by the authorized company representative provides otherwise. Either you or the employer may terminate the employment relationship at any time with or without cause or notice.

Equal Employment Opportunity: The employer provides equal employment opportunity for all applicants and employees without unlawful discrimination. Decisions are made based on qualifications, merit and business need.

Authorization to Contact References and Previous Employers: I authorize the employer to contact references and previous employers listed and to obtain employment records relevant to my application. I release all parties from liability for providing such information.

Background and Consumer Reports: I understand that as a condition of employment, the employer may obtain consumer reports, criminal background checks, driving records and other investigative reports. I authorize procurement of such reports and release the employer from liability for such investigations.

Are you legally authorized to work in this country?   Yes   No

Have you ever been convicted of a felony? (A conviction will not necessarily disqualify an applicant from employment.)   Yes   No

Pre-Employment Drug/Alcohol Testing: I understand that the employer may require pre-employment drug and/or alcohol screening and that employment may be conditioned on satisfactory results.

Applicant Certification and Authorization

I certify that all information provided in this application is true, correct and complete to the best of my knowledge. I understand that false statements or omissions may result in denial of employment or, if employed, termination. I authorize the employer to verify the accuracy of information provided, to obtain consumer reports and employment references, and to contact the references listed above. I release the employer, all listed references and former employers from liability for providing information regarding my background and qualifications.

I understand that this application is not an offer of employment and does not create an employment contract. Any offer of employment will be conditioned upon satisfactory completion of all pre-employment requirements including, but not limited to, reference checks, background checks and drug screening where applicable.

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