HR Professional Document

HR PROFESSIONAL DOCUMENT

Personal Information

Position Information

Reporting Manager:

Proposed Start Date:

Employment History

Education

Graduation Date:

References

Legal Disclosures

At-Will Employment: If hired, employment is at-will and may be terminated at any time by either the employee or the employer, with or without cause or notice, unless modified by a written agreement signed by an authorized representative of the employer. Nothing in this application is intended to create a contract of employment for any specified period.

Equal Employment Opportunity: The employer provides equal employment opportunities to all qualified applicants and employees without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other protected characteristic under applicable law. Reasonable accommodations will be considered on a case-by-case basis.

Have you ever been convicted of a felony or misdemeanor that would be relevant to your ability to perform the duties of the position applied for? Yes No

Authorization and Background Check Consent

By signing below I authorize the employer, its agents, and its designated background screening provider to investigate my background, including but not limited to verification of education, employment history, professional references, credit history where job-related, driving records, and criminal records to the extent permitted by law. I understand that the employer may obtain consumer reports and investigative consumer reports as part of the background check process.

I authorize former employers, educational institutions, references, and other persons or entities to release any information concerning my previous employment, education, character, qualifications, and fitness for employment. I release such persons and entities from all liability for any damage that may result from furnishing this information.

I hereby consent to background checks and the release of the information described above. I understand that consent is a condition of employment consideration.

Applicant Certification and Attestation

I certify that all information provided on this application, résumé, and any attachments is true, accurate, and complete to the best of my knowledge. I understand that any misrepresentation, falsification, or omission of material facts may result in rejection of my application or, if employed, disciplinary action up to and including termination.

I authorize the employer to rely on the information contained in this application and any subsequent statements I make in the application process. I understand that I may be required to provide documentation proving my eligibility to work.

I certify that the statements in this application are true and complete and that I have read and understand the At-Will and Equal Employment Opportunity statements above.

Additional Authorizations (Optional)

I consent to the employer contacting the references listed and prior employers for the purpose of evaluating my application. I understand that this consent may be revoked in writing at any time, but that revocation will not affect disclosures already made.

I authorize contact with the references and prior employers listed.

Acknowledgment

I acknowledge that I have read and understood this application and all statements contained herein. I certify under penalty of perjury under applicable law that the foregoing is true and correct.

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