Please download and send in your application form to firstname.lastname@example.org
PLEASE ANSWER ALL QUESTIONS. Resumes are not accepted in lieu of completion of this application. Note: This document was designed to use with several types of positions. Some questions may not be completely applicable to the job/position you are seeking; however, we ask that you fully complete all areas of information.
By submitting this application or other documents, I agree to conform to the rules and regulations of the Company,
including an Introductory Period (if applicable). I certify that the information provided in this Application for Employment is
correct and complete. I authorize the investigation of this information and give permission for the Company, or their
designated representatives to contact schools, previous employers, personal references and others to verify the data I
have supplied. I release and indemnify the Company from any claims or liability resulting from such inquiry. In addition, I
release the schools, my previous employers, and other individuals from all liability as a result of responding to such
inquiries. I understand that my misrepresentation, omission of fact(s), or incomplete information may disqualify me for
employment with the Company. In addition, if I am employed by the Company, any discovery of misrepresentation or
omission of fact(s) on this Application for Employment following my employment may result in discipline up to and
I understand and agree as a condition of continued employment that I will be required to take a drug and/or alcohol test as
part of any work related accident investigation.
I understand that employment with the Company is for no guaranteed period of time and may be terminated by myself, the
Company with or without notice. I acknowledge that any promise, policies, business practices, procedures, or documents
(including the Company’s Employee Handbook) do not constitute an employment contract or modification of the at-will
employment relationship between Company and myself.
Note: Complete details of the Company’s Drug Free Workplace Policy (if any) will be provided during the interview process
The Company complies with the Americans with Disabilities Act of 1990. During the interview process, you may be asked
questions regarding your ability to perform job-related responsibilities. If the Company extends an offer of employment to
you, you may be required to complete a post-job offer medical history questionnaire and/or undergo a medical
examination or drug screening.
The Company is an equal employment opportunity employer. It is the policy of the Company to make employment
decisions without regard to race, color, religion, sex, age, national origin disability, sexual orientation, marital status or any
other protected category.
Applicants who are accepted for employment with the Company should understand that while every effort is made to
provide continuous work, there are no employment contracts and the permanency of any position is not guaranteed.
You are notified that in connection with your application for employment (including contract for services) and/or active
employment with the Company, a consumer report and/or investigative report which may contain public record information
may be requested and/or made on you. This report may include consumer credit, criminal records, driving records,
education history, prior employer verification and other information for the purpose of considering you for employment,
promotion, reassignment or retention with the Company.
These reports may include information regarding your career experience along with reasons for termination of past
employment, information regarding your character, reputation, personal characteristics and/or mode of living and will be
obtained from public or private record sources or through personal interviews. Information may also be requested from
various Federal, State, local or other agencies.
Before a consumer and/or investigative report is requested, you will be asked to complete a Disclosure and Consent
Form. You will be provided the name and address of the consumer-reporting agency to which the request for information
is being made. You will have the right to a complete disclosure of the nature and scope of the investigation and a written
summary of your rights under the Fair Credit Reporting Act.