Application for Employment

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About this Form: An employment application is often the first documented interaction between a business and a prospective employee. Our model application form enables the applicant to disclose certain information, including his or her prior work history, scope of responsibility, salary history, reasons for leaving, and supervisor contact details. It also provides formal authorization for the company to verify and investigate the accuracy and truthfulness of all statements made by the applicant on the application. Having this information documented is essential for any responsible business, as it provides a level of accountability from the individual to the company.

Other advantages to using our Application for Employment form when hiring new employees:

(1) Standardization: An application form allows the employer to gather consistent information from all job candidates, making it easier to compare and evaluate their qualifications.

(2) Efficient Screening: An application form can help the employer quickly identify candidates who meet the minimum requirements for the job, allowing the employer to focus on more qualified candidates.

(3) Legal Compliance: An application form can help ensure that the hiring process is fair and non-discriminatory, in compliance with state and federal employment laws.

(4) Time Savings: An application form can help streamline the hiring process by allowing candidates to provide all necessary information in one place, rather than requiring the employer to gather it from multiple sources.

(5) Professionalism: An application form can help create a professional image for the company, as it helps to show that the employer has a structured and organized hiring process.

Employers may consider asking all applicants to sign an Interview Non-Disclosure Agreement if the prospective employee is granted an interview to help safeguard nonpublic information of the company.

How long should a business keep an employment application on file? Due to the variety of legal claims that an individual could bring against a company and the varying statutes of limitation corresponding to those claims, the employer should keep the original application on file for no fewer than seven years following the applicant's completion of this form. The employer should follow this policy regardless of whether it offered or denied employment to the applicant, or whether the applicant accepted or declined the offer.
APPLICATION FOR EMPLOYMENT


ALL POTENTIAL EMPLOYEES ARE EVALUATED WITHOUT REGARD TO RACE; COLOR; RELIGION; GENDER (INCLUDING PREGNANCY); NATIONAL ORIGIN; AGE (40 OR OLDER); GENETIC INFORMATION; MARITAL, PARENTAL, OR VETERAN STATUS; SEXUAL ORIENTATION; POLITICAL AFFILIATION; THE PRESENCE OF A NON-JOB RELATED HANDICAP; OR ANY OTHER LEGALLY PROTECTED STATUS.

Position Sought:  ________________________________________________________________________

How did you learn about the position? ________________________________________________________

 

 Name_____________________________________________________________ Date________________

 Address__________________________________ City___________________ State________ Zip_______

Home Phone ____________________Office Phone___________________Other Phone_________________

Email Address: ______________________________ Social Security Number:_________________________

 

On what date would you be available for work? ____________________ Desired Wage/Salary $_____________
Are you a U.S. citizen, or are you otherwise authorized to work in the U.S. without any restriction? [    ] Yes [    ] No
Have you ever been convicted of a felony? [    ] Yes [    ] No     If yes, please describe circumstances: __________
_______________________________________________________________________________________

Have you ever been involuntarily terminated or asked to resign from any position of employment? [    ] Yes [    ] No
If yes, please describe circumstances: __________________________________________________________
_______________________________________________________________________________________
If selected for employment, are you willing to submit to a pre-employment drug screening test?      [    ] Yes [    ] No 

 

 EDUCATION

School Name

Location

Years Attended

Degree Received

Major

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other training, certifications, or licenses held: ____________________________________________________
________________________________________________________________________________________

List other information pertinent to the employment you are seeking: __________________________________
________________________________________________________________________________________

 

 EMPLOYMENT

 (Most Recent First.)

 

1.  Employer_____________________________________________ Job Title_________________________

Dates Employed______________ Prior Position Held within Company (if any):  ________________________

Address_________________________________ City___________________  State________ Zip_________

Phone____________________ Job Title_______________________ Supervisor_______________________

Starting Salary________________________________    Ending Salary______________________________

Duties Performed _________________________________________________________________________

Reason for Leaving _______________________________________________________________________

 

2.  Employer_____________________________________________ Job Title_________________________

Dates Employed______________ Prior Position Held within Company (if any):  ________________________

Address_________________________________ City___________________  State________ Zip_________

Phone____________________ Job Title_______________________ Supervisor_______________________

Starting Salary________________________________   Ending Salary_______________________________

Duties Performed _________________________________________________________________________

Reason for Leaving _______________________________________________________________________

 

3.  Employer_____________________________________________ Job Title_________________________

Dates Employed______________ Prior Position Held within Company (if any):  ________________________

Address_________________________________ City___________________ State________ Zip_________

Phone____________________ Job Title_______________________ Supervisor_______________________

Starting Salary________________________________   Ending Salary_______________________________

Duties Performed _________________________________________________________________________

Reason for Leaving _______________________________________________________________________

 

4.  Employer_____________________________________________ Job Title_________________________

Dates Employed______________ Prior Position Held within Company (if any):  ________________________

Address_________________________________ City___________________  State________ Zip_________

Phone____________________ Job Title_______________________ Supervisor_______________________

Starting Salary________________________________   Ending Salary_______________________________

Duties Performed _________________________________________________________________________

Reason for Leaving _______________________________________________________________________

 

 ACKNOWLEDGMENT AND AUTHORIZATION 

 

I certify that answers given herein are true and complete to the best of my knowledge.

 

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

 

This application for employment shall be considered active for a period of time not to exceed 45 days.  Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

 

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause.  It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

 

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge.  I understand, also, that I am required to abide by all rules and regulations of the Employer.

 

 

_________________________________________        ___________________

Signature of Applicant                                                       Date



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