Application for Employment Step 1 of 6 16% Position Applying ForName(Required) First Middle Last Address(Required) Street Address City State ZIP / Postal Code Home PhoneMobile PhoneSocial Security NumberDrivers License Number Have you ever filed an application with us before?(Required)NoYesHave you ever been employed with us before?(Required)NoYesAre you currently employed?(Required)NoYesMay we contact your present employer?(Required)NoYesAre you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?(Required)Proof of citizenship or immigration status will be required upon employment.NoYesOn what date would you be able to start work? MM slash DD slash YYYY Are you able to work: Full Time Part Time Temporary Off Shift Are you currently on “Lay-off” status and subject to recall?(Required)NoYesCan you travel if a job requires it?(Required)NoYesHave you been convicted of a felony within the past 7 years?(Required)Conviction will not necessarily disqualify an applicant from employment.NoYesIf yes, please explain:(Required)Did or Do you serve in the US Military?(Required)NoYesIf so, describe any special training you received:(Required) High SchoolYears CompletedGraduatedCollegeYears CompletedGraduatedOtherYears CompletedGraduatedDo you have any special skills or training? If so, please describe:Do you speak or write any foreign language? If so, please indicate:List any professional, trade, business, or civic activities held.You may exclude membership which would reveal gender, race, religion, national origin, age, ancestry, disability or other protected status Employment ExperienceStart with your current or last job you held. Include any job-related military service and volunteer activities. You may exclude organizations which would reveal gender, race, religion, national origin, age, ancestry, disability or other protected status. Employer Name Actions Edit Delete There are no Employers. Add Employer Maximum number of employers reached. References Name Actions Edit Delete There are no References. Add Reference Maximum number of references reached. Applicant's Statement(Required)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 time period not to exceed 90 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to weather 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 Acme Music & Vending is of an “at will” nature, which means the Employee may resign at any time with a two week notice and the Employer may discharge the 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 Acme Music & Vending. In the event of employment, I understand that false or misleading information given in my application or interview may result in discharge. I understand, also, that I am required to abide by all rules and regulations of Acme Music & Vending. I understand and agree to the statements above.Type Your Full Name(Required)This will serve as your digital signature.
