Employment Application - Strack Companies

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Employment Application

Application For Employment

We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status.We are an equal opportunity employer.

Position(s) Applied For:
Date of Application:

Contact Information
Last Name:
First Name:
Middle Name:
Street:
City:
State:
Zip Code:
Telephone:
Email Address
Drivers License #:

Best time to contact you at home is:
Are you currently employed?
May we contact your present employer?
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?
Proof of citizenship or immigration status will be required upon employment.
Date available for work	(mm/dd/yyyy)
What is your desired salary range?
Are you currently on "lay-off" status and subject to recall?
Can you travel if the job requires it?

Education

-School

Name and
Address of School

Course of Study

Years Completed

Diploma/Degree

-High School

-Undergraduate
-College

-Graduate/
-Professional

-Other(Specify)

Work Experience

Start with your present or last job. Include any job-related military service or assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status.

Employer

Dates Employed

Work Performed

Address

From

Telephone

Starting/Present
Job Title

Hourly Rate/Salary

Supervisor

Starting

Final

Reason for leaving

May we contact?

Employer

Dates Employed

Work Performed

Address

From

Telephone

Starting/Present
Job Title

Hourly Rate/Salary

Supervisor

Starting

Final

Reason for leaving

May we contact?

Employer

Dates Employed

Work Performed

Address

From

Telephone

Starting/Present
Job Title

Hourly Rate/Salary

Supervisor

Starting

Final

Reason for leaving

May we contact?

Describe any specialized training, apprenticeship, skills or equipment operated.

Personal/Professional References Do not include family members or past supervisors.

Name	Phone Number	Best Time to Call	Occupation
1.
2.
3.

Applicant’s Statement

I certify that answers given herein are true and complete.

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.

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Application For Employment

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