Application for Employment

We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race, color, age, sex, religion, handicap or national origin.

[contact-form to=’chris@friendsforlife.org’ subject=’Employment Application’][contact-field label=’Position Sought’ type=’text’/][contact-field label=’How did you learn about the position?’ type=’text’/]


Information

[contact-field label=’Name’ type=’text’/][contact-field label=’Date’ type=’text’/][contact-field label=’Address’ type=’text’/][contact-field label=’City’ type=’text’/][contact-field label=’State’ type=’text’/][contact-field label=’Zip’ type=’text’/][contact-field label=’Home Phone’ type=’text’/][contact-field label=’Office Phone’ type=’text’/][contact-field label=’Mobile Phone’ type=’text’/][contact-field label=’Email Address’ type=’email’/]
[contact-field label=’On what date would you be available for work?’ type=’text’/]
[contact-field label=’Desired Salary’ type=’text’/]
[contact-field label=’Are you a U.S. citizen%26#x002c; or are you otherwise authorized to work in the U.S. without any restriction?’ type=’select’ options=’No,Yes’/]
[contact-field label=’Have you ever been convicted of a felony?’ type=’select’ options=’No,Yes’/]
[contact-field label=’If yes%26#x002c; please describe the circumstances:’ type=’text’/]
[contact-field label=’Have your ever been involuntarily terminated or asked to resign from any position of employment?’ type=’select’ options=’No,Yes’/][contact-field label=’If yes%26#x002c; please describe the circumstances:’ type=’text’/]
[contact-field label=’If selected for employment%26#x002c; are you willing to submit to a pre-employment drug screening test?’ type=’select’ options=’No,Yes’/]


Education

[contact-field label=’School Name’ type=’text’/][contact-field label=’Location’ type=’text’/][contact-field label=’Years Attended’ type=’text’/][contact-field label=’Degree Received’ type=’text’/][contact-field label=’Major’ type=’text’/]

[contact-field label=’School Name’ type=’text’/][contact-field label=’Location’ type=’text’/][contact-field label=’Years Attended’ type=’text’/][contact-field label=’Degree Received’ type=’text’/][contact-field label=’Major’ type=’text’/]

[contact-field label=’School Name’ type=’text’/][contact-field label=’Location’ type=’text’/][contact-field label=’Years Attended’ type=’text’/][contact-field label=’Degree Received’ type=’text’/][contact-field label=’Major’ type=’text’/]

[contact-field label=’School Name’ type=’text’/][contact-field label=’Years Attended’ type=’text’/][contact-field label=’Degree Received’ type=’text’/][contact-field label=’Major’ type=’text’/]

[contact-field label=’Other training%26#x002c; certifications%26#x002c; or licenses held:’ type=’text’/]
[contact-field label=’Job Related Skills (typing, driver’s license, etc.)’ type=’text’/]
[contact-field label=’Activities Other Than Religious (Civic%26#x002c; Athletic%26#x002c; etc.)’ type=’text’/]


Employment (most recent first)

[contact-field label=’1. Employer’ type=’text’/][contact-field label=’Dates Employed’ type=’text’/][contact-field label=’Job Title’ type=’text’/][contact-field label=’Address’ type=’text’/][contact-field label=’City’ type=’text’/][contact-field label=’State’ type=’text’/][contact-field label=’Zip’ type=’text’/][contact-field label=’Phone’ type=’text’/][contact-field label=’Supervisor’ type=’text’/][contact-field label=’Starting Salary’ type=’text’/][contact-field label=’Ending Salary’ type=’text’/][contact-field label=’Duties Performed’ type=’text’/][contact-field label=’Reason for Leaving’ type=’text’/]

[contact-field label=’2. Employer’ type=’text’/][contact-field label=’Dates Employed’ type=’text’/][contact-field label=’Job Title’ type=’text’/][contact-field label=’Address’ type=’text’/][contact-field label=’City’ type=’text’/][contact-field label=’State’ type=’text’/][contact-field label=’Zip’ type=’text’/][contact-field label=’Phone’ type=’text’/][contact-field label=’Supervisor’ type=’text’/][contact-field label=’Starting Salary’ type=’text’/][contact-field label=’Ending Salary’ type=’text’/][contact-field label=’Duties Performed’ type=’text’/][contact-field label=’Reason for Leaving’ type=’text’/]

[contact-field label=’3. Employer’ type=’text’/][contact-field label=’Dates Employed’ type=’text’/][contact-field label=’Job Title’ type=’text’/][contact-field label=’Address’ type=’text’/][contact-field label=’City’ type=’text’/][contact-field label=’State’ type=’text’/][contact-field label=’Zip’ type=’text’/][contact-field label=’Phone’ type=’text’/][contact-field label=’Supervisor’ type=’text’/][contact-field label=’Starting Salary’ type=’text’/][contact-field label=’Ending Salary’ type=’text’/][contact-field label=’Duties Performed’ type=’text’/][contact-field label=’Reason for Leaving’ type=’text’/]

[contact-field label=’4. Employer’ type=’text’/][contact-field label=’Dates Employed’ type=’text’/][contact-field label=’Job Title’ type=’text’/][contact-field label=’Address’ type=’text’/][contact-field label=’City’ type=’text’/][contact-field label=’State’ type=’text’/][contact-field label=’Zip’ type=’text’/][contact-field label=’Phone’ type=’text’/][contact-field label=’Supervisor’ type=’text’/][contact-field label=’Starting Salary’ type=’text’/][contact-field label=’Ending Salary’ type=’text’/][contact-field label=’Duties Performed’ type=’text’/][contact-field label=’Reason for Leaving’ type=’text’/]


References

[contact-field label=’1. Reference Name’ type=’text’/][contact-field label=’Relation’ type=’text’/][contact-field label=’Years Acquainted’ type=’text’/][contact-field label=’Address’ type=’text’/][contact-field label=’City’ type=’text’/][contact-field label=’State’ type=’text’/][contact-field label=’Zip’ type=’text’/][contact-field label=’Mobile Phone’ type=’text’/][contact-field label=’Home Phone’ type=’text’/][contact-field label=’Work Phone’ type=’text’/][contact-field label=’Best Time to Call?’ type=’text’/]

[contact-field label=’2. Reference Name’ type=’text’/][contact-field label=’Relation’ type=’text’/][contact-field label=’Years Acquainted’ type=’text’/][contact-field label=’Address’ type=’text’/][contact-field label=’City’ type=’text’/][contact-field label=’State’ type=’text’/][contact-field label=’Zip’ type=’text’/][contact-field label=’Mobile Phone’ type=’text’/][contact-field label=’Home Phone’ type=’text’/][contact-field label=’Work Phone’ type=’text’/][contact-field label=’Best Time to Call?’ type=’text’/]

[contact-field label=’3. Reference Name’ type=’text’/][contact-field label=’Relation’ type=’text’/][contact-field label=’Years Acquainted’ type=’text’/][contact-field label=’Address’ type=’text’/][contact-field label=’City’ type=’text’/][contact-field label=’State’ type=’text’/][contact-field label=’Zip’ type=’text’/][contact-field label=’Mobile Phone’ type=’text’/][contact-field label=’Home Phone’ type=’text’/][contact-field label=’Work Phone’ type=’text’/][contact-field label=’Best Time to Call?’ type=’text’/][contact-field label=’I certify that answers given herein are true and complete to the best of my knowledge.’ type=’checkbox’/]


Acknowledgement and Authorization

[contact-field label=’I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.’ type=’checkbox’/]
[contact-field label=’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 should inquire as to whether or not applications are being accepted at that time.’ type=’checkbox’/]
[contact-field label=’In the event of employment%26#x002c; I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand%26#x002c; also%26#x002c; that I am required to abide by all rules and regulations of the employer.’ type=’checkbox’/][/contact-form]

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.