Application for Employment

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Application for Employment

Personal
Which position are you apply for?*
Name
First Middle Last Suffix
Permanent Address*
Street Address Address Line 2 City State ZIP Code
Home Phone
Cell Phone*
Email*
Are you over 18 years old?*
- Yes
- No
Other name(s) under which you have been previously employed
Names of friends or relatives employed in this organization
Have you ever applied to this organization before?*
- Yes
- No
If Yes, give date and position applied for
Have you ever been employed by this organization before?*
- Yes
- No
If yes, list dates of employment
Do you have any family, business, health, or social restrictions or obligations that would prevent you from performing the job responsibilities?*
- Yes
- No
Do you have any physical or mental condition or disability which would endanger the health or safety of yourself and or others or that may affect your ability to perform the job(s) for which you are applying?*
- Yes
- No
If yes, please describe such condition or handicap.
Will you comply with the safety work and attendance policies of our organization?*
- Yes
- No
Employment Interests
Date Available*
MM slash DD slash YYYY
Type of Employment You Are Seeking:*
- Full Time
- Part Time
- Temporary
Can you work overtime, including weekends as needed?*
- Yes
- No
How will you get to work?*
How were you referred to our organization?*
- Advertisement
- Employee
- Other Company
- Agency
- Self
- Employment Service
Name of Referral Source:
Education/U.S. Military Service
Where did you attend high school & college? (Click the + button to add a new row)*
School Name & Address Major Years Completed GPA Degree/Diploma
Are you taking any educational course(s) presently?*
- Yes
- No
- I will be soon
If Yes or you will be soon, what and where?
Have you ever served in the U.S. Armed Services?
- Yes
- No
US Military Duties and special training
Rank held at discharge
References
List 3-5 people we may contact who are qualified to evaluate your capabilities. Do not include relatives. (Click the + button to add a new row)
Name Address Occupation Years Known
Employment History
Give employment record as completely as possible listing current or most recent employer first. Show unemployed or self-employed periods and indicate dates and comment on each period. Include part time or summer work.
Company Name (Most Recent)
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Dates Employed
From To
Job Title
Supervisors Name & Title
Type of Business
Business Website
Base Rate of Pay (Hour/Week/Month)
Start End
Description of duties
Reason for Leaving?
May we contact this employer?
- Yes
- No
Did you have another job before this one?*
- Yes
- No
Company Name (Second Most Recent)
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Dates Employed
From To
Job Title
Supervisors Name & Title
Type of Business
Business Website
Base Rate of Pay (Hour/Week/Month)
Start End
Description of duties
Reason for Leaving?
May we contact this employer?
- Yes
- No
Would you like to list another previous job?
- Yes
- No
Company Name (Third Most Recent)
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Dates Employed
From To
Job Title
Supervisors Name & Title
Type of Business
Business Website
Base Rate of Pay (Hour/Week/Month)
Start End
Description of duties
Reason for Leaving?
May we contact this employer?
- Yes
- No
Would you like to list a 4th job?
- Yes
- No
Company Name (Fourth Most Recent)
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Dates Employed
From To
Job Title
Supervisors Name & Title
Type of Business
Business Website
Base Rate of Pay (Hour/Week/Month)
Start End
Description of duties
Reason for Leaving?
May we contact this employer?
- Yes
- No
Do you hold any professional licenses or memberships?*
- Yes
- No
Professional Licenses & Memberships
You need not disclose membership in professional organizations that may reveal information regarding race, color, creed, sex, religion, national origin, ancestry, age, disability, marital status, veteran status or any other protected status.
I agree to a Drug Screening at the company's expense.*
- Yes
- No
I agree to a Criminal Background Check at the company's expense.*
- Yes
- No
Acknowledgement
Legal Terms of Service
I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize OST to verify their accuracy and to obtain reference information on my work performance. I hereby release OST from any/all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based on such information. I understand that, if employed, falsified statements of any kind or omissions of facts called for on this application shall be considered sufficient basis for dismissal. I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules and regulations of employment of the Employer. However, I further understand that neither the policies, rules, regulations of employment or anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is for an indefinite duration and at will and that either I or the Employer may terminate my employment at any time with or without notice or cause.*
- I Agree
Digital Signature:

Printing your First Name + Middle Initial + Last Name will act as your digital signature.
Date
MM slash DD slash YYYY
Resume Upload (optional)*
Drop files here or

Accepted file types: doc, docx, rtf, txt, pdf, Max. file size: 512 MB.
If you have a resume you'd like to attach, please do so here. A resume upload is required.
Would you like to add a cover letter?
- Yes
- No
Cover Letter (optional)
Max. file size: 512 MB.
Please upload your cover letter here. You may also copy and paste the contents of your cover letter in the space below.
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School Name & Address	Major	Years Completed	GPA	Degree/Diploma

Name	Address	Occupation	Years Known

From	To

Start	End

Personal

Employment Interests

Education/U.S. Military Service

References

Employment History

Acknowledgement

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