online_employment_application

Please fill in all of the spaces below, and click the "Submit" Button when finished.

Date of Application:

Equal access to programs, services, and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the Human Resources Department.

Position(s) applied for:

Name:

Last

Middle

First

Social Security Number #

Address:

Street

City

State

Zip Code

Telephone #

example : 607-123-1234

Mobile/Beeper/Other #

Email Address:

If you are under 18, and it is required, can you furnish a work permit?

If no, please explain

Have you ever been employed here before? If yes, give dates and positions.

Are you legally eligible for employment in this country?

Date available for work

example : 09/08/2008

What is your desired salary range?

Type of employment desired:

Are you able to meet the attendance requirements of the position?

Have you ever pled "guilty" or "no contest" to, or been convicted of a crime?

If yes, please provide date(s) and details:

Answering "yes" to these questions does not constitute an automatic bar to employment. Factors such as the date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be taken into account.

How did you hear about this job?

Driver's License Number:

State:

EMPLOYMENT HISTORY

Starting with your most recent employer, assignments or volunteer activities, provide the following information.

Date (mo and yr) Name & Address Salary Position Reason for leaving

From

EDUCATIONAL BACKGROUND

School (include city and state)

# of Years Completed

Level of Completion

Course of Study

SKILLS AND QUALIFICATIONS

Summarize any training, skills, licenses, and/or certificates that may qualify you as being able to perform job-related functionsin the position for which you are applying:

TOOLS

Please check all tools you currently own:

Please list other tools you own that pertain to this job:

REFERENCES

Name

Title

Relationship to Candidate

Telephone

Number of Years Known

APPLICATION STATEMENT

I certifiy that all information I have provided in order to apply for and secure work with the employer is true, complete, and correct.

I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume, or job interview. I hereby waive any and all rights and claims I may have regarding the employer, it's agents, employees or representatives, for seeking gathering and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me.

I understand that the employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by applicable local, state or federal law.

I understand that this application remains current for only 30 days. At the conclusion of that time; if I have not heard from the employer and still wish to be considered for employment, it will be necessary to reapply and fill out a new application.

If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied, oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employer's president.

I also understand that if I am hired, I will be required to provide proof of identitiy and legal authority to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.

I understand that any information provided by me that is found to be false, incomplete, or misrepresented in any respect, will be sufficient cause to (1) cancel further consideration of this application, or (2) immediately discharge me from the employer's service, whenever it is discovered.

Do not sign until you have read the above applicant statement.

By entering my name below and cicking the "Submit" Button, I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement.

Todays Date

First, Middle, Last

APPLICATION FOR EMPLOYMENT

McPherson Builders, Inc.

"Serving The Community With Quality & Pride Since 1907"

Name:

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