Job Fair Application Form (Page 2 of 2) in pdf

EMPLOYMENT HISTORY CONTINUED

(

)

FROM

EMPLOYER

PHONE

JOB TITLE

ADDRESS

IMMEDIATE SUPERVISOR AND TITLE

SUMMARIZE THE NATURE OF THE WORK AND RESPONSIBILITIES

REASON FOR LEAVING

SALARY

START $

PER

FINAL $

PER

EDUCATIONAL BACKGROUND

NAME AND LOCATION

YEARS COMPLETED DID YOU GRADUATE? COURSE OF STUDY

HIGH SCHOOL

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COLLEGE/UNIVERSITY

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OTHER

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SPECIAL SKILLS:

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AVOCATIONAL INTERESTS OR HOBBIES:

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I understand that if I am employed, any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate

discharge from the employer's service, whenever it is discovered.

I give the employer the right to contact and obtain information from all references, employers, educational institutions, and to otherwise verify the accuracy of the information contained in

this application. I hereby release from liability the employer and its representatives for seeking, gathering and using such information and all other persons, corporations or organizations for

furnishing such information.

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 a contract for employment for any specified period. I understand

that no representative of the employer, other than an authorized officer, has the authority to make any assurances to the contrary. I further understand that any such assurances must be in

writing and signed by an authorized officer.

I understand it is this company's policy not to refuse to hire a qualified individual with a disability because of that person's need for a reasonable accommodation as required by the ADA.

I understand that if I am hired, I will be required to provide proof of identity and legal work authorization.

SIGNATURE OF APPLICANT:

DATE:

REFERRAL SOURCE: HOW DID YOU HEAR ABOUT THIS POSITION?

REVISED 9/14

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