Employment Opportunities

EDUCATION

School

Graduate

College

Business/ Trade/ Technical

High School

Elementary

Membership in Professional or Civic Organization

EMPLOYMENT

Please give an accurate complete full-time and part-time employment record. Start with your present or most recent employer

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2.

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4.

We may contact the employers listed above unless you indicate those you do not want us to contact.

MILITARY

If the employer has checked the box next to the question, the information requested is needed for a legally permissible reason, including, without limitation, national security considerations, a legitimate occupational qualification or business necessity. The Civil Rights Act of 1964 prohibits discrimination in employment because of race, color, religion, sex or national origin. Federal law also prohibits discrimination based on age, citizenship and disability. The laws of most states also prohibit some or all of the above types of discrimination, as well as some additional types such as discrimination based upon ancestry, marital status and sexual preference. 

Provide dates you attended school: 

Elementary

College

The Information provided in this Application for Employment is true, correct and complete. If employed, any misstatement or omission of fact on this application may result in my dismissal. I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future. If you decide to engage an investigative consumer reporting agency to report on my credit and personal history, I authorize you to do so. If a report is obtained you must provide, at my request, the name of the agency so I may obtain from them the nature and substance of the information contained in the report.

REFERENCE CHECK

Employer

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2.

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4.

TEST RESULTS

INTERVIEW RESULTS

SELECTFORM. INC. believes that the information solicited from the applicant which lies outside the special section on page 3 is in full compliance with all Federal and State equal employment laws and with the Fair Credit Reporting Act. We do not assume responsibility for the user’s inclusion in this “Application for Employment” of any question which may violate Federal, State or local laws, and users should consult their own counsel with respect to any legal questions concerning the use of this form.