NAME
*
First Name
Last Name
TELEPHONE NUMBER
*
(###)
###
####
ALTERNATE TELEPHONE NUMBER / CELL
(###)
###
####
PRESENT ADDRESS
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
EMAIL ADDRESS
DESIRED SALARY / HOURLY RATE?
*
IF UNDER THE AGE OF 18, CAN YOU PRODUCE THE NECESSARY WORK CERTIFICATE AT THE TIME OF EMPLOYMENT?
TYPE OF EMPLOYMENT DESIRED?
*
SPECIFY HOURS:
*
ARE YOU WILLING TO WORK OVERTIME?
*
DATE ON WHICH YOU CAN START WORK IF HIRED:
*
HAVE YOU PREVIOUSLY APPLIED FOR EMPLOYMENT WITH THIS COMPANY?
*
IF YES, WHEN AND WHERE DID YOU APPLY?
HAVE YOU EVER BEEN EMPLOYED BY THIS COMPANY?
*
IF YES, PROVIDE DATES OF EMPLOYMENT, LOCATION, AND REASON FOR SEPARATION FROM EMPLOYMENT:
IF APPLICABLE, BELOW LIST ANY OTHER NAMES BY WHICH YOU HAVE BEEN KNOWN WHICH MAY BE NECESSARY TO ALLOW US TO CONFIRM YOUR WORK AND EDUCATIONAL RECORD. FOR EXAMPLE, CHANGE OF NAME, USE OF AN ASSUMED NAME, NICKNAME, ETC.
Working with Elite Sports Builders requires you to obtain a Level 1 Fingerprint Clearance Card. In the last five (5) years, have you been convicted of a felony that would limit your ability to obtain this card? If yes, please list below:
HIGH SCHOOL
*
GRADUATED?
*
# OF YEARS COMPLETED:
COLLEGE
COURSE OF STUDY
GRADUATED?
# OF YEARS COMPLETED
DEGREE/MAJOR
BUSINESS / TECH / TRADE SCHOOL OR POST COLLEGE
COURSE OF STUDY
GRADUATED?
# OF YEARS COMPLETED
OTHER:
HONORS RECEIVED:
EMPLOYER
*
ADDRESS
TYPE OF BUSINESS
*
TELEPHONE NUMBER
*
(###)
###
####
DATES EMPLOYED (FROM __/__/__ TO __/__/__)
*
JOB TITLE
*
DUTIES
*
SUPERVISOR'S NAME
*
MAY WE CONTACT?
*
IF NO, WHY NOT?
WAGES START:
WAGES FINAL:
REASON FOR LEAVING:
*
WHAT WILL THIS EMPLOYER SAY WAS THE REASON YOUR EMPLOYMENT TERMINATED?
*
HOW MUCH NOTICE DID YOU GIVE WHEN RESIGNING? IF NONE, PLEASE EXPLAIN.
*
EMPLOYER
ADDRESS
TYPE OF BUSINESS
TELEPHONE NUMBER
(###)
###
####
DATES EMPLOYED (FROM __/__/__ TO __/__/__)
JOB TITLE
DUTIES
SUPERVISOR'S NAME
MAY WE CONTACT?
IF NO, WHY NOT?
WAGES START:
WAGES FINAL:
REASON FOR LEAVING:
WHAT WILL THIS EMPLOYER SAY WAS THE REASON FOR YOUR EMPLOYMENT TERMINATED?
HOW MUCH NOTICE DID YOU GIVE WHEN RESIGNING? IF NONE, PLEASE EXPLAIN.
ANY ADDITIONAL EMPLOYMENT HISTORY / INFORMATION YOU'D LIKE TO INCLUDE?
HAVE YOU EVER BEEN TERMINATED OR ASKED TO RESIGN FROM ANY JOB?
*
IF YES, HOW MANY TIMES?
HAS YOUR EMPLOYMENT EVER BEEN TERMINATED BY MUTUAL AGREEMENT?
*
IF YES, HOW MANY TIMES?
HAVE YOU EVER BEEN GIVEN THE CHOICE TO RESIGN RATHER THAN BE TERMINATED?
*
IF YES, HOW MANY TIMES?
IF YOU ANSWERED YES TO ANY OF THE ABOVE 3 QUESTIONS, PLEASE EXPLAIN THE CIRCUMSTANCES OF EACH OCCASION.
REFERENCE #1 NAME
*
POSITION
*
COMPANY
*
TELEPHONE
*
(###)
###
####
REFERENCE #2 NAME
*
POSITION
*
COMPANY
*
WORK RELATIONSHIP
*
TELEPHONE
*
(###)
###
####
REFERENCE #3 NAME
*
OCCUPATION
*
ADDRESS
TELEPHONE
*
(###)
###
####
NUMBER OF YEARS KNOWN
*
REFERENCE #4 NAME
*
OCCUPATION
*
ADDRESS
TELEPHONE
*
(###)
###
####
NUMBER OF YEARS KNOWN
*
APPLICANT CERTIFICATION
I understand and agree that if driving is a requirement of the job for which I am applying, my employment and/or continued employment is contingent on possessing a valid driver's license for the state in which I reside and automobile liability insurance in an amount equal to the minimum required by the state where I reside. I understand that the Company may now have, or may establish, a drug-free workplace or drug and/or alcohol testing program consistent with the applicable federal, state, and local law. If the Company has such a program and I am offered a conditional offer of employment, I understand that if a pre-employment (post-offer) drug and/or alcohol test is positive, the employment offer may be withdrawn. I agree to work under the conditions requiring a drug-free workplace, consistent with applicable federal, state, and local law. I also understand that all employees of the location, pursuant to the Company's policy and federal, state and local law. I also understand that all employees of the location, pursuant to the Company's policy and federal, state, and local law, may be subject to urinalysis and/or blood screening or other medically recognized tests designed to detect the presence of alcohol or illegal or controlled drugs. If employed, I understand that the taking of alcohol and/or drug tests is a condition of continual employment and I agree to undergo alcohol and drug testing consistent with the Company's policies and applicable federal, state, and local law. If employed by the company, I understand and agree that the Company, to the extent permitted by federal, state, and local law, may exercise its right, without prior warning or notice, to conduct investigations of property (including, but not limited to,: files, lockers, desks, vehicles, and computers) and, in certain circumstances, my personal property. I understand and agree that as a condition of employment and to the extent permitted by federal, state, and local law, I may be required to sign a confidentiality, restrictive covenant, and/or conflict of interest statement. I certify that all the information on this application, my resume, or any supporting documents I may present during any interview is and will be complete and accurate to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of any information may result in disqualification from consideration for employment or, if employed, disciplinary action, up to and including immediate dismissal. THIS COMPANY IS AN AT-WILL EMPLOYER AS ALLOWED BY APPLICABLE STATE LAW. THIS MEANS THAT REGARDLESS OF ANY PROVISION IN THIS APPLICATION, IF HIRED, THE COMPANY OR I MAY TERMINATE TEH EMPLOYMENT RELATIONSHIP AT ANY TIME, FOR ANY REASON, WITH OR WITHOUT CAUSE OR NOTICE. NOTHING IN THIS APPLICATION OR IN ANY DOCUMENT OR STATEMENT, WRITTEN OR ORAL, SHALL LIMIT THE RIGHT TO TERMINATE EMPLOYMENT AT-WILL. NO OFFICER, EMPLOYEE OR REPRESENTATIVE OF THE COMPANY IS AUTHORIZED TO ENTER INTO AN AGREEMENT-EXPRESS OR IMPLIED-WITH ME OR ANY APPLICANT FOR EMPLOYEMENT FOR A SPECIFIED PERIOD OF TIME UNLESS SUCH AGREEMENT IS IN A WRITTEN CONTRACT SIGNED BY THE PRESIDENT OF THE COMPANY. If hired, I agree to conform to the rules and regulations of the company, and I understand that the company has complete discretion to modify such rules and regulations at any time, except that it will not modify its policy of employment at-will. I authorize the Company or its agents to confirm all statements contained in this application and/or resume as it relates to the position I am seeking to the extent permitted by federal, state, or local law. I agree to complete any requisite authorization forms for the background investigation which may be permitted by federal, state and/or local law. If applicable and allowed by law, I will receive separate written notification regarding the Company's intent to obtain "consumer reports." I authorize and consent to, without reservation, any party or agency contacted by this employer to furnish the above-mentioned information. I hereby release, discharge, and hold harmless, to the extent permitted by federal, state, and local law, any party delivering information to the Company or its duly authorized representative pursuant to this authorization from any liability, claims, charges, or causes of action which I may have as a result of the delivery or disclosure of the above-requested information. I hereby release from liability the Company and its representatives for seeking such information and all other persons, corporations, or organizations furnishing such information. Further, if hired, I authorize the company to provide truthful information concerning my employment to future employers and hold the company harmless for providing such information. If hired by this Company, I understand that I will be required to provide genuine documentation establishing my identity and eligibility to be legally employed in the United States by this Company. I also understand this Company employs only individuals who are legally eligible to work in the United States. THIS APPLICATION WILL BE CONSIDERED ACTIVE FOR A MAXIMUM OF SIXTY (60) DAYS. IF YOU WISH TO BE CONSIDERED FOR EMPLOYMENT AFTER THAT TIME, YOU MUST RE-APPLY. I CERTIFY THAT ALL THE INFORMATION I HAVE PROVIDED ON THIS APPLICATION IS TRUE, ACCURATE, AND COMPLETE. (DO NOT SIGN UNTIL YOU HAVE READ ALL OF THE INFORMATION CONTAINED IN THE APPLICATION.)
TERMS OF ACCEPTANCE AND ELECTRONIC SIGNATURE
*
I, the applicant, for Elite Sports Builders, warrant the truthfulness of the information provided in this application.
First Name
Last Name
Date
*
MM
DD
YYYY
*
PARENT/LEGAL GUARDIAN
First Name
Last Name
Date
MM
DD
YYYY
WITNESS
First Name
Last Name
Date
MM
DD
YYYY
APPLICANT SIGNATURE
TERMS OF AGREEMENT AND ELECTRONIC SIGNATURE
First Name
Last Name
Date
MM
DD
YYYY
