Information Technologies, LLC

Application for Employment

 

Personal Information
Address *
Address
Home Telephone *
Home Telephone
Mobile Phone
Mobile Phone
Date of Birth
Date of Birth
Are you prevented from lawfully becoming employed in the U.S.? *
Do you use tobacco products? *
Have you ever been arrested? *
Have you been convicted of a felony? *
Have you been convicted of a misdemeanor? *
Have you filed for bankruptcy within the last seven (7) years? *
Employment Desired
If hired, earliest date you could begin *
If hired, earliest date you could begin
Are you employed now? *
If YES, may we contact?
Education
Did you graduate? *
Current and Former Employers
List below the last three employers, starting with the most recent
Starting Date
Starting Date
Ending Date
Ending Date
Starting Date
Starting Date
Ending Date
Ending Date
Starting Date
Starting Date
Ending Date
Ending Date
References
Give the name of a person not related to you whom you have known at least one year
Give the name of a person not related to you whom you have known at least one year
Give the name of a person not related to you whom you have known at least one year
Physical Record
Do you have any physical limitations that preclude you from performing any work for which you are being considered? *
Before you Submit
By submitting this form, you certify that the facts contained in this application are true and complete to the best of your knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. Furthermore, you authorize investigation of all statements contained herein and the references listed above to provide any and all information concerning your previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing the information. You understand and agree that, if hired, your employment is for no definite period and may, regardless of the date of payment of your wages and salary, be terminated at any time without any prior notice.