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Employment Application

THIS APPLICATION IS NOT AN EMPLOYMENT CONTRACT but merely is intended to evaluate suitability for employment. It is the policy of the company to provide equal employment to all qualified persons without discrimination on the basis of sex, race, color, religion, age, national origin, citizenship, disability, veteran status, or any other status protected under local, state or federal law. It is also the policy of the company to have the option of conducting pre-employment screening before a job offer is made. If a job offer is made, employment may be contingent upon the successful completion of a pre-employment drug screening and/or medical examination. This application will remain active for 3 years.



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Employment Information
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Please answer all of the following questions.
1) Are you at least 18 years of age and legally eligible to work for our company in the United States?
2) Have you worked for this business before?
If yes, please provide dates and locations.
3) Are you on layoff and subject to recall?
4) Are you currently bound by a noncompetition, confidentiality or trade secret agreement?
If yes, please explain...
5) Have you ever been discharged or asked to resign from a job?
If yes, please explain...
6) Have you ever been convicted of or pled guilty to a felony or crime other than a minor traffic citation?
If yes, please explain...


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Resume (Text Version)
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Applicant Certification Agreement
1. In submitting this application for employment, I authorize investigation of all statements contained herein, and it is understood and agreed that any misrepresentation (including omission of information) by me will be sufficient cause for cancellation of the application or separation from the company’s service if I have been employed.
2. Staffway, Inc. is an equal opportunity employer and will not discriminate or tolerate discrimination against any employee or applicant in any manner prohibited by law. Disabled applicants can request any accommodations needed to enable completion of application.
3. "I agree that, Staffway, just as I have, if hired, has the right to terminate my employment at any time, with or without cause and with or without notice. I understand that no manager or representative of the company, other than its president or his designee, has any authority to enter into any agreement for employment for any specified period of time or make any agreement contrary to the foregoing either now, in the past or in the future. I further understand that such an agreement must be in writing and signed by the president for it to be binding on either myself or the company. I further understand that this statement supersedes any prior oral or written understanding and bars any future oral understanding to the contrary."
Security Code
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Date: 2015-11-27 19:24:45