Integrity Business Solution, Inc.

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.
Personal Information
First Name *: Middle Name : Last Name *:
Home Phone *: Work Phone : Cell Phone :
Email Address *:

Addresses
Street *: City *: State *: Zip Code *: Since (Mo/Yr) *: To (Mo/Yr):
Current Address *:
Prior Address:
Prior Address:
Education
School Attended: City: State: Diploma: Degree/Cert.: Area of Study
Undergrad School:
Grad School:
Other School:
Employment Information
Position Applied For: Date You Can Start:
 (yyyy-mm-dd)
Desired Salary: $
Do You Prefer: Can you work:  Weekends
 Evenings
Available: M Tu W Th F Sa Su
Not Available:
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. Have you received a description of the job or been made aware of the essential functions of the job for which you are applying?
4. Do you understand the job requirements?
If no, please explain.
5. Are you currently bound by a noncompetition, confidentiality or trade secret agreement?
If yes, please explain...
6. Have you ever been discharged or asked to resign from a job?
If yes, please explain...
7. Have you ever been convicted of or pled guilty to a felony or crime other than a minor traffic citation?
If yes, please explain...
Employment History
May we contact your present employer?
Please list your current and/or past employer information:
Most Recent Employer Prior Employer (1) Prior Employer (2) Prior Employer (3)
Employer :
City :
State :
Zip Code :
Phone :
Position Held :
From (m/yyyy) :
To (m/yyyy) :
Pay upon leaving :
Supervisor :
Duties :
Reason For Leaving :
Job-related Skills
1. Do you have a valid driver's license?
If yes, Driver's License Number: Date of Issue:
2. Have you been convicted of or pled guilty to any traffic-related offense within the past five years?
If yes, please explain...
3. Have you had your driver's license suspended or revoked or had your driving privileges modified by a court of law?
If yes, please explain...
4. Please list all states from which you hold or held a driver's license:
Please use this space to list any special skills you may have that relate to the position applied for:
Please list any professional licenses, designations, certifications, etc. that may relate to the position applied for. Include date granted, name of organization, and any other relevant information.
References
Reference (1) * Reference (2) * Reference (3) *
Name *:
Address :
Telephone *:
Relationship :
Years Acquainted :
Resume (Text Version)
Copy and Paste a text version of your resume here.
Upload File
Attach a file to your application submission (Permitted File Types doc,docx,pdf,txt Max file size 1045876 bytes)
Applicant Certification Agreement
1. I certify that, to the best of my knowledge and belief, the answers given by me to the foregoing questions and the statements made by me in this application are correct and complete. I understand that the falsification, misrepresentation or omission of any facts in said documents will be cause for denial of employment or immediate termination of employment regardless of the timing or circumstances of discovery.
2. I understand that submission of an application does not guarantee employment. I further understand that, should an offer of employment be extended by Integrity Business Solutions (hereinafter referred to as “IBS”) that such employment with iBS is at will, for no specified duration and may be terminated at any time.
3. I understand that none of the documents, policies, procedures, actions, statements of iBS or its representative used during the employment process is deemed a contract of employment real or implied. I understand that no representatives of iBS except the President has the authority to enter into any agreement any conditions of employment or any agreement contrary to the foregoing statement and any such agreements must be made in writing and signed by the President of iBS.
4. Any employment offer is contingent open my providing proof of identity and eligibility to work the country of employ.
5. In consideration for employment with iBS, I employed, agree to conform to the rules, regulations, policies and procedures of iBS at all times and understand that such obedience is a condition of employment. I understand that due to the nature of iBS business, attendance and punctuality are considered essential requirement of every job at iBS and the poor attendance or tardiness will result in disciplinary action. I understand that as this organization deems necessary, I may be required to work overtime hours or hours outside a normally define work day or work week. If employed, I understand and agree that such employment may be terminated at any time and without any liability to me for any continuation of salary, wages, or employment related benefits.
6. I understand that if offered a position with iBS, I may be required to submit to a pre-employment medical examination, drug screening and background check as a condition of employment. I understand that unsatisfactory results from, refusal to cooperate with, or any attempt to affect the results of these pre-employments tests and checks will result in withdrawal of any employment offer or termination of employment if already employed. I hereby authorize iBS to communicate with all my former employers, school officials and persons named as references. I hereby release all employers, schools and individuals from any liability for any damage whatsoever resulting from giving such information. I understand that this application is considered current for six months. If I wish to be considered for employment after this period I must fill out and submit a new application.
Security Code
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Type Name in Signature Box: Date: 2017-12-12 8:16:22
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