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Employment Application Form

 

 

 

 

APPLICANTS MAY BE TESTED FOR ILLEGAL DRUGS

PLEASE PRINT OR TYPE ALL INFORMATION REQUESTED.

 

PLEASE ANSWER ALL QUESTIONS:

 

DATE ________________________________

Name __________________________________________________________________________________________

           First                           Middle                            Last                                     

 

Present address __________________________________________________________________________________

                         Number             Street                                      City                  State                Zip

 

How long at this address? ___________________

Social Security No: (For privacy reasons and because email is not secure, do NOT provide us with your social security number at this time.  You can provide it at your interview).

 

Best phone numbers to reach you at:  ___________________________________________                       

 

EMAIL ADDRESS_______________________________________________________________

 

Position applied for:__________________________________________________________________

 

Salary desired (be specific and indicate "per hour" or "per month"):_________________________________

 


If under 18, please list age:______________________

 

 

Days/hours available to work

No Pref _______  Thur _________

Mon __________   Fri __________

Tue __________   Sat _________

Wed _________   Sun _________

 

How many hours can you work weekly? _________________   Can you work nights? _______________________

Employment desired          ___FULL-TIME ONLY           ___PART-TIME ONLY          ___FULL- OR PART-TIME

When available for work?____________________________________________________________________________

How much notice do you need to give your current employer? _____________________________________________

 

TYPE OF SCHOOL

NAME OF SCHOOL

LOCATION
(Complete mailing address)

NUMBER OF YEARS COMPLETED

MAJOR & DEGREE

High School

 

 

 

 

 

 

 

 

 

College

 

 

 

 

 

 

 

 

 

Bus. or Trade School

 

 

 

 

 

 

 

 

 

Professional School

 

 

 

 

 

 

 

 

 

 

HAVE YOU EVER BEEN CONVICTED OF A CRIME?   ___ No                      ___Yes

If yes, explain number of  conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation. ________________________________________________________________________________________________

________________________________________________________________________________________________

 

 

 

 

 

 

DO YOU HAVE A DRIVERS LICENSE?          ___Yes    ___No

 

What is your means of transportation to work?___________________________________________________________

Drivers license
number ___________________________  State of issue  _______       ___Operator   ___Commercial (CDL)    

 

Expiration date ______________________        Do you have automobile insurance?   ___Yes         ___No

 

How many accidents have you had during the past three years?______________

 

How many moving violations have you had during the past three years? ________

 

 

 

 

 

OFFICE SKILLS

 

How many words per minute do you type? ____

 

Do you use a PC?    ___Yes    ___No

Do you use a Mac?  ___Yes    ___No
Do you know shorthand?  ___Yes    ___No

Do you use a 10-key by touch?  ___Yes    ___No

 

What computer programs do you use, and how proficient are you with them?________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

 

 

                      

                         

Other office skills_________________________________

_______________________________________________

 

Please list two references other than relatives or previous employers.

Name ______________________________________

Name _________________________________________

Position _____________________________________

Position _______________________________________

Company ___________________________________

Company ______________________________________

Address ____________________________________

Address _______________________________________

                _____________________________________

                _______________________________________

Telephone  (      )                                                                       

Telephone  (      )                                                                              

 

Please answer the following questions.  Feel free to attach a separate page with the answers:

             Apart from work, what do you like to do?

 

 

             What inspires or motivates you?

 

 

             What has been your favorite job?

 

 

             What are your life goals & dreams for the next 5 years?  10 years?

 

 

             What six words would your previous employers use to describe you?

 

 

             Why are you looking for a new job?

 

 

             Why did you leave your last job (the one before you current one)?

 

 

             How would you describe your computer skills?

 

 

             Describe your ideal job.

 

 

 

 

An application form sometimes makes it difficult for an individual to adequately summarize a complete background.  Use the space below (or attach a separate page) to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying. 

 

 

 

 

 

 

 

 

 

 

Sign your application.  Then, submit your completed application (and your resume and references if available) by email to apply@ocre.biz.

 

 

 

 

 

MILITARY

 

 

HAVE YOU EVER BEEN IN THE ARMED FORCES?                     Yes     No

ARE YOU NOW A MEMBER OF THE NATIONAL GUARD?            Yes     No

Specialty ____________________________  Date Entered ________________  Discharge Date ______________

 

Work Experience

Please list your work experience for the past five years beginning with your most recent job held.
If you were self-employed, give firm name.  Attach additional sheets if necessary.

 

 

Name of employer
Address

Name of last supervisor

Employment dates

Pay or salary

City, State, Zip Code
Phone number

 

From

To

Start

Final

 

Your last job title

Reason for leaving (be specific)

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

 

 

 

 

 

Name of employer
Address

Name of last supervisor

Employment dates

Pay or salary

City, State, Zip Code
Phone number

 

From

To

Start

Final

 

Your Last Job Title

Reason for leaving (be specific)

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

 

 

 

 

 

 

 

 

 

Work experience

Please list your work experience for the past five years beginning with your most recent job held.
If you were self-employed, give firm name.  Attach additional sheets if necessary.

 

 

Name of employer
Address

Name of last supervisor

Employment dates

Pay or salary

City, State, Zip Code
Phone number

 

From

To

Start

Final

 

Your last job title

Reason for leaving (be specific)

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

 

 

 

 

 

Name of employer
Address

Name of last supervisor

Employment dates

Pay or salary

City, State, Zip Code
Phone number

 

From

To

Start

Final

 

Your last job title

Reason for leaving (be specific)

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

 

 

 

 

 

 

May we contact your present employer?         ___Yes    ___No

Did you complete this application yourself    ___Yes    ___No

If not, who did? ___________________________________________________________________________________

 

 

PLEASE READ CAREFULLY-

 

APPLICATION FORM WAIVER

 

In exchange for the consideration of my job application submitted to OCRE.biz (hereinafter called "the Company"), I agree that:

     Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of the Company., or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the President /General Manager of the Company.  Both the undersigned and the Company may end the employment relationship at any time, without specified notice or reason.  If employed, I understand that the Company may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits.

     I authorize investigation of all statements contained in this application.  I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice.  I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contract.

     I also understand that (1) the Company has a drug and alcohol policy that may provide for pre-employment testing as well as testing after employment; (2) consent to and compliance with such policy may be  a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy.  I further understand that continued employment may be based on the successful passing of job-related physical examinations.

     I understand that, in connection with the routine processing of your employment application, the Company may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, general reputation, criminal record, personal characteristics, and mode of living.  Upon written request from me, the Company, will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act.

     I further understand that my employment with the Company shall be probationary for a period of ninety (90) days, and further that at any time during the probationary period or thereafter, my employment relation with the Company is terminable at will for any reason by either party.

 

Signature of applicant__________________________________________

 

Date: ___________________

 

To submit this by email, type your name on the signature line above.  By typing your name, you certify that you are over 18 years of age, that you are the person whose information is on this application, and that all of the information in your application is true and correct.

 

This Company is an equal employment opportunity employer.  We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability.  We assure you that your opportunity for employment with this Company depends solely on your qualifications.

 

Thank you for completing this application form and for your interest in our business.

 

Please submit your completed application and/or your resume by email to apply@ocre.biz.

 

 

 

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