APPLICATION FOR EMPLOYMENT

Transcription

1 APPLICATION FOR EMPLOYMENT ALL POTENTIAL EMPLOYEES ARE EVALUATED WITHOUT REGARD TO RACE, COLOR, RELIGION, GENDER, NATIONAL ORIGIN, AGE, SEXUAL ORIENTATION, MARITAL OR VETERAN STATUS, THE PRESENCE OF A NON-JOB RELATED HANDICAP OR ANY OTHER LEGALLY PROTECTED STATUS. ATHENS BLUEPRINT & COPY SHOP IS AN EQUAL OPPORTUNITY EMPLOYER. Name: (Last) (First) (Middle) Date: Address: City: State: Zip: Home Phone: Cellular Phone: Address: Social Security Number: - - Position Sought: Full Time Part Time How did you learn about the position? List days / hours you are available to work: On what date would you be available for work? Desired Wage / Salary $ Are you a U.S. citizen, or are you otherwise authorized to work in the U.S. without restriction? Yes No (Proof of citizenship or immigration status will be required upon employment) Have you ever been convicted of a felony? Yes No (Conviction will not automatically disqualify an applicant from employment) If yes, please describe the circumstances (nature and date of the offense, sentence imposed, rehabilitation steps completed): Have you ever been terminated or asked to resign from any position of employment? Yes No If yes, please describe the circumstances: If selected for employment, are you willing to submit to a pre-employment drug screening test? Yes No If you are under 18 years of age, can you provide required proof of your eligibility to work? Yes No Have you ever filed an application with us before? Yes No If yes, please provide a date of previous application:

2 Have you ever been employed with us before? If yes, please provide dates of employment: Are you currently employed? If yes, may we contact your current employer? Are you currently on lay-off status and subject to recall? EDUCATION Begin with high school and include any secondary education or degree programs. School Name Location (City & State) Years Attended Degree Received Major Other training, certifications, or licences held: List other information pertinent to the employment you are seeking (including specialized training, apprenticeships, skills, and extra-curricular activities): SPECIALIZED SKILLS Check areas where you demonstrate a proficiency. Computer Platforms q PC q MAC Office Software q Quickbooks q Microsoft Excel q Microsoft Word q Microsoft Access q Microsoft PowerPoint q Microsoft Publisher q Microsoft Outlook q Corel WordPerfect Design Software q Adobe Photoshop q Adobe Illustrator q Adobe InDesign q Adobe Acrobat q Adobe Pagemaker q Quark Express q AUTOCAD Specialty Software q Franklin Estimator q PlanWell PDS q Onyx PosterShop Office Equipment q 10 Key Adding Machine q Point of Sale System q Hand Held Scanner q Other Software and Equipment (List): q Small Format Reprographics (copiers and printers). Please list any brands / models you have used: q Large Format Reprographics (including plotters). Please list any brands / models you have used: q Offset / Printing / Finishing Equipment. Please list any brands / models you have used:

3 Do you have a valid driver s license? Driver s Licence number: State of Issue: Expiration Date: What is your means of transportation to work? Have you had any accidents during the past three years? If yes, provide date(s): Have you had any moving violations during the past three years? If yes, provide date(s): EMPLOYMENT List Most Recent Positions First

4 REFERENCES Exclude relatives and former employers. LANGUAGES SPEAK Please indicate any additional languages you can speak, read and/or write. FLUENT GOOD FAIR READ WRITE Describe any job-related training received in the United States Military: Please tell us why you believe you would be a valuable addition to the Athens Blueprint & Copy Shop Team:

5 Note to Applicant: Do not answer the following question unless you have been informed about the requirements of the job for which you are applying: Are you capable of performing in a reasonable manner, with or without reasonable accommodation, the activities in the job or occupation for which you have applied? ACKNOWLEDGEMENT AND AUTHORIZATION I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I hereby give permission to contact any of the employers listed above concerning my work experience. I understand this application is not and is not intended to be a contract of employment, nor does this application obligate the employer in any way. No one other than an officer of Athens Blueprint & Copy Shop is authorized to enter into any agreement of employment. This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. Candidates for employment may be asked to submit to a pre-employment drug screening test as a condition of employment. I agree to release all drug screening test results to Athens Blueprint & Copy Shop. I understand that a positive test for the use of controlled substances as defined in the Athens Blueprint & Copy Shop Substance Abuse Policy will negate any written or verbal offers of employment. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an at will nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this at will employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer. Applicant s Signature Date