Application For Employment

Personal Information:
Name: Social Security Number:
Street Address: City: State: Zip:
Telephone: Cellular Phone:

Have you been employed at Futures Unlimited Inc. Before

Yes    Dates and Positions
No
For what position are you applying:

Type of employment desired:

Full-time
Part-time
Temporary
Seasonal
Educational co-op
Date available for work: Desired salary range: $ per
How many hours per week do you want to work:
During what times are you available to work:

Are you willing to work:

Nights? Yes No  
Overtime? Yes No  
Weekends? Yes No
Holidays? Yes No

When could you begin work:

Are you at least 16 years old?

Yes
No

Are you at least 18 years old?

Yes
No

Are you legally eligible for employment in this country?

Yes
No

 

Skills and Experience:
Please list any special qualifications, training, education, skills or experience you feel warrant consideration by Futures Unlimited, Inc.:
Please list any computers or equipment you can operate which might be useful in the job for which you are applying:

 

Education:
Highest elementary or high school grade completed:

Did you graduate from high school?

Yes
No
GED

College, university, business or trade schools:

1.) Name:
Location:
Full- or part-time study: Full-time Part-time
Major Field of study: Hours of credit:
Degrees conferred:

2.) Name:
Location:
Full- or part-time study: Full-time Part-time
Major Field of study: Hours of credit:
Degrees conferred:

 

 

Work Experience:

List all employment: Most recent employer first.

Name of present or last employer:
Type of business:
Address: City: State:
Starting date (mo./yr.) Leaving date (mo./yr.)
Starting salary: Final salary:
Job title:
Name of supervisor:
Type of job: Full-time Part-time

Job description and responsibilities:

Explain reasons/circumstances for changing or wanting to change jobs:

Employer's phone number:

Your next most recent employer:

Name of present or last employer:
Type of business:
Address: City: State:
Starting date (mo./yr.) Leaving date (mo./yr.)
Starting salary: Final salary:
Job title:
Name of supervisor:
Type of job: Full-time Part-time

Job description and responsibilities:

Explain reasons/circumstances for changing or wanting to change jobs:

Employer's phone number:

Your next most recent employer:

Name of present or last employer:
Type of business:
Address: City: State:
Starting date (mo./yr.) Leaving date (mo./yr.)
Starting salary: Final salary:
Job title:
Name of supervisor:
Type of job: Full-time Part-time

Job description and responsibilities:

Explain reasons/circumstances for changing or wanting to change jobs:

Employer's phone number:

 

Legal:

Have you ever been arrested for or convicted of a crime other than a routine traffic violation?:

Yes    Date of arrest or conviction:
No
Please explain:

Conviction of a crime will not necessarily disqualify you from consideration for employment.

Can you meet this organization's requirements for a drug and alcohol-free work place?

Yes
No

Application Statement
By signing this application for employment, I certify that I have read and understand all parts of it and certify that I have truthfully and completely answered all questions. I understand that falsification of any of the information given herein or on any other employment form is grounds for immediate termination, regardless of when such falsification may be discovered.

I authorize Futures Unlimited, Inc. and its representatives to investigate my education, employment experience, criminal conviction records and all other aspects of my background relevant to my proposed employment, including all statements made by me in my application for employment.

Further, I understand that if I'm hired I am free to resign at any time with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for a specified period or defined duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employer's president.

I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal laws require me to complete an I-9 Form in this regard.

I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement.

This application will be considered valid for no more than 90 days following date of submission.