Online Job Application

Fields highlighted in red are required.

Personal Information:
First Name:
Last Name:
Street:
City:
State:
Zip:
Home Phone:
Daytime Phone:
Evening Phone:
Cell Phone:
Email Address:
Have you been employed at Futures Unlimited Inc. before?	Yes No

Dates and Positions:

For what position are you applying?
Type of employment desired; you may check both if desired:	Full time Part time
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?
When are you willing to work? Check all that apply:	Nights Overtime Weekends Holidays
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:

Name:
Location
Full or part time study?	Full time Part time
Major field of study?
Hours of credit:
Degrees conferred:

Name:
Location
Full or part time study?	Full time Part time
Major field of study?
Hours of credit:
Degrees conferred:

Work Experience:
Have you ever been discharged or asked to resign from any employment?	Yes No
List employment; most recent employer first.
Name of present or last employer:
Type of business:
Address:
City:
State:
Starting Date:
Leaving Date:
Starting salary:
Final salary:
Supervisor:
Type of job:	Full time Part time

Job description and responsibilities:

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

May we contact this employer?

Yes No

Employer's phone number:


Your next most recent employer:
Name of present or last employer:
Type of business:
Address:
City:
State:
Starting Date:
Leaving Date:
Starting salary:
Final salary:
Supervisor:
Type of job:	Full time Part time

Job description and responsibilities:

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

May we contact this employer?

Yes No

Employer's phone number:


Your next most recent employer:
Name of present or last employer:
Type of business:
Address:
City:
State:
Starting Date:
Leaving Date:
Starting salary:
Final salary:
Supervisor:
Type of job:	Full time Part time

Job description and responsibilities:

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

May we contact this employer?

Yes No

Employer's phone number:

Legal:
Have you ever been arrested for or convicted of a crime other than a routine traffic violation?	Yes No Conviction of a crime will not necessarily disqualify you from consideration for employment.

Please explain:

Can you meet this organization's requirements for a drug, alcohol and smoke-free work place?	Yes No
Do you have a valid drivers license?	Yes No

Miscellaneous:
How did you hear about this job?	Newspaper Website Channel 5 Other

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.

Online Job Application

Personal Information:

Skills and Experience:

Education

College, university, business or trade schools:

Work Experience:

List employment; most recent employer first.

Your next most recent employer:

Your next most recent employer:

Legal:

Miscellaneous:

Application Statement: