Application For Employment
(Please Print)
1. Personal Information
Name: Last First Middle
Present Address
Permanent Address (If different from above)
____________________________________ _____________________
Social Security Number Telephone Number
Federal law prohibits the employment of unauthorized aliens. All persons hired must submit satisfactory proof of employment authorization and identity (valid driver’s license, birth certificate, Green card, etc.) within three days of being hired. Failure to submit such proof within the required time shall result in immediate employment termination.
Position Applied For: ______________________________________________________
1. Is there any information we would need about your name or use of another name for us to be able to check your work record? Please specify:
____________________________________________________________________________________________________
2. Do you have any relatives who are presently (or have formerly been) employed by (Company)?
3. How were you referred to (Company) by? ________________________________________________________________
4. Have you ever been convicted of a felony? Yes ________ No_________
If yes, please explain:
School Name/Location Years _________ Degree/Diploma __________________
Elem/Jr. High________________________________________________________________
High School______________________________________________________________
College_____________________________________________________________
Tech. Training_____________________________________________________________
Other_______________________________________________________________
III. Employment Record Please include all employment for the last five years.
1. ____________________________________________________________________
Company Name (Current/Most Recent Employer) Position Held
________________________________________ _________________________
Address Dates Employed: From To
________________________________________ ___________ _____________
Manager / Supervisor Telephone Wage/Salary
________________________________________ ______________ _____________
Reason For Leaving
2. ____________________________________________________________________
Company Name Position Held
___________________________________ DatesEmployed:_____________ Address From To
___________________________________ __________ ______________
Manager / Supervisor Telephone Wage/Salary
_________________________________________ _______________ __________________
3. __________________________________________________________________
Company Name Position Held
__________________________________________ ____________________________
Address Dates Employed From To
_________________________________________
Manager / Supervisor __________ __________________
Telephone Wage/Salary
____________________________________________________________________________
Reason for Leaving
NOTE: Use a separate sheet to list additional employers, if necessary. We will contact all of the employers listed on this application unless you specifically exclude them below. Please list any employers you do not want us to contact and your reason for the exclusion:
_____________________________ ____________________________________
(Employer’s Name) Reason
____________________________ _____________________________________
(Employer’s Name) Reason
IV. References Please do not include relatives or former employers.
1.____________________________________________________________________________________
Name Years Known
2.____________________________________________________________________________________
Name Years Known
Address Telephone
Occupation
3.___________________________________________________________________________________
Name Years Known
Address Telephone
Occupation
V. Work Availability
1. If your application receives favorable consideration, when will you be available to begin
work?__________________________________________________________________
_______________________________________________________________________
2. Do you have any objection to working overtime?
( ) Yes ( ) No
3. Can you work overtime without prior notice?
( ) Yes ( ) No
4. Can you work on Saturday?
( ) Yes ( ) No
5. Can you work Sunday?
( ) Yes ( ) No
6. Can you travel if required by this position?
( ) Yes ( ) No
VI. Salary / Hourly Rate Requirements
If your application receives favorable consideration, what salary/hourly rate would you require?
$_____________per___________.
Background Research Release
Please read this section carefully and acknowledge your understanding by signing your name in the space below.
I certify that all of the statements made by me on this application for employment are true, correct, and complete to the best of my knowledge.
1. Consent To Conduct Background Investigation
As a condition of and in consideration for (Company)’s consideration of this application, I give permission to (Company) to investigate my personal and employment history. I understand that this background investigation will include, but not be limited to, verification of all information on this application, as well as interviews with past employers. I further give permission to (Company) to conduct this investigation and to discuss the results of this investigation in connection with my application for employment.
2. Consent To Contact Past Employers
I give permission to (Company) to contact all employers listed in this application (except those specifically excluded) for references. I further give permission to all current or previous employers and/or managers or supervisors to discuss my relevant personal and employment history with (Company), consent to the release of such information orally or in writing, and hereby release of such information orally or in writing, and hereby release them from all liability and agree not to sue them for defamation or other claims based upon any statements they make to any representative of (Company). I further waive all rights I may have under state law to receive a copy of any written statement provided by any of my former employers to (Company). I further agree to indemnify all past employers for any liability they may incur because of their reliance upon this release.
3. Consent To Contact Government Agencies
I give permission to any agent, attorney or representative of (Company) to receive a copy of any information obtained in the file of any federal, state or local court, governmental agency, law enforcement agency or investigator concerning or relation to me. I further consent to the release of such information and waive any right under state law concerning notification of the request for a release of such information. In the event a state law does not provide for prospective employers to have access to information, I hereby delegate (Company) as my agent for receipt of information. I understand that the scope of this investigation will be limited to criminal and/or civil records that relate to my honesty, integrity and/or abilities.
4. Cooperation With Investigation
I agree to fully cooperate in (Company)’s background investigation, and to sign any waivers or releases that may be necessary to obtain access to relevant information. In the event that any former employer or federal, state or local governmental agency will not release reference information or criminal history information directly to the employer, I agree to personally request such information to the extent permitted by law.
[ ] Note: Some states prohibit employers from asking applicant to request their criminal records. Check with your state authorities and competent legal counsel prior to making this request.
5. Falsification Statement
I understand that any falsification of willful omission of fact made in this application or in connection with any background investigation may be sufficient grounds for rejection of this application, or, if discovered after an offer of employment, for immediate dismissal.
6. Employment “At Will”
In consideration of my employment, I agree to conform to the rules and regulations of (Company), and my employment and compensation is “at will” in that they can be terminated with or without cause, and with or without notice, at any time, at the option of either (Company) or myself, except as otherwise provided by law. I understand that no manager or representative of (Company), other than the President of (Company), has authority to enter into any agreement for employment for any specified period of time or to make any agreement or contract to the foregoing, and that any promises to the contrary will only be relied upon by me if they are in writing and signed by the President of (Company).
Applicant’s Signature Date
[ ] Portions of this application are reprinted with permission from a 1988 special report, Thieves at work: An Employer’s Guide to Combating Workplace Dishonesty (BSP 98), published by the Bureau of National Affairs, Inc.
Interview Questions
Here are some “must questions” which should be asked during almost every interview. (Notice how a “yes” or “no” answer will not be sufficient).
1. (If presently employed) Why are you seeking a job change?
2. Which of your various jobs did you like the best? The least? Why?
3. Why did you leave your last job? (Repeat for all previous jobs).
4. Tell me about a typical day in your present (or last) job.
5. What type of criticism has your former manager given you?
6. If you could have made improvements in your last job, what would they have been?
7. What has been the most interesting job or project so far in your career?
8. How do you think you could improve yourself?
9. Describe the best person who ever worked for you or you ever worked for.
10. What kind of people annoy you?
11. How do you think your previous experience ties in with the job we have open?
12. Describe emergencies in some of your jobs for which you had to reschedule your time.
13. In what way would you like our company to assist you if you join us?
14. What is your long-term ambition or goal in life?
Special Questions For Sales Applicants
1. What would you say if a customer says “Your price is too high.”?
2. What would you say is a customer says, “I am satisfied with my present supplier.”?
3. What would you say if a customer says, “We don’t need that high a quality.”?
4. Who has been the most interesting client or customer so far in your career?
Questions To Trip-Up The Applicant
1. Give the applicant a problem to solve. “What would you do if you were closing a convenience store and a customer wanted something special?”
2. Keep asking “Why?” Act like you are not satisfied with the answer to a question. Keep pushing for more information.
3. Sit and stare. Not a nice thing to do, but it does make applicants squirm a little. See how they handle it. You may get more information.
4. Be critical. “Do you think it was smart of you to drop out of high school?’ “Don’t you ever wonder why you can’t keep a job very long?” This will show you how the applicant can handle criticism.
. Schedule interruptions. See if the person can pick up the pieces and get back on track.
Finally, here are some things to look for in “body language” during the job interview.
1. Signs of nervousness; Look for chair-tilting, jumpiness, nail-biting, tics, slouching in chair, hand movements.
2. Poor grooming: Observe shoes, fingernails, make-up, hair grooming, choice of clothing, cleanliness and neatness.
3. Use of pat phrases: Listen for verbal crutches, such as “To tell you the truth:” “Frankly,” “Basically,” and “You know.”
4. Lapse of memory: Inability to remember dates, job changes, and important events.
In summary, keep in mind that you are buying, not selling, when you conduct an interview. You have a right to be choosy.
The applicant should demonstrate selectivity, and not just appear to be taking any job that comes along. Today, the astute applicant (who may turn out to be an excellent employee) will want to know all about your company to determine how well they will fit into your company culture. Conversely, some managers become a little suspicious of the applicant who asks about the details of the dental insurance coverage, or how long it takes to be covered under health insurance.
Some Questions NOT To Ask
Train yourself (and anyone who does interviewing for you ) to refrain from asking any questions of the type below:
1. What nationality are you? Is that a particular ethnic group surname?
2. What church are you a member of? Do your children go to Sunday school?
3. What does your spouse do for a living?
4. Who will take care of your children after school?
5. Are you planning any additions to your family?
6. Are you engaged to be married? Do you go steady with anyone at this time?
7. Do you speak, read or write a foreign language? (Ask only if job-related, and then only ask about the language requirements)
8. How will you get to work every day?
9. What was your mother’s maiden name? Was your name ever changed from what it is now?
10. Do you own a car? Can you drive a car? (Ask only if needed as a job requirement, E.G., for sales work, deliveries, etc.).
11. Did you ever receive unemployment compensation after leaving a former job?
12. Why were you discharged from military service? Are you a member of the reserves? Will you have to go to guard camp every
year? Do you get a disability pension?
13. When do you plan to retire?
14. Do you have a bank account? (Checking account, IRA, stocks, bonds, own your home, own rental property…)
15. Do you have a second job? (You may ask if a second job conflicts in any way with your business objectives or customers’
needs.)
16. When will your baby be delivered?
17. Is your roommate male or female?
18. Have you ever been arrested? (It is all right to ask if they have ever been convicted of a felony or a major misdemeanor.)
There are many more “illegal” questions. In general, avoid anything related to age, sex, color, race, creed, national origin, religious persuasion, marital status, political belief, physical well-being, or disabilities. Ask only job-related questions. Remember, make notes on a separate sheet, not on the application form itself.
Sample “At Will” Employment Offer Letter
[ ] Mail two originals to prospective new hire, including a self-addressed stamped envelope.
XXX (Date)
Dear XXX (Prospective Employee):
(Company) is pleased you have agreed to accept our offer of employment. As discussed, you will assume the position of XXX (Position Title) in our XXX (Location), reporting directly to Mr./Ms XXX (Name of Manager), the XXX (Manager’s Title). This letter will serve to confirm our understanding of your acceptance of this position.
1. Your responsibilities will be those outlined in the enclosed job description and described to you during your discussions with (Name of Interviewers).
2. You will be compensated with a (weekly/biweekly/monthly) salary in the amount of $XXX (Amount). Your first (30/ 60/ 90) days of employment with (Company) are considered an Introductory Period, and during that period you will not accrue any benefits described in the Employee Manual unless otherwise required by law. Completion of the Introductory Period does not guarantee continued employment for any specified period of time, nor does it require that a dismissal be based on “cause.”
3. As an employee of (Company), you will be provided with a copy of the (Company) Employee Manual and insurance booklets which outline our personnel policies and benefits program. Please read these materials thoroughly, and sign and return a copy of the "Receipt & Acknowledgement Of (Company) Employee Manual.” Any questions regarding (Company) policy, benefits administration or eligibility should be directed to XXX (Name/Department).
4. As indicated on the application form you completed, your employment and compensation with (Company) are “at will” in that they can be terminated with or without cause, and with or without notice, at any time, at the option of either (Company) or yourself, except as otherwise provided by law. The terms of this offer letter, therefore, do not and are not intended to create either an express and/or implied contract of employment with (Company). No manager or representative of (Company), other than the President of (company), has authority to enter into any agreement for employment for any specified period of time or to make any agreement or contract to the foregoing, and any promises to the contrary may only be relied upon by you if they are in writing and signed by the President of (Company).
5. Our offer to hire you is contingent upon your submission of satisfactory proof of your identity and your legal authorization to work in the United States. If you fail to submit this proof, federal law prohibits us from hiring you.
6. Although your initial assignment is in our XXX (Location), you may be transferred to any of our locations as business needs shall dictate.
7. We will expect you to begin work on XXX (Day, Date, and Time) at our XXX (Location).
Mr. / Ms. XXX (Prospective Employee), If you agree with and accept the terms of this offer of employment, please sign below and return this letter to our office. We are confident your employment with (Company) will prove mutually beneficial, and we look forward to having you join us.
Very truly yours, Accepted by:
XXX (Name), XXX (Title) ____________________Date________________
Enclosure
[ ] Modify this checklist as needed to suit the needs of your company.
Employee:__________________________________Manager:___________________
Department:________________________________ Starting Date:________________
l. ______________Send official confirmation letter containing:
a. __________________ Job Title
b. __________________ Starting date, time, place to report
c. __________________ Rate of pay
d. __________________ Effective date of group insurance coverage:
(assuming Introductory Period has passed,
and employee retained).
e. __________________ Confirmation letter signed by President / Personnel Administrator
2. ___________ Provide appropriate information on new employee in order to update company phone directory. (Operator / receptionist should also be notified.)
Completed By:_______________________________ Date:____________________
[ ] Modify this checklist as needed to suit the needs of your company.
To Be Completed By Manager/Supervisor Prior To New Hire’s First Day
Employee: ____________________________ Manager: _________________________
Department: __________________________ Starting Date:_________________________
1. _______ Coordinate with Personnel Administrator.
a. _________Acceptance Notification
b. __________First day sign-up process
c. __________New Employee Orientation Schedule
2. _______ Advise those concerned of new employee’s scheduled
arrival (other supervisors, co-workers, etc.).
3. _______ Provide those concerned with the new employee’s name and responsibilities so they can make the new employees feel
welcome. (Provide the name by which the employee wishes to be called.)
4. ________ Assign a lead or training person to provide help and guidance to new employee.
5. ________ Review Job Description and determine new employee’s major
responsibilities.
6. ________ Design challenging initial work assignments (significant work with
achievable goals).
7. ________ Make certain your schedule will allow you to be present to greet new
employees.
8. ________ Prepare physical work area (supplies, equipment, etc.).
9. ________ Discuss planned training timetable and procedure for new employee
with those concerned (co-workers, their new manager, etc.).
10. _________Review entire checklist as a reminder of points to be covered.
Completed By:_______________________Date:________________
[ ] Modify this checklist as needed to suit the needs of your company.
Employee:________________________________
Manager:_________________________________
Department:__________________________ Starting Date______________________
1. ______ Greet new employee upon their return from Personnel Administration. a. _____ Conduct tour of department and other operation areas. b. _____ Introduce staff. (Prepare list of names and functions.) c. _____ Orient new employee to immediate work area. (Location of washrooms, break room, cafeteria, exit locations, and other facilities within building.) d. _____ Orient new employee to department’s reference materials and supplies. 2. ____________ Conduct initial meeting with new employee to cover the following: a. ______ Scheduled work hours. b. ______ Importance of being on time. c. ______ Use of time scheduling procedures (time clock, work schedule, etc.) d. ______ Attendance Policy / Absence Reporting Procedure (Illness, accidents, death in family, etc. – how to report). e. ______ Compensation information (salary grade and range, overtime pay, etc.) f. ______ When and how paid (inform new employee of banks in area). g. ______ Overtime policy. h. ______ Meal periods and breaks (inform new employee of restaurants in area). i. _______ Parking facilities. j. _______ Use of telephone and telephone protocol. k. _______ How the employee can be reached in case of emergency. l. _______ Security regulations (ID, passes, keys, ets.) m. _______ Review position description with new employee, explaining you will have a meeting to discuss it in greater detail within the next 1 to 2 weeks. n. _______ Discuss importance of new employee’s position. o. _______ Introduce new employee to training person assigned to help them. p. _______ Orient new employee to their work area and ensure all necessary supplies and materials are available to begin first task. 3.____________ New employee’s question and answer time.
Completed By: _____________________________Date:_________________________
[ ] Modify this checklist as needed to suit the needs of your company.
Employee:__________________________________
Manager:______________________
Department:_________________________________ Starting Date:__________________
1. _______ Conduct new hire sign-up program covering the following:
a. ________ Corporate mission statement
b. _________ Brief description of what we do
2. ________ Review the employee benefits.
3. _________ Complete the appropriate forms.
4. _________ Supply new employee with the following:
a. _________ Manual (signed receipt required)
b. __________ ID badge and instructions on its use.
c. __________ Health plan materials and effective date of coverage.
5. __________ Show any video presentation your company may have produced or purchased.
[ ] Modify this checklist as needed to suit the needs of your company.
To Be Completed By Manager/Supervisor Within New Hire’s First Week
Employee:_______________________Manager:________________________________
Department:_________________________Starting Date:_________________________
a. ____ Discuss corporate mission and relate it to the departmental goals.
b. _____ Discuss departmental goals, explaining how your new employee’s job
purpose and major responsibilities relate to your business objectives.
c. _____ Identify key areas where the new employee will contribute. (Key
result areas and responsibilities).
d. _____ Prioritize the employee’s key responsibilities.
e. _____ Explain periodic review of performance.
f. _____ Answer any questions the employee has at this point.
Completed By:____________________Date:______________________
