Employment Form

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Application For Employment

[/vc_column_text][vc_column_text]Equal access to programs, services and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the Human Resources Department.[/vc_column_text][/vc_column][vc_column width=”1/3″][vc_single_image image=”8430″ img_size=”full”][vc_column_text]

3813 W 9th Street Trainer, PA 19061

610-494-9600 | 610-494-9400

Fax: 610-494-4125

Email: sburke85@gmail.com

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    Personal Information

    If you are under 18, and it is required, can you furnish a work permit?*
    YesNo

    Do you have a valid drivers license?*
    YesNo

    Are you legally eligible for employment in this country ?*
    YesNo

    Employment Desired

    Are you employed now?*
    YesNo
    Have you ever been employed here before?*
    YesNo


    Type of employment desired?*
    Full-TimePart TimeSeasonal

    Have you ever pled "Guilty" or "no contest" to, or been convicted of a crime?*
    YesNo

    Educational Background

    School/College Name and Location Years Did you graduate Degree
    High School
    College
    Trade/Other

    References

    People that can help validate information from the application (ie: former employers, managers, supervisors, work associates)

    Name Telephone of Years Known Position

    People that can help validate information your character (ie: personal, friend, mentor)

    Name Telephone of Years Known

    Skills and Qualifications

    Employment History

    YesNoLater


    YesNoLater


    YesNoLater

    Applicant Statement

    I certify that all information I have provided in order to apply for and secure work with the employer true, complete and correct. I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect will be sufficient cause to (i) cancel further consideration of this application, or (ii) immediately discharge me from the employer's service, whenever it is discovered. I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me. I understand that the employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by applicable local, state or federal law. I understand that this application remains current for only 30 days. At the conclusion of that time, If I have not heard from the employer and still wish to be considered for employment, it will be necessary to reapply and fill out a new application. If I am hired, I understand that 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 any specified period or definite 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 the federal immigration laws require me to complete an 1-9 form in this regard.

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

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