Job Apply - The Records Company

Applicant Full Name*:

Home Address:

City/State/ZIP:

Number of years at this address:

Mobile phone:

Daytime phone:

Evening phone:

Social Security Number:

Driver's License (State/Number):

Contact Name:

Relationship to you:

Address:

City/State/ZIP:

Daytime phone:

Evening phone:

Job Position Applied For*:

Full or Part Time?:

Salary Desired($):

per:

Who referred you to our company?:

Do you have any friends or relatives who work here? If yes, please list here:

Have you applied to our company previously?:
Yes No

If yes, when?:

Are you at least 18 years old?:
Yes No

Are you willing to work any shift, including nights and weekends?:
Yes No

If no, please state any limitations:

If applicable, are you available to work overtime?:

If you are offered employment, when would you be available to begin work? :

If hired, are you able to submit proof that you are legally eligible for employment in the United States?:
Yes No

Are you able to perform the essential functions of the job position you seek with or without reasonable accommodation?:
Yes No

What reasonable accommodation, if any, would you request?:

Have you ever been convicted of a felony or misdemeanor?
Yes, I was convicted of on (date) in city state
No

Skill:

Years of Experience?:

Ability or Rating:

Employer Name:

Supervisor Name:

Address:

City/State/ZIP:

Job Duties:

Reason for Leaving:

Dates of Employment (Month/Year):

Employer Name:

Supervisor Name:

Address:

City/State/ZIP:

Job Duties:

Reason for Leaving:

Dates of Employment (Month/Year):

Employer Name:

Supervisor Name:

Address:

City/State/ZIP:

Job Duties:

Reason for Leaving:

Dates of Employment (Month/Year):

Employer Name:

Supervisor Name:

Address:

City/State/ZIP:

Job Duties:

Reason for Leaving:

Dates of Employment (Month/Year):

College/University Name and Address:

Did you receive a degree?:
Yes No

If yes, degree(s) received:

High School/GED Name and Address:

Did you receive a degree?:
Yes No

Other Training (graduate, technical, vocational):

Please indicate any current professional licenses or certifications that you hold:

Awards, Honors, Special Achievements:

Military Service:
Yes No

Branch:

Specialized Training:

Name:

Address:

City/State/ZIP:

Telephone:

Relationship:

Name:

Address:

City/State/ZIP:

Telephone:

Relationship:

Please provide any other information that you believe should be considered, including whether you are bound by any agreement with any current employer:

I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination.

I authorize The Records Company to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.

*I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND AND AGREE TO ITS TERMS.

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Applicant Information

Emergency Contact

Applicant's Skills

Applicant Employment History

Applicant's Education and Training

References

CERTIFICATION

Submission Received

Physical Address

Mailing Address: