Once sent, your application will be reviewed and within two weeks you will be notified by email if selected for an interview. Send any inquiries to: firstname.lastname@example.org. No phone calls, please.
Are you legally eligible to work in the U.S.?
Have you ever been convicted of a felony?
Please list employment history, starting with most current job. Dates of employment, Job Title, Company, Primary Responsibilities (for example: January 2022–November 2023, Custodian, ACME Inc., General cleaning and maintenance).
Please describe any other work or volunteer experience that might relate to the advertised position.
Please indicate highest level of education completed.
List School(s) and Dates Attended.
Please list 2–3 references (preferred references are previous employers or supervisors). List name, contact phone, and relationship to the reference (for example: John Doe, 123-456-7890, former supervisor at ACME Inc.).
I certify that the information contained in this application is correct to the best of my knowledge. I understand that to falsify information is grounds for refusing to hire me, or for discharge should I be hired.
I authorize any person, organization, or company listed on this application to furnish you any and all information concerning my previous employment, education, and qualifications for employment. I also authorize you to request and receive such information.
In consideration for my employment, I agree to abide by the rules and regulations of the Delaplaine, which rules may be changed, withdrawn, added or interpreted at any time, at the Delaplaine’s sole option and without prior notice to me.
I also acknowledge that my employment may be terminated, or any offer or acceptance of employment withdrawn, at any time, with or without cause, and with or without prior notice at the option of the Delaplaine or myself.
Please check all that apply below.
Please sign (type) your name below to acknowledged the contents of this application.