If you wish to submit a resume but do not have one to e-mail, please provide
the following Employment information THEN PRESS THE
SUBMIT BUTTON AT THE BOTTOM OF THE FORM :
Social Security
#:
Drivers License
#:
Drivers License
State:
Position(s) Applying for
:
Date of Application
:
--
mm/dd/yy
How did you learn about us?
:
Newspaper
AD Friend
Walk-In
Relative
Other
If "Other", list
here....
Have you ever filed an application
with us before ?:
Yes
No
If "YES", then enter the
date:
-- mm/dd/yy
Have you ever been employed by us
?:
Yes
No
If "YES", then enter the date:
-- mm/dd/yy
Are you currently employed ?: Yes
No
May we contact your present employer
?:
Yes
No
On what date are you available to
start ? :
-- mm/dd/yy
Are you available to
work:
Full-Time
Part-Time
Temporary
Have you been convicted of a felony
within the last 7 years ?:
Yes
No ( A conviction will not necessarily disqualify an
applicant from employment )
If YES, please
explain:
Education
Background:
Grammar School
High
School
College
Vocational Training:
Graduate degree:
Training in what field :
Personal References 1
:
Personal Reference
2:
Personal Reference
3:
Please list any certificates or
License 1:
Please list any certificates or
License 2:
Please list any certificates or
License 3:
Employment
History1:
Hire Date 1:
--
mm/dd/yy
Ending Date 1:
--
mm/dd/yy
Starting Pay 1:
Ending Pay 1:
Reason for leaving 1
?
Employment History
2:
Hire Date 2:
--
mm/dd/yy
Ending Date 2:
--
mm/dd/yy
Starting Pay 2:
Ending Pay 2:
Reason for leaving 2
?
Employment
History3:
Hire Date 3:
--
mm/dd/yy
Ending Date 3:
--
mm/dd/yy
Starting Pay 3:
Ending Pay 3:
Reason for leaving 3
?
AGREEMENT
The information provided in this application
for the is true, correct and complete. If employed, any misstatement or
omission of facts on this application may result in my dismissal. I understand
that acceptance of an offer of employment does not create a contractual
obligation upon the employer to continue to employ me in the future.
I understand that my employment with Bachman's Inc., should
I be offered employment, I will not begin until I have proven that I am
authorized to work in the United States of America.
This company has a policy that prohibits the possession and/or use of illegal
drugs. I understand that I will be required to sign a CONFIDENTIALITY AGREEMENT
relevant to the business operation and activities of my employer.