Employment

Interested in joining the Engleside team? Fill out the form below to apply today!

INSTRUCTIONS

PLEASE ANSWER ALL QUESTIONS. Enter N/A if not applicable. Resumes are not accepted in lieu of the completion of this application.

***IMPORTANT - Upon submitting the form, all required fields are checked and if you missed any field or filled in anything incorrectly, you will receive a message indicating errors. Please scroll back up through the form, fix all of your mistakes, and submit again. Form will not be processed without required fields filled out appropriately! ***

Note: This document was designed to use with several types of positions. Some questions may not be completely applicable to the job/position you are seeking; however, we ask that you fully complete all areas of information.

APPLICANT INFORMATION

Position(s) applied for:
Date of application:

Name:
Address:
Email:
Telephone:
Other Phone:

Have you previously filed an application with this company?
If yes, give date:
Have you previously been employed by this company?
If yes, give date:

Please list any relatives or friends who are employed at this worksite and their relationship to you:

Can you perform the essential functions of the position for which you are applying:
If no, please explain (If you have any questions as to what functions are applicable to the position for which you are applying, please ask before you answer this question):

Do you have the legal right to work in the United States:

Date available for work?
(NOTE: You will be required to provide appropriate document(s) for completion of the I-9 at the time of employment)

Type of employment desired: Full-timePart-timeTemporarySeasonal

Do you have a reliable means of transportation which will enable you to be at work as required?

Will you work overtime if asked?

If required, are you able to work evenings and weekends:

Are there any hours, shifts, or days you will not work?
If yes, please explain:

Desired Salary:

SKILLS AND QUALIFICATIONS

Summarize any training, skills, licenses, and/or certificates that may qualify you as being able to perform job-related functions in the position for which you are applying:

Other languages (Please indicate if read, written, or spoken):

Driver's License (Only complete if required for position):
Do you have a driver's license?
If yes, Driver's License Number:
Class: ABCDE
State:
Expiration Date:

EDUCATION

High School

Number of Years Completed:
Degree:
Major Course of Study:
College

Number of Years Completed:
Degree:
Major Course of Study:
Graduate School

Number of Years Completed:
Degree:
Major Course of Study:
Trade, Business, Night or Correspondence School

Number of Years Completed:
Degree:
Major Course of Study:

Honors Received:

REFERENCES

List three individuals, not relatives whom you have known at least one (1) year.
#1: Years Known:

#2: Years Known:

#3: Years Known:

EMPLOYMENT EXPERIENCE

List your last three (3) previous employers (most recent first). Account for all time periods including unemployment, self-employment, and military service. This section must be completed in full in addition to any attached resume.

Employer 1
Name:
Address:
Dates Employed: From To
Immediate Supervisor:
Job Title:
Telephone Number:
Work Performed:

Reason for Leaving:
Employer 2
Name:
Address:
Dates Employed: From To
Immediate Supervisor:
Job Title:
Telephone Number:
Work Performed:

Reason for Leaving:
Employer 3
Name:
Address:
Dates Employed: From To
Immediate Supervisor:
Job Title:
Telephone Number:
Work Performed:

Reason for Leaving:

Please provide an explanation for any lapse of employment:

Have you ever been dismissed or forced to resign from employment?
If yes, please explain:

APPLICANT’S STATEMENT, AUTHORIZATION, AND RELEASE

By submitting this application or other documents, I agree to conform to the rules and regulations of the Company, including an Introductory Period (if applicable). I certify that the information provided in this Application for Employment is correct and complete. I authorize the investigation of this information and give permission for the Company, or their designated representatives to contact schools, previous employers, personal references and others to verify the data I have supplied. I release and indemnify the Company from any claims or liability resulting from such inquiry. In addition, I release the schools, my previous employers, and other individuals from all liability as a result of responding to such inquiries. I understand that my misrepresentation, omission of fact(s), or incomplete information may disqualify me for employment with the Company. In addition, if I am employed by the Company, any discovery of misrepresentation or omission of fact(s) on this Application for Employment following my employment may result in discipline up to and including termination.

I understand and agree as a condition of employment that I will be required to take a drug and/or alcohol test as per Company Policy and that I have read or will read the Drug-Free Workplace Policy that has been provided to me with this Application for Employment.

I understand that employment with the Company is for no guaranteed period of time and may be terminated by myself, the Company with or without notice. I acknowledge that any promise, policies, business practices, procedures, or documents (including the Company’s Employee Handbook) do not constitute an employment contract or modification of the at-will employment relationship between the Company and me.

THE COMPANY’S STATEMENT

The Company complies with the Americans with Disabilities Act of 1990. During the interview process, you may be asked questions regarding your ability to perform job-related responsibilities. If the Company extends an offer of employment to you, you may be required to complete a post-job offer medical history questionnaire and/or undergo a medical examination or drug screening.

The Company is an equal employment opportunity employer. It is the policy of the Company to make employment decisions without regard to race, color, religion, sex, age, national origin disability, sexual orientation, marital status or any other protected category.

Applicants who are accepted for employment with the Company should understand that while every effort is made to provide continuous work, there are no employment contracts and the permanency of any position is not guaranteed.

DISCLAIMER and SIGNATURE

Please read carefully before signing:
The Company is an equal opportunity employer. The Company does not discriminate in employment on account of race, color, religion, national origin, citizenship status, ancestry, age sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service.

I understand that neither the completion of this application nor any other part of my Application for Employment establishes any obligation for the Company to hire me. If I am hired, I understand that either the Company or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of the Company has the authority to make any assurance to the contrary. I further understand that my employment is conditional upon satisfactorily completing a drug screen and/or background and reference checks.

I attest with my signature below that I have given to the Company true and complete information on this application. No requested information has been concealed. I authorize the Company to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute just cause for the denial of employment or immediate dismissal.

LIMITATION OF CLAIMS: I agree that any action or suit against the company arising out of any employment or termination of employment must be brought within six months of the event giving rise to the claim or be forever barred. I waive any statute of limitations to the contrary.

Signature:
Date:

FAIR CREDIT REPORTING ACT NOTIFICATION

You are notified that in connection with your application for employment (including contract for services) and/or active employment with the Company, a consumer report and/or investigative report which may contain public record information may be requested and/or made on you. This report may include consumer credit, criminal records, driving records, education history, prior employment verification and other information for the purpose of considering you for employment, promotion, reassignment or retention with the Company.

These reports may include information regarding your career experience along with reasons for termination of past employment, information regarding your character, reputation, personal characteristics and/or mode of living and will be obtained from public or private record sources or through personal interviews. Information may also be requested from various Federal, State, local or other agencies.

Before a consumer and/or investigative report is requested, you will be asked to complete a Disclosure and Consent Form. You will be provided the name and address of the consumer-reporting agency to which the request for information is being made. You will have the right to a complete disclosure of the nature and scope of the investigation and a written summary of your rights under the Fair Credit Reporting Act.

Signature:
Date: