Zero-Max

1/3 - APPLICATION FOR EMPLOYMENT

This is a three part online form. Part 1 must be filled out in its entirety, part 2 is voluntary and it is only required that you submit, Name, Date and Position applied for. Part 3 is optional and allows you to upload a resume and cover sheet.

We consider applicants for all positions without regard to race, color, creed, religion, sex, national origin, age, marital status, veteran status, disability, status with regard to public assistance, sexual orientation, membership or activity in a local commission, or any other legally protected status.

Last Name First Name Middle
Address City State Zip
Telephone Number(s) Social Security Number
Email Address

Position(s) Applied For

On what date would you be available to work? Pay Rate Expected
Are you available to work:
Full Time Part Time Shift Work (What Shifts) Temporary Weekends
Are you available to work overtime?
Yes No. If no, please explain
How did you learn about us?

Advertisement Friend Walk-In Employment Agency Relative Other

Are you under 18 years of age? If yes, can you provide required proof of your eligibility to work?
Yes No. Yes No.
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?
(Proof of citizenship or immigration status will be required upon employment) Yes No.
Have you ever plead guilty to or been convicted of a criminal offense, civilian or military? If Yes, please explain
Yes No.
Have you been employed by ZERO-MAX, INC. before?
Yes No.

MILITARY SERVICE – U.S.A.
Branch Number of Years Highest Rank Attained Rank at Discharge Service Duties

EDUCATION / TRAINING
Type of School Name and City of School Did You Graduate? No. of Years Attended
High School Yes No.
College   Yes No.  
    Majors:   Degree(s):
    Minors:  
Other Special Training
Are you presently continuing or planning to continue your education? Yes No.
If yes, please explain:

May we contact your present employer? Yes No.
Other name(s) under which employment may be verified

EMPLOYMENT EXPERIENCE Start with the present or most recently held position
1. Employer
Dates Employed
   Work Performed
From
  
To
Address        
Hourly Wage / Salary
  
Telephone Number(s)  
Starting
  
Final
  
   
Job Title Supervisor          
         
Reason for Leaving              
2. Employer
Dates Employed
   Work Performed
From
  
To
Address        
Hourly Wage / Salary
  
Telephone Number(s)  
Starting
  
Final
  
   
Job Title Supervisor          
         
Reason for Leaving              
3. Employer
Dates Employed
   Work Performed
From
  
To
Address        
Hourly Wage / Salary
  
Telephone Number(s)  
Starting
  
Final
  
   
Job Title Supervisor          
         
Reason for Leaving              

SPECIAL SKILLS AND QUALIFICATIONS Summarize special job-related skills and qualifications acquired from employment or other experience.

I hereby affirm that the information provided on this application (and accompanying resume, if any) is true and complete to the best of my knowledge and agree that falsified information or significant omissions may disqualify me from further consideration for employment and may result in dismissal if discovered at a later date.

I authorize persons, schools, current employer (if applicable) and previous employers and organizations named in this application (and accompanying resume, if any) to provide ZERO-MAX, INC. with any relevant information that may be required to arrive at an employment decision.

I understand that if I am hired, my employment will be at-will, which means that my employment can be terminated, with or without cause, at any time at the option of either ZERO-MAX or me. I also understand that no representative of ZERO-MAX has any authority to enter into an agreement for employment for any specified period of time, or to make any agreement contrary to the statements in this paragraph, except in a formal written contract of employment signed both by me and an officer of ZERO-MAX.

I understand that nothing contained in this employment application or in the interview process is intended to create an employment contract between ZERO-MAX and me either for employment or for the providing of any benefits..
SIGNATURE OF APPLICANT DATE  
 
WE ARE AN EQUAL OPPORTUNITY EMPLOYER