Application
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This document is an employment application for Textbook Brokers. It requests basic applicant information such as name, address, phone number, email, availability, education history, references, and previous employment details. It also includes a disclaimer and signature section where the applicant agrees to background checks, drug tests, and consents to the company's right to search personal property and electronic communications on company devices. The applicant acknowledges the at-will nature of any potential employment and that misrepresentations are cause for rejection or termination.
Application
- 1. 1 Textbook Brokers “An Equal Opportunity Employer” Employment Application Applicant Information Full Name: Date: Last First M.I. Address: Street Address Apartment/Unit # City State ZIP Code Phone: Email Date Available: Social Security No.: Desired Salary:$ Are you a citizen of the United States? YES NO If no, are you authorized to work in the U.S.? YES NO Have you ever worked for this company? YES NO Availability? Have you ever been convicted of a felony? YES NO If yes, explain: Education High School: Address: From: To: Did you graduate? YES NO Diploma:: College: Address: From: To: Did you graduate? YES NO Degree: Other: Address: From: To: Did you graduate? YES NO Degree: References Please list three professional references. Full Name: Relationship: Company: Phone: Address: Full Name: Relationship:
- 2. 2 Company: Phone: Address: Previous Employment Company: Phone: Address: Supervisor: Job Title: Starting Salary:$ Ending Salary:$ Responsibilities: From: To: Reason for Leaving: May we contact your previous supervisor for a reference? YES NO Company: Phone: Address: Supervisor: Job Title: Starting Salary:$ Ending Salary:$ Responsibilities: From: To: Reason for Leaving: May we contact your previous supervisor for a reference? YES NO Company: Phone: Address: Supervisor: Job Title: Starting Salary:$ Ending Salary:$ Responsibilities: From: To: Reason for Leaving: May we contact your previous supervisor for a reference? YES NO Disclaimer and Signature I hereby authorize all of my prior employers, credit bureaus, the officials of all schools which I have attended or been associated with, any person named above on this application blank, all public officials, and any other person or entity to give any information regarding my employment, personal habits, ability, criminal record, or any other relevant information they may have regarding me whether or not it is on their records. I hereby release said employers, schools, public officials and other persons and entities, from any and all liability for any damage whatsoever which might result from their revealing or furnishing this information. I understand that an investigation may be made whereby information is obtained through personal interviews with neighbors, friends, and others with whom I am acquainted, as well as from credit bureaus. This may include information as to character, general reputation, personal
- 3. 3 characteristics, credit history or mode of living. I know that I have the right to make a written request within a reasonable period of time for a complete and accurate disclosure of information concerning the nature and scope of this investigation. I understand and accept that as part of the application and employment process, and/or during employment with Company I may be asked to submit to physical examinations which may include testing for alcohol and drugs, and/or be fingerprinted, all in accordance with law. By signing this application, I hereby agree to submit to such examinations and release all persons and companies from any liability arising out of such examinations, tests and fingerprintings. I further agree that the examining person may disclose to Company or its representative the results of same. If employed, I agree to conform to all policies, practices and procedures of Company and acknowledge that these may be changed, interpreted, withdrawn, or amended by Company at any time, at Company’s sole option and without any prior notice to me. I consent and agree that Company shall have the right to search my personal property located on Company property, along with Company’s desks, closets, et cetera, for the purpose of investigating possible violations of company’s rules/policies. This also includes access to my telephone conversations and e-mails or other types of electronic communications. I further acknowledge that my employment, or any offer of employment, if such is made, may be terminated, with or without cause, and with or without prior notice, at any time, even after acceptance, at the option of Company or myself. I understand that no representative of Company has any authority to enter into any agreement with me of any nature and do hereby state that none has so been asserted to me by anyone. I HEREBY STATE THAT ALL FACTS GIVEN ARE CORRECT TO THE BEST OF MY KNOWLEDGE AND ANY MISREPRESENTATION OR OMISSION ON MY PART IS CAUSE FOR REJECTION OR TERMINATION. Signature: Date: Please Attach A Copy of Your Fall Course Schedule!