Apply Application for Employment Job Application It is our policy to comply with all applicable state and federal laws prohibiting discrimination in employment based on race, age, color, sex, religion, national origin, disability or other protected classifications. Please carefully read and answer all questions. You may not be considered for employment if you fail to completely answer all the questions on this application. You may attach a résumé, but all fields marked with an asterisk (*) must be filled out. Personal Information Name * Name First First Middle Middle Last Last Suffix (Jr, Sr, III, etc.)JrSrIIIIIIIV Date of Birth * Home Address * City * State * Zip * Mailing address same as home address Mailing address same as home address Mailing Address (If different) City State Zip Email * Cell Phone * Alternate Phone (Optional) Are you legally eligible to work in the U.S.? * Yes No Are you a veteran? * Yes No Are you willing to submit to a backround check? * Yes No Have you ever been convicted of a felony? * Yes No If yes, explain * Position Information What position are you applying for? * Plumber Helper / Apprentice Office Assistant OtherOther Date you can start work * Desired Salary * $ Employment Type Full Time Part Time Temporary Availability Weekdays Weekends Emergency / On Call Do you have a valid driver's license? Yes No Do you have reliable transportation to and from work? Yes No Education Information Highest Education Completed * Please SelectCollege DegreeHigh School Diploma / GED11th Grade10th Grade9th Grade8th Grade7th Grade6th Grade5th Grade4th Grade3rd Grade2nd Grade1st GradeK1None College Degree / Trade School Certification (If applicable) * School Name School Location College Degree / Trade School Certification (If applicable) * School Name School Location Special Skills List any special skills or experience that you feel would help you in the position that you are applying for. 0 of 336 max characters References Please list three professional references not related to you (including their name, address, phone number, and relationship). If you do not have professional references, then list personal, unrelated references. Reference 1 Name Phone Relationship Reference 2 Name Phone Relationship Reference 3 Name Phone Relationship Employment History Current / Prior Job 1 Start with your present or most recent employement and work back. Job Title Start Date I currently work here I'm currently employed here End Date Company Name Supervisor Name Phone Number Company Address City State Zip Code Duties Reason for leaving Starting Salary $ Ending Salary $ May we contact your current employer? Yes No N/A Prior Job 2 Job Title Start Date End Date Company Name Supervisor Name Phone Number Company Address City State Zip Code Duties Reason for leaving Starting Salary $ Ending Salary $ Prior Job 3 Job Title Start Date End Date Company Name Supervisor Name Phone Number Company Address City State Zip Code Duties Reason for leaving Starting Salary $ Ending Salary $ Optional: Upload your résumé Drop a file here or click to upload Choose File Maximum file size: 516MB Certify * I certify that the facts set forth in this Application for Employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize A Royal Flush, Inc. to make an investigation of any of the facts set forth in this application and release A Royal Flush, Inc. from any liability. A Royal Flush, Inc. may contact any listed references on this application. I acknowledge and understand that the A Royal Flush, Inc. is an “at will” employer. Therefore, any employee (regular, temporary, or otherwise) may resign at any time, just as the A Royal Flush, Inc. may terminate the employment relationship with any employee at any time, with or without cause, with or without prior notice to the other party. Digital Signature * Date * Submit Start Over If you are human, leave this field blank. Δ
Application for Employment
Application for Employment