Please also note that all other employment background check, drug screening, driving record and state release authorization forms are available in a PDF format file to our Automated Employment ScreeningClients. All of these FCRA compliant release documents may be e-mailed to the applicants and easily completed online.
The NFIB National Federation of Independent Business is an organization that provides small businesses with a number of benefits that include:
Sample Application For Employment Application Forms
Editable versions available on the NFIB web site. https://www.nfib.com/member-vantage/employee-management/forms/
SAMPLE APPLICATION FOR EMPLOYMENT
[ Insert your company logo and address]
[Company] is an equal opportunity employer and does not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion, ancestry, age, sex, marital status, national origin, disability or handicap, or veteran status.
PERSONAL:
Name ________________________________________ Date __________ Last First Middle
Address _______________________________________________________ Number & Street City State Zip Code
Position Sought ____________________ ___ Full Time ___ Part Time
Date Available ________ Salary Desired ________ Phone # _________
Email Address ________
Social Security Number ___________
Are you over 18 years old? __ Yes __ No
Are you legally eligible for employment in the United States? __ Yes __ No (If offered employment, you will be required to provide documentation to verify eligibility.)
EDUCATION: Please indicate education or training which you believe qualifies you for the position you are seeking.
High School: No. of Yrs Completed (circle one) 1 2 3 4 Diploma: __ Yes __ No G.E.D.: __ Yes __ No
Course _______________ Degree or Certificate Earned ______________
PROFESSIONAL LICENSE OR MEMBERSHIP:
Type of License(s) Held__________________________________________
State of [State Name] License Number ___________________________________
License Expiration Date ___________________________________________
Other Professional Memberships ____________________________________
(You need not disclose membership in professional organizations that may reveal information regarding race, color, creed, sex, religion, national origin, ancestry, age, disability, marital status, veteran status or any other protected status.)
This application for employment is good for 30 days only.
Consideration for employment after 30 days requires a new application.
SKILLS : Office: Typing _____ wpm.__ Microsoft Word __ Excel __ PowerpointOther Software Skills ___________________________________Have you ever been employed in any facility of [Company]? __ Yes __ NoIf so, please state facility name and location and dates of employment ______________________________RECORD OF CONVICTION : During the last ten years, have you ever been convicted of a crime other than minor traffic offense? __ Yes __ NoIf yes, explain: _________________________________________________(A conviction will not necessarily automatically disqualify you for employment. Rather, such factors as age and date of conviction, seriousness and nature of the crime, and rehabilitation will be considered).EMPLOYMENT: List last employer first, including U.S. Military Service.May we contact your present employer? ____ Yes ____ NoIf any employment was under a different name, indicate name _____________Employer ____________________ Address _________________________Telephone _______________ Position _______________Dates of Employment: From _____ To _____ Mo/Yr Mo/YrSalary __________ Supervisor ________________ Department __________
Duties _________________________________ FT __ PT __ No. of Hrs.___
Reason for Leaving ______________________________________________
Name ___________________Address ___________________
___________________
Email ___________________
Phone (_____)_____________
Name ____________________Address ___________________
____________________
Email ____________________
Phone (_____)______________
REFERENCES:
APPLICANT’S CERTIFICATION AND AGREEMENT
I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize [Company] to verify their accuracy and to obtain reference information on my work performance. I hereby release [Company] from any/all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based on such information.
I understand that, if employed, falsified statements of any kind or omissions of facts called for on this application shall be considered sufficient basis for dismissal.
I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules and regulations of employment of the Employer. However, I further understand that neither the policies, rules, regulations of employment or anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is for an indefinite duration and at will and that either I or the Employer may terminate my employment at any time with or without notice or cause.
Signature of Applicant ________________________ Date: __________
All of our reports are FCRA compliant
Our Automated Employment Screening provides an applicant controlled process that allows
FCRA compliant background check forms, including Electronic Chain-Of-custody forms
and releases to be completed online by the applicant.
We provide several short videos to easily acquaint you with the system.
This makes the background check process fast and easy.
Call Us now at 800-459-3034 and begin ordering instant driving records and background checks within minutes or:
A price list will be promptly e-mailed to you.
Disclaimer None of the information contained in this web site should be construed as legal advice. All forms, policies, information and procedures should be reviewed by your legal counsel before being used in any way.
