Elevation Staffing Team Application Form

First Name

Middle Name

Last Name

Telephone

Address

City

State

Zip Code

Social Security

Emergency Contact

Employer

Phone Number

Position

Pay Rate

Duties Perforned

Reason For Leaving

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Employment

Address

City

State

Zip Code

Dates Employed Start

Dates Employed End

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School Name

Years Attended

Major

Location

Degree Received

Skills

PLEASE INDICATE ANY SKILLS OR TRADES IN WHICH YOU HAVE EXPIERENCE IN TO BETTER ASSIST YOU IN THE HIRING PROCESS.

DO YOU OWN ANY SAFETY EQUIPMENT? IF YES PLEASE LIST.

ACKNOWLEDGEMENT AND AUTHORIZATION I CERTIFY THAT ALL ANSWERS GIVEN ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED IN THIS APPLICATION FOR EMPLOYMENT AS MAY BE NECESSARY IN ARRIVING AT AN EMPLOYMENT DECISION. IN THE EVENT OF EMPLOYMENT, I UNDERSTAND THAT FALSE OR MISLEADING INFORMATON GIVEN IN MY APPLICATION OR INTERVIEW(S) MAY RESULT IN DISCHARGE. I RELEASE ALL PARTIES FROM ANY OBLIGATION TO PROVIDE ME WITH WRITTEN NOTIFICATION OF THE DISCLOSURE OF EMPLOYMENT RELATED INFORMATION. I UNDERSTAND THAT THIS MAY INCLUDE INFORMATION FOR DISCIPLINARY ACTION OR JOB PERFORMANCES AS EVALUATED BY THIS OR PREVIOUS EMPLOYERS. I RECOGNIZE THAT NEITHER THIS APPLICATION NOR ANY FURTHER EMPLOYMENT IS AN EMPLOYMENT CONTRACT. I RECOGNIZE THAT IF I BECOME EMPLOYED, MY EMPLOYMENT WILL BE ASSURED FOR NO DEFINITE PERIOD OF TIME.

Elevation Staffing Team Application Form

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