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Employment Application

THIS APPLICATION IS NOT AN EMPLOYMENT CONTRACT but merely is intended to evaluate suitability for employment. It is the policy of 'Man to Man' to provide equal employment to all qualified persons without discrimination on the basis of sex, race, color, religion, age, national origin, citizenship, disability, veteran status, or any other status protected under local, state or federal law. It is also the policy of 'Man to Man' to have the option of conducting pre-employment screening before a job offer is made. This application will remain active for 3 months.
Job Posting Select Posting to Apply for: 
Personal Information
First Name: Middle Name: Last Name:
Home Phone: Work Phone: Cell Phone:
Email Address:

Addresses
Street: City: State: Post Code:
Current Address:
Education
School Attended: City: State: Diploma: Degree/Cert.: Area of Study
High School: GED:
Undergrad School:
Grad School:
Other School:
Employment Information
Position Applied For: Date You Can Start: Desired Salary: $
Do You Prefer: Can you work:  Weekends
 Evenings 		Available: M Tu W Th F Sa Su
Not Available:
Please answer all of the following questions.
1. Have you worked for Man to Man before?
If yes, please provide dates and locations.
2. Have you worked in retail before?
3. Do you understand the job requirements?
4. Are you currently employed?
If so, where?
5. Have you ever been discharged or asked to resign from a job?
If yes, please explain...
6. Have you ever been convicted of or pled guilty to a felony or crime other than a minor traffic citation?
If yes, please explain...
Employment History
May we contact your present employer?
Please list below your last four employers beginning with the most recent:
Most Recent Employer Prior Employer (1) Prior Employer (2) Prior Employer (3)
Employer:
City:
State:
Post Code:
Phone:
Position Held:
From (m/yyyy):
To (m/yyyy):
Pay Upon Leaving:
Supervisor:
Duties:
Reason For Leaving:
References
Reference (1) Reference (2) Reference (3) Reference (4)
Name:
Address:
Telephone:
Relationship:
Years Acquainted:
Resume (Text Version)
Copy and Paste a text version of your resume here.
Upload File
Attach a file to your application submission
CERTIFICATION AGREEMENT
1. I authorise the investigation of all statements contained in this application and release from all liability any persons or employers supplying such information, and I also release the company from all liability that might result from making the investigation.
2. I certify that the facts and information set forth in this application are true and complete to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of facts on this application (or on any required documents) will be cause for denial of employment or immediate termination of employment, regardless of when or how discovered.
3. I agree, if I am offered and accept a position, to conform to all existing and future Company rules and regulations and I understand that the Company reserves the right to change wages, hours and working conditions as deemed necessary.
4. I understand that any employment offer is contingent upon my providing, within three (3) working days of employment, valid proof of identity and eligibility to work.
5. I have read and reviewed the information provided in this application and the above statements. By signing this application for employment I certify that I understand all parts of it and have answered all questions completely and fully.
6. I understand that by typing my name in the signature box below and submitting this application electronically, this becomes a legal and binding contract.
Type Name in Signature Box: Today's Date: 2012-05-18 12:54:47
EST