Archild Careers

Full Name

Date

Address

Email Address

Home Phone

Mobile Phone

Are you eligible to work in the U.S.? Are you eligible to work in the U.S.? Yes No

Have you ever been terminated from employment or asked to resign by an employer? Have you ever been terminated from employment or asked to resign by an employer? Yes No

Please provide company names and details of your termination

Can you work any shift? Can you work any shift? Yes No

Can you work overtime, including weekends? Can you work overtime, including weekends? Yes No

Explain why you're limited to certain shifts

Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation? Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation? Yes No

Date You can Start

Hourly rate / Salary desired

Position desired?

Are you currently employed? Are you currently employed? Yes No

Who is your current employer and may we inquire of your present employer?

How did you hear about us? How did you hear about us? Walk In Advertisement Referral Other

Do you know anyone who works for our company? Do you know anyone who works for our company? Yes No

Who do you know that works for our company?

High school name and location

High School degree and subjects studied?

College or university name and location

College degree and subjects studied?

Trade or business school name and location

Trade or business cert or degree and subjects studied?

EMPLOYMENT HISTORY: Include your last seven (7) years of employment history, including periods of unemployment, starting with the most recent and working backwards in time. Incomplete information could disqualify you from further consideration. EMPLOYMENT HISTORY: Include your last seven (7) years of employment history, including periods of unemployment, starting with the most recent and working backwards in time. Incomplete information could disqualify you from further consideration. I agree

Employer Name

Dates employed

Employer phone

Your job title

Employer address

Immediate supervisor and title

Can Archild contact your employer? Can Archild contact your employer? Yes No

Reason for leaving?

Summarize the nature of work performed and job responsibilities

Would you like to add another employer? Would you like to add another employer? Yes No

Employer Name

Dates employed

Employer phone

Your job title

Employer address

Immediate supervisor and title

Can Archild contact your employer? Can Archild contact your employer? Yes No

Reason for leaving?

Summarize the nature of work performed and job responsibilities

Would you like to add a 3rd employer? Would you like to add a 3rd employer? Yes No

Employer name

Dates employed

Employer phone

Your job title

Employer address

Immediate supervisor and title

Can Archild contact your employer? Can Archild contact your employer? Yes No

Reason for leaving?

Summarize the nature of work performed and job responsibilities

Do you have any special skills, experience and/or training that would enhance your ability to perform the position applied for? Do you have any special skills, experience and/or training that would enhance your ability to perform the position applied for? Yes No

Explain your special skills

REFERENCES: Give the names of three persons not related to you, whom you have known at least three (3) years. REFERENCES: Give the names of three persons not related to you, whom you have known at least three (3) years.

Name of first reference

Phone, email

Company

Years acquainted

Name of second reference

Phone, email

Company

Years acquainted

Name of third reference

Phone, email

Company

Years acquainted

Please read carefully before signing. Please read carefully before signing. I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Archild to hire me. If I am hired, I understand that either Archild or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Archild has the authority to make any assurance to the contrary. I attest with my signature below that I have given to Archild true and complete information on this application. No requested information has been concealed. I authorize Archild to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.

Print your name here to sign