Careers · Oportunidades de Empleo

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We are always looking for talented individuals to join our team. If you think you might be a good fit, please complete our employment form.

Federal law prohibits discrimination on the basis of race, color, religion, sex, national origin, age, disability or other protected status.

Personal Data

Position(s) applied for:

Date:

Name

First Name: *

Middle Name:

Last Name: *

Address

Street:

City:

State:

Zip Code:

Phone Number

Phone Daytime: *

Phone Evening: *

Social Security Number:

Drivers License #:

If driving is essential for the job

State License Issued In:

Expiration Date:

How did you hear about this position?

Salary Desired?

Can you prove you are legally eligible for work in the U.S? *

Yes No

If under 18 years of age, can you furnish a work permit if required? *

Yes No

If not, please explain

If hired, are you able to get to work and meet attendance requirements every day?

Yes No

Have you been convicted of a felony in the last five years?

Yes No

If so, please explain:

Conviction does not automatically bar you from employment consideration

Type of employment wanted:

Full Time Part Time Temporary

Date available for work:

What hours do you prefer to work?

Can you work overtime, if required?

Yes No

Weekends if required?

Yes No

Please list hours you cannot work:

Will you relocate if the job requires it?

Yes No

Will you travel if required?

Yes No

How many days of work or school have you missed in the last year for reasons other than sickness? Please explain:

How many days have you been late in the last year?

Please explain:

Education Background

Please circle the highest level of education attained:

Elementary 1-5 Junior High 6 7 8 High School 9 10 11 12

G.E.D. Technical/Trade School (which field?):

Military Education:

College 1 2 3 4 College Name and City:

Graduate School:

Degree Earned:

Year:

Grade Point Average:

Major:

Are you currently in school?

What level?

Summarize any special training or skills that may qualify you for the position you are applying for:

Employment History

Please list your last four employers, starting with the most recent

Employer 1

Employer:

Address:

Phone:

Job Title/Position:

Supervisor's Name & Title:

Reason For Leaving:

Describe Duties:

Starting Date:

Ending Date:

Starting Salary/Hrly. Rate:

Ending Salary/Hrly. Rate:

Employer 2

Employer:

Address:

Phone:

Job Title/Position:

Supervisor's Name & Title:

Reason For Leaving:

Describe Duties:

Starting Date:

Ending Date:

Starting Salary/Hrly. Rate:

Ending Salary/Hrly. Rate:

Employer 3

Employer:

Address:

Phone:

Job Title/Position:

Supervisor's Name & Title:

Reason For Leaving:

Describe Duties:

Starting Date:

Ending Date:

Starting Salary/Hrly. Rate:

Ending Salary/Hrly. Rate:

Employer 4

Employer:

Address:

Phone:

Job Title/Position:

Supervisor's Name & Title:

Reason For Leaving:

Describe Duties:

Starting Date:

Ending Date:

Starting Salary/Hrly. Rate:

Ending Salary/Hrly. Rate:

Please explain any employment gaps found above:

May we contact the employers listed above?

If there are any you do not wish us to contact, please indicate them.

I certify that the statements contained herein are true and correct to the best of my knowledge, and I understand that any false statements or omissions by me on this application and any other required document is considered a cause for denial of employment or discharge, whenever discovered.

I understand that this document is an application for employment, and does not constitute an agreement or contract for employment of any length of time. If hired, I have the freedom to quit at any time. The employer also has the right to terminate my employment with or without cause, the exceptions being as required by law.

I authorized the above employer to investigate all information in the above application for employment. The employer has the right to contact previous employers, schools, and other references to verify this information. I release the employer from any liability in gathering this information. I release from liability any companies or institutions supplying this information. After termination of my employment, for whatever reason, I release the above employer from liability for any information supplied to future potential employers.

Signature: *

Date:

Verification: * verification image, type it in the box

This form is for the collection of information only. Innovative Training Solutions, Inc. is not responsible for the use of this form in which an employer may violate local, state, or federal laws. Innovative Training Solutions, Inc. is not giving legal advice.

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