Employment Application
Various Federal, State and Local laws prohibit discrimination based on race, color, sex, religion, national origin, ancestry, age, disability or marital status. Mitten, Inc. is an equal opportunity employer and your response to any question will not be used as a basis for discrimination, but will be judged on its relevance to the position you are seeking. This application is active for one month after application date.
High School Name
Address
City
State
Degree / Area of Study
Years Attended
No
Yes
College School Name
Address
City
State
Degree / Area of Study
Years Attended
No
Yes
Other School Name
Address
City
State
Degree / Area of Study
Years Attended
No
Yes
Branch of Service
Technical Specialization
Rank Attained
No
Yes
(Identity and employment eligibility of all new hires will be verified as required by the Immigration Reform and Control Act of 1986)No
Yes
If yes, give name of company(ies)
Reason for discharge
nor will such information be asked of you or considered in employment decisions.) The existence of a criminal record will not automatically disqualify you from the job for
which you are applying.
No
Yes
If yes, please explain offense and final disposition
IMPORTANT: Check this box if you have never been employed
Dates: |
Name and Address of Employer: |
Position Held |
List Major Duties: |
Salary or |
Reason For |
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From: mo / year To: mo / year |
Employer Name Employer Address City State Zip Phone |
Your Job Title Supervisor |
Starting Ending |
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From: mo / year To: mo / year |
Employer Name Employer Address City State Zip Phone |
Your Job Title Supervisor |
Starting Ending |
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From: mo / year To: mo / year |
Employer Name Employer Address City State Zip Phone |
Your Job Title Supervisor |
Starting Ending |
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From: mo / year To: mo / year |
Employer Name Employer Address City State Zip Phone |
Your Job Title Supervisor |
Starting Ending |
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Please explain any gaps in employment |
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May we contact the employers listed above?
No Yes If no, please list employers you wish us not to contact |
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Were you employed under a different name?
No Yes If yes, please indicate name and which employer(s) | |||||
Business References ONLY. Do not list relatives. (Please indicate if you were employed under a different name)
Name |
Address |
Phone No. |
Title |
Years Known |
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Qualified applicants are considered without regard to race, color, religion, national origin, age, handicap or veteran status. 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. By accepting employment with Mitten, Inc. I understand that I have no expressed or implied contractual rights to continue employment with the company. I also understand that I am required to abide by all rules and regulations of Mitten, Inc., and all pertinent laws. I also understand that I have the right to terminate my employment at any time with or without reason and with or without notice. My employment with Mitten, Inc. is commonly referred to as Employment-at-Will.
I certify that answers given herein are true and complete to the best of my knowledge. I understand that with my authorization by signing below, an investigation may be made whereby information is obtained regarding my character, previous employment, general reputation, educational background, credit record, criminal record and /or motor vehicle record, subject to applicable federal, state and local laws. I authorize investigation of all statements in this application for employment as may be necessary in arriving at employment decisions. Mitten, Inc. has the right to contact, including but not limited to, previous employers, schools and other references to verify this information. I release from liability; including but not limited to, companies, individuals, parties and/or institutions supplying this information. In the event of employment, I understand that false, omissions or misleading information given in my application or interview or any required document may result in denial of employment or discharge, whenever discovered. After termination of my employment for whatever reason, I release Mitten, Inc. from liability for any information supplied to future potential employers.
The entry of your name in the Applicant's Signature box binds you, the applicant, to the terms and conditions stated within this Employment Application.