Employment Application

  • This Application for Employment will remain valid for 30 days from the date received. It will be reviewed for any open position available during this time frame. After 30 days have passed, a new application must be submitted for consideration for any open positions. This Application for Employment is with (“Client Company” or “Company”). The Client Company receives PEO (Professional Employer Organization) services from PEOPLE®. Note: The Employee Polygraph Protection Act (EPPA) prohibits most private employers from requiring lie detector tests either for pre-employment screening or during the course of employment, subject to certain exceptions. In addition, more restrictive State laws may apply.
  • A number of different selection tools and pieces of information are considered as you go through the employee selection, offer and post-offer processes. You may come in contact with some or all of the following: 1. Employment Application: Complete all sections which pertain to you, sign and date. A resume may be required but is not a substitute for completing this Application for Employment. The Application allows the Company to determine your qualifications and experience, and contains an Applicant Statement and Agreement. By signing the Application, you authorize the Company to verify the information contained in the Application. Falsification of information on the Application or failure to provide accurate information may result in disqualification from employment or termination of employment if discovered after hire. 2. Employment Interviews: Several personal and/or telephone interviews may be conducted with you in order to obtain more detailed information regarding your background and qualifications. The Company complies with the Americans with Disabilities Act Amendments Act of 2008 (ADAAA). During the interview process you may be asked questions concerning your ability to perform job-related functions. If you are given a conditional offer of employment, you may be required to complete a post-job offer medical history questionnaire and/or undergo a medical examination. If required, new employees in the same job category will be subject to the same medical questionnaire and/or examination, and all information will be kept confidential and in separate files. 3. Employment Eligibility Verification (Form I-9): This form is required by the U.S. Citizenship and Immigration Services (USCIS). If you are hired, this form will be used to verify your identity and right to work in the United States. 4. Employment Testing: Various tests may be administered to measure your aptitude and abilities in jobrelated areas. While most tests are short, some exams administered to management level candidates may take several hours. 5. Test for Evidence of Substance Abuse: This may be a urine or saliva test for abusive levels of any chemical substance. 6. Reference Checks: Former employers and educational references may be verified prior to an offer of employment. 7. Records Check: There may be verification and information checks with the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. 8. Physical Examination: Some positions may require the applicant to take a physical examination. 9. Loss Prevention Interview: During this interview, you may be asked questions concerning your Application, any current involvement with illegal drugs, any adverse information from prior employers, and other related matters.
  • Equal Opportunity Employer/Drug-Free Workplace: The Company is an Equal Employment Opportunity employer. The Company adheres to a policy of making employment decisions without regard to race, color, age, sex, pregnancy, religion, national origin, ancestry, medical condition, marital status, citizenship status, disability or uniformed service member status. PEOPLE® has a Drug-Free Workplace Policy in effect that is adhered to by the Company. Please answer all questions. Resumes are not accepted in place of this Application. Please print. Note: This Application is designed to be used for several types of job openings. Some questions may not be applicable to the position you are seeking. If so, please indicate “Not Applicable.”
  • Employment Record: List your present and prior employers in chronological order with the present or last employer first. If self-employed, give firm name and provide business references.