ALL POTENTIAL EMPLOYEES ARE EVALUATED WITHOUT REGARD TO RACE, COLOR, RELIGION, GENDER, NATIONAL ORIGIN, AGE, MARITAL OR VETERAN STATUS, THE PRESENCE OF A NON-JOB RELATED HANDICAP OR ANY OTHER LEGALLY PROTECTED STATUS.

Position Sought *
How did you learn about the position? *
Name *
Date *
Address (Street, City, State, Zip) *
Primary Phone *
Alternate Phone *
Other Phone *
Social Security Number *
Email Address *
On what date would you be available for work? *
Desired Wage/Salary *

Are you a U.S. citizen or authorized to work in the U.S. without any restriction?

Have you ever been convicted of a felony?

If yes, please describe circumstances

Have you ever been involuntarily terminated or asked to resign from any position of employment?

If yes, please describe circumstances

If selected for employment, will you submit to a pre-employment drug screening test?

Education
High School (Name, Location, Years Attended, Degree Received, Major)
College (Name, Location, Years Attended, Degree Received, Major)
Other (training, certifications or licenses held)
List other information pertinent to the employment you are seeking
Employment (most recent first)
1. Employer
Job Title
Dates Employed
Prior position with this employer if any
Address (Street, City, State, Zip)
Phone
Supervisor
Starting Salary
Ending Salary
Duties Performed
Reason for Leaving

2. Employer
Job Title
Dates Employed
Prior position with this employer if any
Address (Street, City, State, Zip)
Phone
Supervisor
Starting Salary
Ending Salary
Duties Performed
Reason for Leaving

3. Employer
Job Title
Dates Employed
Prior position with this employer if any
Address (Street, City, State, Zip)
Phone
Supervisor
Starting Salary
Ending Salary
Duties Performed
Reason for Leaving

4. Employer
Job Title
Dates Employed
Prior position with this employer if any
Address (Street, City, State, Zip)
Phone
Supervisor
Starting Salary
Ending Salary
Duties Performed
Reason for Leaving
Acknowledgement and authorization

I certify that answers given herein are true and complete to the best of my knowledge and I authorize investigation of all statements contained in this application for employment as deemed necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this period of time should inquire whether applications are being accepted at that time.

I, hereby, understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

All applications offered are part-time unless otherwise stated or approved by an Overeasy, Inc. corporate officer.