November 15, 2015

Career

Application for Employment

Top Notch

An Equal Opportunity Employer

Items marked with an asterisk are required
Applicants are considered for all positions without regard to race, color, religion, gender, national origin, age, sexual orientation, marital or veteran status, medical condition or handicap, or any other legally protected status.

Personal Information

Position(s) Applied For

Full Name

Your Email

Home/Cellular Phone Number(s)

Address

City, State, Zip

Date of Application

How did you learn about us?

If other

If under 18 years of age, can you provide required proof of your eligibility to work?
 Yes No

Have you ever filed an application with us before?
 Yes No
If Yes, when

Have you ever been employed with us before?  Yes No
If Yes, when

Do you have any friends/relatives working at Top Notch?  Yes No
If Yes, (Name/s)

Do you have a valid Driver’s License?
 Yes No

Are you a veteran of the Armed Forces?
 Yes No

Are you legally eligible for employment in this country?
(Proof of citizenship or the right to work in the U.S. will be required upon employment.)

On what date would you be available for work?

What is your desired pay range?
$


Education

High School

School Name & Location

Year Completed

Diploma/Degree Earned & Course of Study
(Include any honors received.)


College / University

School Name & Location

Year Completed

Diploma/Degree Earned & Course of Study
(Include any honors received.)

Graduate / Professional

School Name & Location

Year Completed

Diploma/Degree Earned & Course of Study
(Include any honors received.)


Describe any specialized training, apprenticeship, skills and/or extra-curricular activities, including workshops, short courses, and/or certificates:


Employment Experience

Complete the information below, beginning with your present or most recent job (Include military experience if applicable.)

Present Employer

Position

Address

Phone Number

Supervisor

Their Phone Number

Hourly Rate/Salary
Begin End

Date You Began Work

Work Performed

Reason for Leaving

May we contact for reference?  Yes No
If not, why

Previous Employer

Position

Address

Phone Number

Supervisor

Their Phone Number

Hourly Rate/Salary
Begin End

Work Dates
Begin End

Work Performed

Reason for Leaving

May we contact for reference?  Yes No
If not, why


Previous Employer

Position

Address

Phone Number

Supervisor

Their Phone Number

Hourly Rate/Salary
Begin End

Work Dates
Begin End

Work Performed

Reason for Leaving

May we contact for reference?  Yes No
If not, why

Previous Employer

Position

Address

Phone Number

Supervisor

Their Phone Number

Hourly Rate/Salary
Begin End

Work Dates
Begin End

Work Performed

Reason for Leaving

May we contact for reference?  Yes No
If not, why


Applicant’s Statement: I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize Top Notch to verify their accuracy and to obtain reference information on my work performance. I hereby release Top Notch from any/all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based on such information. I understand that, if employed, falsified statements of any kind or omissions of facts called for on this application may be considered sufficient basis for dismissal.

I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules and regulations of employment of the Employer. However, I further understand that neither the policies, rules, regulations of employment or anything said during the interview process shall be deemed to constitute the terms of an implied employment contract.

I understand that any employment offered is for an indefinite duration and at will and that either I or the Employer may terminate my employment at any time with or without notice or cause.

Check here to certify you understand the above information.