Application For Employment
We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status.
Required Fields are in marked with a red
Inside Sales Representative - Mentor, Ohio
How Did You Learn About Us?
Home Phone #:
Cell Phone #:
Social Security #:
The Best time to reach you at home is:
If you are under 18 years of age, can you provide required proof of your eligibility to work?
Have you ever filed an application with us before?
No If Yes, give date.
Have you ever been employed with us before?
No If Yes, give date.
Do any of your friends or relatives work here?
No If Yes, whom.
Are you currently employed?
May we contact your present employer?
Do you have a Non-Compete and/or Confidentiality Agreement with any previous employer?
No If Yes, describe in full.
Have you been convicted of a crime in the past ten years, excluding misdemeanors and summary offenses?
No If Yes, describe in full.
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration status?
Proof of citizenship or immigration status will be required upon employment
Date available for work:
What is your desired salary range?
Are you available to work: (Please Indicate)
(Please Indicate dates available)
Are you currently on “lay-off” status and subject to recall?
Can you travel if a job requires it?
WE ARE AN EQUAL OPPORTUNITY EMPLOYER
Name and Address of School
Course of Study
No. of Years Completed
Did You Graduate?
Describe any specialized training, apprenticeship, skills, and extra-curricular activities.
Describe any job-related training received in the United States military.
Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, creed, gender, national origin, age, disabilities, marital or veteran status, or any oher protected status.
Please list your three most recent employers
List professional, trade, business or civic activities and offices held. You may exclude organizations which indicate race, color, religion, creed, gender, national origin, age, disabilities, marital or veteran status, or any other protected status.
Other Qualifications - Summarize special job-related skills and qualifications acquired from employment or other experience.
Specialized Skills - Check skills/equipment operated.
Typewriter - WPM:
Shorthand - WPM:
Production/Mobile Machinery (list)
State any additional information you feel may be helpful to us in considering your application.
NOTE TO APPLICANTS: DO NOT answer this question unless you have read the job description and/or been informed about the requirements of the job for which you are applying.
A review of the activities involved in the job or occupation for which you have applied has been given.
Are you capable of performing in a reasonable manner, with or without a reasonable accommodation, the activities involved in the job or occupation for which you have applied?
I certify that answers given herein are true and complete.
I understand that employment with this organization is conditional on successful passage of a pre-employment drug screen. Should I fail the pre-employment drug screen for any reason I am responsible for the cost of said drug screen.
I authorize investigation of all statements contained in this application for employment as may be 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 time period should inquire as to whether or not 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.
I agree that any claims or lawsuits relating to my service with the Company or any of its affiliates or subsidiaries must be filed no more than six (6) months after the date of the employment action that is the subject of the claim or lawsuit. I waive any statute of limitations to the contrary.
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I also understand that I am required to abide by all rules, regulations, policies, and procedures of the Employer.
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