Name *
Name
Home Phone Number
Home Phone Number
Cell Phone Number *
Cell Phone Number
Date of Birth
Date of Birth
Employment Desired
Date Available for Work
Date Available for Work
Today's Date
Today's Date
Education
Please list name and address of high school, course of study, total years of study and degree/diploma.
Please list name and address of school, course of study, total years of study and degree/diploma.
Employment History
List below all present and past employers over the past 10 years, starting with your most recent employer. Account for all periods of unemployment. You must complete this section even if attaching a resume.
Start Date *
Start Date
End Date
End Date
Company Phone Number *
Company Phone Number
Supervisor's Phone Number
Supervisor's Phone Number
Start Date
Start Date
End Date
End Date
Company Phone Number
Company Phone Number
Supervisor Phone Number
Supervisor Phone Number
Additional Information
References
List below three people not related to you who have knowledge of your work performance within the last 5 years. Please do not list friends or family.
Address *
Address
Phone Number *
Phone Number
Address *
Address
Phone Number *
Phone Number
Address *
Address
Phone Number *
Phone Number
Submit Application
Authorization and General Release Form: I certify that the facts contained in this employment application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for immediate dismissal. I understand that, if hired, my employment and compensation can be terminated with or without notice, with or without cause, at the option of Enrich and Grow Academy or myself. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal, or otherwise and release the information from all liability for any damage that may result from utilization of such information. The undersigned in connection with this application, authorizes all corporations, companies, credit agencies (in applicable positions), educational institutions, persons, law enforcement agencies, military services and former employers to release information they may have about me to Enrich and Grow Academy or its agents and releases them from any liability or responsibility from doing so. Further, I authorize the procurement of an investigative consumer report (in applicable positions) and understand that such a report may contain information about my background, character and personal reputation. I understand that this notice will also apply to any future update reports that may be requested. I hereby authorize Enrich and Grow Academy to thoroughly investigate my background, references, employment record and other matters related to my suitability for employment.I hereby authorize Enrich and Grow Academy or authorized representatives of National Background Investigations, Inc. bearing this release to obtain and release any information pertaining to my background for employment purposes. I hereby fully release and discharge said representatives or other source providing information from all claims and damages arising out of or relating to any investigation of my background for said purpose I authorize persons, schools, my current employer (if applicable), and previous employers and organizations contacted by Enrich and Grow Academy to provide any relevant information regarding my current and/or previous employment and I release all persons, schools, employers of any and all claims for providing such information. I understand that misrepresentation or omission of facts may result in rejection of this application, or if hired, disciplined with up to and including dismissal. I understand that nothing contained in this application, or conveyed during any interview which may be granted, is intended to create an employment contract. I understand that filling out this form does not guarantee there is a position open and does not obligate Enrich and Grow Academy to hire me. I understand and agree that my employment is at will, which means that it is for no specified period and may be terminated by me or Enrich and Grow Academy at any time without prior notice for any reason.
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