St Clair Now Hiring

Employment

EMPLOYEE INFORMATION    
First Name * Last Name * MI
Present Address    
Street * City * State *
Zip Code *    
Phone Number * Email *  

Are under 18 years of age? *

 Yes No  

If you are under 18 years of age,
can you furnish a work permit?

 Yes No  
Have you previously worked for 4EG? *  Yes No  
If so, when?    
Position Desired: * Salary Desired: *
Date you can start: *

 
Are you currently Employed? *  Yes No  
     
AVAILABILITY    
PLEASE CHECK OFF AVAILABILITY:    
Full Time:  Days  Nights
Part Time:  Days  Nights
PLEASE CHECK OFF AVAILABLE SHIFTS:    
Monday  Days  Nights
Tuesday  Days  Nights
Wednesday  Days  Nights
Thursday  Days  Nights
Friday  Days  Nights
Saturday  Days  Nights
Sunday  Days  Nights
     
EDUCATION    
HIGH SCHOOL    
School Name/Location *
 Highest Grade Level Completed *
 Subject
COLLEGE    
School Name/Location
 Highest Grade Level Completed
 Subject
TRADE SCHOOL    
School Name/Location
 Highest Grade Level Completed
 Subject
Special Training or Skills:
    
     
EMPLOYMENT HISTORY
(Please Enter Your Most Recent Employer First.)		    
Employer / Company #1: * Location: * Position: *
Salary: * Date Started: * (MM/YY): Date Finished: * (MM/YY):
Reference Name: * Phone Number: *  
Reason for Leaving: * May we contact this Reference? *
 Yes No		  
Employer / Company #2: Location: Position:
Salary: Date Started (MM/YY): Date Finished (MM/YY):
Reference Name: Phone Number:  
Reason for Leaving: May we contact this Reference?
 Yes No		  
Employer / Company #3: Location: Position:
Salary: Date Started (MM/YY): Date Finished (MM/YY):
Reference Name: Phone Number:  
Reason for Leaving: May we contact this Reference?
 Yes No		  
OTHER REFERENCES:

( 3 References are required. If we are not able to contact a reference above, please provide additional references below. Person may not be related to you, and must be someone you have known at least one year.)
Reference Name 1: Reference Phone: Relationship:
Reference Name 2: Reference Phone: Relationship:
Reference Name 3: Reference Phone: Relationship:
     
EMPLOYMENT INFORMATION    
Are you legally eligible for employment in this country? *

(Proof of eligibility will be required if employed)
 Yes No		  
Have you ever been convicted of a felony in the last five years? *
 Yes No		  
If yes, please explain:    
How were you referred to 4EG? *    
In case of emergency, contact: * Name: Phone:
     
VERIFICATION    
I verify that the information on this application is true and complete and it is understood and agreed that any misrepresentation or falsification of these facts will be sufficient grounds for dismissal if I have been employed. Furthermore, I understand that just as I am free to resign at any time, the Employer reserves the right to terminate my employment at any time, with or without cause and without prior notice, and that no representative of the Employer has the authority to make any assurance to the contrary.

I authorize the Employer to investigate all references and secure additional job-related information. I release from liability the Employers and its representative for seeking such information and all either persons, corporations, or organizations for furnishing such information.

The Employer is an equal opportunity employer. The Employer does not discriminate in employment and no question on this application is used for the purpose of limiting or excluding any applicant's decision for employment on a basis prohibited by local, state or federal law.

This application is current for only sixty days. At the conclusion of this time, if I have not been heard from the Employer and still wish to be considered for employment, it will be necessary for me to fill out a new application.

 I ACCEPT * 		ELECTRONIC SIGNATURE: *  
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