| Application for Employment |
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| Applying For: |
n/a |
| How did you hear about the job? |
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| Have you ever worked for this company before? |
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| Are you able to perform the essential functions of the position for which you are applying, either with or without reasonable accomodations? |
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Do you have the legal right to be employed in the U.S.?
(Proof of identity and legal authority to work in the U.S. is a consition of employement.) |
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Are you at least 18??
(Proof of age and work permites may be required prior to hiring.) |
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| Do you have a reliable means of transportation to and from work? |
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If driving is a requirement of the job for which you are applying, do you have a current, valid driver's license?
(If driving is a requirement of the job, continued employment is contingent upon your maintaining a current valid driver's license.) |
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| Shamir Insight, Inc. (the "Company") is an equal opportunity/affirmative action employer. All qualified applicants will be considered without regard to age, race, color, sex, religion, nation of origin, marital status, ancestry, citizenship, veteran status, sexual orientation or preference or physical or mental disability. |
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| Employment / Work Experience |
| Please list all of your jobs in the past five years beginning with your current or most recent employer. If applicable, you may list work performed on a voluntary basis. |
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| Please identify and explain all periods of unemployment during the last five years: |
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| I hereby certify that the information contained in this application form is true and correct to the best of my knowledge and agree to have any of the statements checked by the Company unless I have indicated to the contrary. I authorize the references listed above, as well as all other individuals whom the Company contacts, to provide the Company, any and all information concerning my previous employment and any other pertinent information that they may have. Further, I release all parties and persons from any and all liability for any damages that may result from furnishing such information to the Company as well as from the use or disclosure of such information by the Company or any of its agents, employees or representetives. I understand that any misrepresentation, falsifications or material omission of information on this application may reseult in my failure to receive an offer of employment or, if I am hired, my immediate dismissal from employment. |
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| Education |
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| General Information |
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| Days and hours available to work: |
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| Are you willing to work overtime? |
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What are your hobbies, special interest and favorite activities?
(You may emit those indicating race, color, religion, sex, nationaility, ancestry, age, or the existence of a disability.) |
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| Have you ever been convicted of a crime other than a routine traffic violation? |
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Have you ever pleaded nolo contender to any crime?
(NOTE: A conviction is not an automatic bar to employment. Each case will be considered on its own merits.) |
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| If yes, please explain. State charge, court date, and disposition of case: |
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| In consideration of my employment, I agree to conform to the rules and standards of the Company. I further agree that my employment and compensation can be terminated at will, with or without cause, and with or without notice, at any time, either at my option or the option of the Company. I understand that no employee or representative of the Company, other than its president, has the authority to enter into any agreement of employment for any specified period of time, or to make any express or implied agreement contrary to the foregoing. Further, the president of the company may not alter the at-will nature of the employment relationship or enter into any employment agreement for a specified time unless the president and applicant both sign a written agreement that clearly and expressly specifies the intent to do so. I agree that this shall constitute a final and fully binding integrated agreement with respect to the at-will nature of my employment relationship and that there are no oral or collateral agreements regarding this issue. I also understand that all offers of employment are conditioned on the Companies receipt of satisfactory responses to reference requests and the provision of satisfactory proof of applicants identity and legal authority to work in the United States. |
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| Submit Application |