Employment Application

Recruiter*
Please select a recruiter if you were already working with one.
Legal Name*
First Last
Full Legal Name as shown on United States Government-issued documents.
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*

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How did you hear about ComResource?*
Desired Position*
Desired Rate of Pay
Are you seeking?*
Specify Hours(Part time only)
If your application is considered favorable, on what date are you available for work?*
MM slash DD slash YYYY
If hired, can you furnish proof that you are Authorized to work in the United States?*
Please explain why you cannot provide proof of Authorization to work in the US
Are you able to perform the essential functions of the job you are applying for, with or without reasonable accommodations?*
Please explain why there are work limitations
Are you on a lay-off and subject to recall?*
Are you currently employed?*
May we contact your present employer?
Do you currently have an employment agreement?
Please provide a copy of the employee agreement
Max. file size: 64 MB.
Do you currently have a non-compete agreement or are you under any contract, which would hinder you from being free to accept employment by ComResource, Inc.?*
Provide additional detail about the NCA/Contract restrictions
Have you ever been convicted of a crime, including misdemeanors involving drugs, sex, weapons, aggressive behavior or threats?*
This includes no contest pleas, nolo contendere, probation, adjudication withheld, and diversion programs.
NOTE: A criminal conviction will not necessarily be a bar to employment.
Please additional detail about the conviction

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Highest Level of education completed*
NOTE: A criminal conviction will not necessarily be a bar to employment.
Alternate names used during education
Additional Schooling
- College Name
- College Address
- Field of Study
- College Graduated?
- Grad/Trade School Name
- Grad/Trade Address
- Grad/Trade Field of Study
- Grad/Trade School Graduated?
Please list any additional academic skills/certifications/honors/awards.

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Employment History
(Most recent first) Please include voluntary work and/or military experience. Do not notate "refer to resume". A resume may be attached as a supplement to this information. Attach additional documentation as necessary.
Employment 1
- From
  MM slash DD slash YYYY
- To
  MM slash DD slash YYYY
- Employer Name
- Employer Phone
- Employer Address
- Supervisor Name
Describe major duties
- Wage Start
- Wage End
Reason for leaving
Do you have a second employment to add?
- Yes
- No
Employment 2
- From
  MM slash DD slash YYYY
- To
  MM slash DD slash YYYY
- Employer Name
- Employer Phone
- Employer Address
- Supervisor Name
Describe major duties
- Wage Start
- Wage End
Reason for leaving
Do you have a third employment to add?
- Yes
- No
Employment 3
- From
  MM slash DD slash YYYY
- To
  MM slash DD slash YYYY
- Employer Name
- Employer Phone
- Employer Address
- Supervisor Name
Describe major duties
- Wage Start
- Wage End
Reason for leaving

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Business References
(Please provide at least two current/former supervisors)
- Name*
- Relationship*
- Phone
- Email
- Years Known
- Name
- Relationship
- Phone
- Email
- Years Known
- Name
- Relationship
- Phone
- Email
- Years Known

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Were you in the armed forces?
Specialty/Special Training Received

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Emergency Contact Name*
Emergency Contact Phone*

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Additional Notes
Please include anything you want us to know in addition to what was submitted.
Attach any supporting files here
Max. file size: 64 MB.

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Consent*
I agree to the privacy policy.
READ CAREFULLY BEFORE SIGNING

This Application will remain active for Three (3) months upon signing.

· I certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that any falsified statements on this application, or omission of fact on either this application or during the pre-employment process, will result in my application being rejected, or, if I am hired, in my employment being terminated.

· I understand that it is a condition of employment that I furnish proof that I am authorized to work in the United States.

· I further understand that consideration for employment in this position is contingent upon the results of a reference and background check. I therefore authorize this company to investigate all statements made on my application for employment and to discuss the results of its investigations with those responsible for hiring. I further authorize the company to contact my former employer(s) and any listed references or other persons who can verify information, and I give my consent for former employer(s) and other contacted persons to respond to questions pertaining to information on this application. Further, I release from liability such former employer(s) or other persons contacted by and providing information to ComResource, Inc.

· I further understand that nothing in this application is intended to imply or create an employment contract for employment. If hired, my employment is at-will and can be terminated at any time, with or without notice, for any or no reason. I understand that any change in the terms or conditions of my employment, such as a change in schedule, hours, benefits, salary or so on will not affect the at-will relationship that exists between me and ComResource. I understand and acknowledge that ComResource reserves the right to establish and/or change any of the terms or conditions of any aspect of my employment at its discretion at any time with or without notice. I understand and acknowledge that no oral or written agreements of any kind pertaining to the terms of my employment and/or my compensation exist. I understand and agree that no representative of ComResource, other than the President, have any authority to enter into any agreement with me or provide me with any assurances relating to any aspect of my employment with ComResource, except that the President may do so in writing.

· I further understand should ComResource, Inc. choose to extend an offer of employment to me, and I accept, I may be asked to sign a confidentiality, non-competition and/or other related agreement(s).

· I further understand and acknowledge that, as a part of the hiring process I may be required to submit to an alcohol, chemical, and/or drug test, and that throughout my employment, if hired, I may be required to submit to medical/physical examinations (which may include, but are not limited to tests for drugs, chemicals, and/or alcohol) at the employer’s discretion and expense.

If hired, this employment application will become part of my official employment record. I have read, understand and agree with the contents of this employment application and am fully able and competent to complete it. I provide my signature knowingly and voluntarily.

Applications will be kept on file for one (1) year.

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Employment Application

Step 1 of 9

Additional Schooling

Employment History

Employment 1

Employment 2

Employment 3

Business References