Employment Application | Shelton Services, Inc.

1. PERSONAL INFORMATION

Last Name *

First Name *

Middle Name

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Country

Telephone *

List any other names used:

Email *

Are you legally eligible to work in the United States? *

If selected for employment, are you willing to submit to a criminal background check? *

Are you at least 18 years of age? *

Do you have a valid driver’s license? *

2. POSITION

Position applying for: *

Desired pay: *

Available state date: *

Willing to work (check all that apply): *

Full-Time
Part-Time
Summer
Temporary/Project

Are you willing to work overtime? *

Are you willing to travel? *

3. EMPLOYMENT HISTORY

Include all employment. Begin with your current or most recent position, and work back to your first. Employment history should include each position held, even those with the same employer. If you need additional space, you may make copies of this page or attach a typed employment history.

EMPLOYER (1): *

Start date: *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Country

Job Duties: *

Job title(s): *

End date (leave blank if still employed):

Supervisor: *

Telephone: *

Reason for leaving: *

EMPLOYER (2):

Start date:

Address (copy)

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Country

Job Duties:

Job title(s):

End date:

Supervisor:

Telephone:

Reason for leaving:

EMPLOYER (3):

Start date:

Address (copy) (copy)

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Country

Job Duties:

Job title(s):

End date:

Supervisor:

Telephone:

Reason for leaving:

4. MILITARY SERVICE

Are you a veteran of the U.S. Armed Services? *

If yes, dates of service (from/to):

5. EDUCATION

Applicant may be required to provide proof of diploma, degree, transcript, certificate, or registration.

HIGH SCHOOL *

Years Attended: *

Field of Study:

Location: *

City

State / Province / Region

Diploma or Degree: *

COLLEGE / UNIVERSITY

Years Attended:

Field of Study:

Location:

City

State / Province / Region

Diploma or Degree:

TECHNICAL / VOCATIONAL

Years Attended:

Field of Study:

Location:

City

State / Province / Region

Diploma or Degree:

OTHER

Years Attended:

Field of Study:

Location:

City

State / Province / Region

Diploma or Degree:

6. SPECIAL TRAINING / SKILLS / QUALIFICATIONS

Other relevant skills, qualifications, and honors:

Types of technology or equipment qualified to operate or repair:

Professional licenses, certifications, or registrations (including issuing authority and expiration, if applicable):

7. REFERENCES

Name: *

Years Known: *

Title & Company: *

Telephone: *

Name:

Years Known:

Title & Company:

Telephone:

8. EMERGENCY CONTACT*

In case of emergency, Shelton Services should contact:

Name: *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Country

Telephone 1: *

Telephone 2:

Relationship: *

9. RESUME UPLOAD

Upload Resume Here

Drop your file here or click here to upload You can upload up to 1 files.

10. ACKNOWLEDGEMENTS

9. Acknowledgments *

I acknowledge

Please read the following statements carefully and indicate your understanding and acceptance by checking the box.

I certify that all the information provided by me in connection with my employment application, whether on this document or not, is true and complete.
I understand any misstatement, falsification, or omission of information may be grounds for refusal to hire or, if hired, termination.
I understand I will be required to provide proof of authorization to legally work in the United States of America if I am given a conditional offer of employment.
I understand as a condition of employment, I shall be required to submit to a pre-employment drug screening.
I understand that, if I am given a conditional offer of employment and if required by the job position, I may be required to submit to a pre-employment medical examination.
I understand Shelton Services may request that I consent to a criminal background check as a condition of employment.

Date *

Shelton Services, Inc., is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, national origin, age, veteran or disability status, or any other legally protected class under applicable state or federal law.

1. PERSONAL INFORMATION

2. POSITION

3. EMPLOYMENT HISTORY

4. MILITARY SERVICE

5. EDUCATION

6. SPECIAL TRAINING / SKILLS / QUALIFICATIONS

7. REFERENCES

8. EMERGENCY CONTACT*

9. RESUME UPLOAD

10. ACKNOWLEDGEMENTS

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