Name
*
First Name
Last Name
Email
*
Phone
*
(###)
###
####
Present Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
How long have you been at this address?
Do you have a reliable source of transportation?
How far are you willing to travel for work?
1 mi - 5 mi
5 mi - 10 mi
10 mi - 15 mi
etc
Which position(s) are you interested in applying for?
Type of employment desired?
Are you willing to work outside of normal working hours and/or on weekends?
Date on which you can start if hired?
MM
DD
YYYY
Have you previously applied for employment with this company?
If ‘Yes’, when and what did you apply for?
Have you been previously employed by this company?
If ‘Yes’, provide dates of employment period and reason for leaving.
Desired Hourly Rate
$15 - $25
$25 - $35
$35 - $45
$45 - $55
Desired Salary
$20k - $30k
$30k - $40k
$40k - $50k
$50k - $60k
Highest Level of Education
High School Diploma
Associate Degree
Bachelor’s Degree
Master’s Degree
Doctoral Degree
No Degree
Name of Institution.
Degrees and/or Areas of Study.
Number of Years Completed?
Date of Graduation or Expected Date
MM
DD
YYYY
Honors Recieved
Second Highest Level of Education
High School Diploma
Associate Degree
Bachelor’s Degree
Master’s Degree
Doctoral Degree
No Degree
Name of Institution.
Degrees and/or Areas of Study.
Number of Years Completed?
Date of Graduation or Expected Date
MM
DD
YYYY
Honors Recieved
Job Title
Job Duties
Name of Company
Industry Type
Business Address
Business Number
(###)
###
####
Start of Employment
End of Employment
Relationship to Reference
Name of Company
Business Number
(###)
###
####
Email
May we contact them as a reference?
If ‘No’, please explain.
Mandatory Second Work Reference
Relationship to Reference
Name of Company
Phone Number
(###)
###
####
Email
May we contact them as a reference?
If ‘No’, please explain.
Please list the names of personal references who know you well that we may contact. Do not include previous employers or relatives.
Relationship to Reference
Number of Years Known
Occupation
Phone Number
(###)
###
####
Email
May we contact them as a reference?
If ‘No’, please explain.
Please list the names of personal references who know you well that we may contact. Do not include previous employers or relatives.
Relationship to Reference
Number of Years Known
Occupation
Phone Number
(###)
###
####
Email
May we contact them as a reference?
If ‘No’, please explain.
TERMS & CONDITIONS
Thank you for your interest in applying for a position at Dance Discovery Foundation. By submitting your job application, you agree to the following terms and conditions:
This agreement is between you, the applicant, hereby referred to in the first-person narrative, and Dance Discovery Foundation, hereby referred to as “Company,” for the purposes of submitting a job application for employment.
I understand and agree that if driving is a requirement of the job for which I am applying, my employment and/or continued employment is contingent on possessing a valid driver’s license for the state in which I reside and automobile liability insurance in an amount equal to the minimum required by the state where I reside.
I understand that the Company may now have, or may establish, a drug-free workplace or drug and/or alcohol testing program consistent with applicable federal, state, and local law. If the Company has such a program and I am offered a conditional offer of employment, I understand that if a pre-employment (post-offer) drug and/or alcohol test is positive, the employment offer may be withdrawn. I agree to work under the conditions requiring a drug-free workplace, consistent with applicable federal, state, and local law. I also understand that all employees of the location, according to the Company’s policy and federal, state, and local law, may be subject to urinalysis and/or blood screening or other medically recognized tests designed to detect the presence of alcohol or illegal or controlled drugs. If employed, I understand that the taking of alcohol and/or drug tests is a condition of continual employment and I agree to undergo alcohol and drug testing consistent with the Company’s policies and applicable federal, state, and local law.
If employed by the Company, I understand and agree that the Company, to the extent permitted by federal, state, and local law, may exercise its right, without prior warning or notice, to conduct investigations of property (including, but not limited to, files, lockers, desks, vehicles, and computers) and, in certain circumstances, my personal property.
I understand and agree that as a condition of employment and to the extent permitted by federal, state, and local law, I may be required to sign a confidentiality, restrictive covenant, and/or conflict of interest statement.
I certify that all the information on this application, my resume, or any supporting documents I may present during any interview is and will be complete and accurate to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of any information may result in disqualification from consideration for employment or, if employed, disciplinary action, up to and including immediate dismissal.
This company is an at-will employer as allowed by applicable state law. This means that regardless of any provision in this application, if hired, the Company or I may terminate the employment relationship at any time, for any reason, with or without cause or notice. Nothing in this application or any document or statement, written or oral, shall limit the right to terminate employment at-will. No officer, employee, or representative of the Company is authorized to enter into an agreement – expressed or implied – with me or any applicant for employment for a specific period of time unless such an agreement is in a written contract signed by the President of the Company.
If hired, I agree to conform to the rules and regulations of the Company, and I understand that the Company has complete discretion to modify such rules and regulations at any time, except that it will not modify its policy of employment at-will.
I authorize the Company or its agents to confirm all statements contained in this application and/or resume as they relate to the position I am seeking to the extent permitted by federal, state, or local law. I agree to complete any requisite authorization forms for the background investigation which may be permitted by federal, state, and/or local law. If applicable and allowed by law, I will receive separate written notification regarding the Company’s intent to obtain “consumer reports.”
I authorize and consent to, without reservation, any party or agency contacted by this employer to furnish the above-mentioned information. I hereby release, discharge, and hold harmless, to the extent permitted by federal, state, and local law, any party delivering information to the Company or its duly authorized representative pursuant to this authorization from any liability, claims, charges, or causes of action which I may have as a result of the delivery or disclosure of the above-requested information. I hereby release from liability the Company and its representative for seeking such information and all other persons, corporations, or organizations furnishing such information. Further, if hired, I authorize the company to provide truthful information concerning my employment to future employers and hold the company harmless for providing such information.
If hired by this Company, I understand that I will be required to provide genuine documentation establishing my identity and eligibility to be legally employed in the United States by this Company. I also understand this Company employs only individuals who are legally eligible to work in the United States.
This application will be considered active for a maximum period of sixty (60) days. If you wish to be considered for employment after that time, you must reapply.
If you have any questions regarding these terms and conditions, please contact us before submitting your application. Thank you again for considering employment with Dance Discovery Foundation.
By submitting your application, you acknowledge that you have read, understood, and agree to these terms and conditions.
*
By selecting yes, you certify that all the information provided on this application is true, accurate, and complete. Do not sign until you have read the information contained in the application.
*
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First Name
Last Name
