APPLY FOR A JOB

Application for Employment

Date

Position applying for

Personal Information

Name*

First Middle Last

Email*

Enter Email Confirm Email

Phone*

Social Security #

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How long have you lived there?

List Previous Address

Street Address Address Line 2 City State ZIP Code

Are you eligible for employment in this country?

Are you currently employed?

If hired, would you maintain your other employment?

If yes, please explain

If applying for a sales or service position, do you have a valid driver's license?

Driver's license number

Did someone refer you to Cornerstone Office Systems, Inc?

If yes, who and where do they work?

How did you hear about employment opportunities at Cornerstone Office Sys-tems, Inc?

What is your desired level of pay?

Education

High School

List high school name, city and state

Highest grade completed

College

List name of college, city, state

Highest level completed

Additional educational information

Any other relevant experiences

Personal References

Please list at least 2 people other than relatives. Include their name, phone number, email address, their employer/occupation, how you know this person and for how long.

Employment History

History

List present and past employment in chronological order, beginning with your most recent. Include employer's name and address, dates of employment, reason for leaving, beginning and ending wages, name of supervisor and the work you performed.

May we contact these employers?

Are there any other experiences, skills, or qualifications which you feel would especially aid you in performing the work for which you have applied?

Miscellaneous Information

Have you ever been convicted of, or pleaded guilty or not contest to, a felony?

Have you ever been convicted of, or pleaded guilty or no contest to, a misde-meanor involving theft, robbery, embezzlement, forgery, arson or physical violence within the last 7 years?

Please explain any 'yes' you may have checked above.

Please note, a 'yes' answer to either of the above will not necessarily disqualify you for employment. However, factors such as the date of the offense, seriousness and nature of the offense, rehabilitation and relationship of the offense to the job for which you are applying will be taken into account.

Why do you feel you would be an asset to Cornerstone Office Systems, Inc?

Of all the work you have done, where have you been the most successful?

What do you consider to be your strengths and weaknesses?

What do you like most and least about your most recent job?

Describe a time when you had to manage a difficult relationship with a fellow worker. How did you do it?

How do you spend your leisure time?

Please read carefully.*

Select All
Certification of Truthfulness: I certify that all statements on this Application for Employment are made truthfully and without evasion, and further understand and agree that such statements may be investigated and if found to be false will be sufficient reason for not being employed; furthermore, may result in dismissal.
Physical Exam / Substance Testing: I agree to submit myself, upon request, for a physical examination by the Company’s physician and to execute appropriate releases for that purpose. In addition, I agree to a pre-employment substance-screening test and to all searches and/or substance testing called for by Cornerstone Office Systems, Inc.’s alcohol, drugs, and other intoxicants policy.
Authorization for Information: I authorize the references I have listed above, any prior or current employer of mine, any educational institutions, and any person or organization, to give you any and all information concerning my previous employment, or educational accomplishments, including any disciplinary information, and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing information to you. In addition, I authorize Cornerstone Office Systems, Inc. to obtain an investigative consumer and/or credit report on me. I also agree to participate in any aptitude or other testing that Cornerstone Office Systems, Inc. believes will assist in hiring or placement decisions. I hereby waive written notice to me that the above employment information is being provided by any person or organization.
Criminal and Driving Record: I agree to cooperate with Cornerstone Office Systems, Inc. by taking whatever steps are needed in order to allow Cornerstone Office Systems, Inc. to secure my criminal conviction history and driving record from the appropriate agencies.
Employment at Will: If hired, in consideration of my employment I agree to abide by the rules and policies of Cornerstone Office Systems, Inc. and affiliates. I acknowledge that Cornerstone Office Systems, Inc. may change its rules and policies at any time it deems appropriate and that any changes will be binding on me. I further agree that such employment and all compensation can be terminated with or without cause, with or without notice, at any time, at the option of either Cornerstone Office Systems, Inc. or myself, and nothing in any Company policy or handbook changes this employment at will status. I understand, and agree that no agent or representative of Cornerstone Office Systems, Inc., other than its President, has any authority to enter into any agreement for employment for any specific or indefinite period of time, or to make any agreement contrary to the foregoing, and that the President’s authority to do so may be exercised only by a written employment contract signed by Cornerstone Office Systems, Inc.’s President.

It is the policy of Cornerstone Office Systems not to discriminate in its employment and personnel practices because of a person’s race, color, creed, religion, sex, national origin, age, height, weight, marital status, disability, or any other basis protected by federal, state, or other applicable law.

Consent

By submitting this application, I agree to the above statements. I also certify that everything in this application is true.

Comments

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