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Application For Employment
Executive Details Plus, Inc is an equal opportunity employer and will not discriminate against applicants or employees on basis of race, creed, color, national origin, age, gender, disability and liability for service in the United States Armed Forces or any other characteristics protected by Federal, State, or local law.


Applicant Information:
First Name:   Middle:   Last Name:  
Address:   City:   State:      Zip Code:  
Telephone:   Cell:   Email:  
Social Security (SSN#):    
 
Position applied for:   Date of Application:  
Have you ever been employed here before?         If so, When?  
Have you applied to this company before?         If so, When?  
Are you legally eligible for employment in this country?       
(note: if you answer “yes” you must complete the I-9 form required by Immigration and Naturalization Service no later than 3 business days after your date of hire)
 
Date available to start working:   Salary Desired:  
Type of employment desired:                 

Have you ever been convicted of or plead guilty to a felony, or, within the last five years, been convicted of or plead guilty to a misdemeanor that resulted in imprisonment which was not a first offense for drunkenness, simple assault, traffic violations or disturbing the peace and which has not been expunged or sealed by court?      

A conviction will not necessarily be a bar to employment. Please describe the nature of the conviction, the date or the conviction and your rehabilitation since your conviction:  

Name of recruiter or referred by:  

Employment History:   * List your last three employers starting with the most recent…
Are you employed now?              If so, may we inquire of your present or past employer?             
Employer:   Phone:   Job Title:  
Address/City/State/Zip:  
Supervisor:  
Summarize the nature of the work performed and the job resbonsibilities:

Reason for leaving:  
Salary:    Start:   per        Final:   per


Employer:   Phone:   Job Title:  
Address/City/State/Zip:  
Supervisor:  
Summarize the nature of the work performed and the job resbonsibilities:

Reason for leaving:  
Salary:    Start:   per        Final:   per


Employer:   Phone:   Job Title:  
Address/City/State/Zip:  
Supervisor:  
Summarize the nature of the work performed and the job resbonsibilities:

Reason for leaving:  
Salary:    Start:   per        Final:   per


Which of your past jobs did you like the best?  
What did you like most about this job?  

Skills and Qualifications:
Summarize special skills and qualifications acquired from employment or
other experiences that may qualify you for work at this company:

Educational Background:
Name and Location: Years Completed: Did you Graduate? Majors / Highest Grade Completed:
     
     
     

Professional References:
Give below the names of at least three persons not related to you, to whom you have worked with.
Name and Relationship to you: Business: Telephone? Years Aquainted:
     
     
     


Any misrepresentation, misstatement or omission of information called for in this application or other company records will jeopardize my chances for employment and of I am employed may result in discharge at any time upon or after discovery. My responses on this application are true, correct and complete. I give the Company the right to investigate all references and to secure additional information about me, if job related. I hereby release from liability the Company and its representatives for seeking such information and all other persons, corporations or organizations for furnishing such information. We are an Equal Opportunity Employer. The Company does not discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant’s consideration for employment on basis prohibited by local, state, or federal law. I understand that just as I am free to resign at any time, and that this Company reserves the right to terminate my employment at any time without cause and without prior notice. I understand that no representative of this Company has the authority to make assurances to the contrary.

Please check the box to confirm your acceptance of the terms and agreement: