Personal Data
* Position(s) applying for
Name of source (if applicable)
Date you can start work?
Conviction or charges will not necessarily be a bar to emploment. Each instance will be considered in relation to the position for which you are applying.
Names of any relatives who work for Bohning.
Employment History
Provide the following information for your past and current employers, assignments or volunteer activities, starting with the most recent.
Most Recent Employer
Your Job Title
Reason for leaving
Previous Employer 1
Your Job Title
Reason for leaving
Previous Employer 2
Your Job Title
Reason for leaving
Educational Background
School
Years Completed
Degree or Diploma
School
Years Completed
Degree or Diploma
School
Years Completed
Degree or Diploma
List any academic honors
Military Service
Describe any training received revelant to the position for which you are applying.
References
Summary
Why would you like a position with Bohning Co., Ltd?
State any additional information that you feel may be helpful to us in considering your application. Include skills, experiences or abilities that qualify you to work at Bohning.
Authorization and Understanding
Upon the signing of this application, I represent that all of the information now or hereafter given by me in support of my application for employment is true and complete. I authorize you to verify any of the information concerning my employment, education or medical history with the appropriate individuals, companies, institutions, or agencies and I authorize them to release such information as you require, including my prior disciplinary employment record, without any obligation to give me written notice of such disclosure. I also authorize you to release any information requested by any of my prospective or subsequent employers without any obligation to give me written notice of such disclosure. I hereby release you and them from any liability whatsoever as a result of any such inquiries and disclosures. If hired, I agree I will serve at the will of the firm and I agree that I shall be bound by the rules, policies, regulations, and terms and conditions of employment of the firm as they are from time to time changed with or without notice to me. I agree that either party may terminate the employment relationship, with or without cause, at any time, for any reason. I hereby authorize the firm to deduct from each and every period of pay any amounts necessary to offset any damages caused by me or the value of property or money entrusted to me by, or owed me to the firm during the course of my employment. I agree that these arrangements may only be altered in writing directed to me personally by the president of the firm. I further agree that if I should bring any action or claim arising out of my employment against the firm in which the firm prevails, I will pay to the firm any and all costs incurred by the firm in defense of said claims or actions, including attorney fees. Falsification or the omission of any material information requested will be grounds for refusal to hire, or for termination, if falsity or omission is discovered after the applicant is hired. As a condition of employment, employees agree not to commence any action or suit relating to their employment relationship with the company more than six (6) months after the date of termination of employment: further, employees agree to waive any Statute of Limitations to the contrary.
This application is current for only 90 days. At the conclusion of this time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary for me to fill out a new application or call the firm to update and keep current.
I understand that if I am hired, I will be required to provide proof of identity and legal work authorization.
I understand it is this company’s policy not to refuse to hire a qualified individual with a disability because of that person’s need for a reasonable accommodation as required by the ADA.
* I represent and warrant that I have read and fully understand the foregoing and seek employment under these conditions.
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