Elite Harness Employment Application

Employment Application
We are an equal opportunity employer and do not unlawfully discriminate in employment. No question on this application is used for the purpose of limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Equal access to employment, services, and programs is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the organization.
Applicant's Full Name

First NameLast Name
Date

MonthDayYear
Date
Position(s) applied for or type of work desired
Address

Address

Street Address Line 2

CityState

Zip
Telephone #
Format: (000) 000-0000.
Email address
example@example.com
Social Security Number
Email
Type of employment desired
Date you will be available to start work

MonthDayYear
Date
Salary expectation
Are you able to meet the attendance requirements?
Do you have any objection to working overtime if necessary?
Can you travel if required by this position?
Have you ever been previously employed by our organization?
Can you submit proof of legal employment authorization and identity?
If you are under 18, can you furnish a work permit if it is required?
Have you ever been convicted of a crime in the last 7 years?
If yes, please explain (a conviction will not automatically bar employment)
Drivers license number (if driving is an essential job duty)
How were you referred to us?
REQUIRED FOR ALL POSITIONS

Elite Harness LLC. is regulated by ITAR and subject to the Export Control Laws. In compliance with this, please answer the following questions:
I am one of the following: (a) a citizen of the United States; (b) a lawful permanent resident of the United States; or (c) a person admitted into the United States as an asylee or refugee.
Will you now or in the future require sponsorship for employment visa status (e.g., H-1B visa status)?
Employment History

Please provide all employment information for your past four employers starting with the most recent.
May we contact your current employer?
Employer 1 (current/most recent)
Employer
Position held
Address
Telephone #
Format: (000) 000-0000.
Immediate supervisor and title
Salary
Dates employed: FROM

MonthDayYear
FROM Date
Dates employed: TO

MonthDayYear
TO Date
Job summary
Duties
Reason for leaving
Employer 2
Employer
Position held
Address
Telephone #
Format: (000) 000-0000.
Immediate supervisor and title
Salary
Dates employed: FROM

MonthDayYear
FROM Date
Dates employed: TO

MonthDayYear
TO Date
Job summary
Duties
Reason for leaving
Employer 3
Employer
Position held
Address
Telephone #
Format: (000) 000-0000.
Immediate supervisor and title
Salary
Dates employed: FROM

MonthDayYear
FROM Date
Dates employed: TO

MonthDayYear
TO Date
Job summary
Duties
Reason for leaving
Employer 4
Employer
Position held
Address
Telephone #
Format: (000) 000-0000.
Immediate supervisor and title
Salary
Dates employed: FROM

MonthDayYear
FROM Date
Dates employed: TO

MonthDayYear
TO Date
Job summary
Duties
Reason for leaving
Other Skills and Qualifications
List Any Other Skills and Qualifications
Summarize any job-related training, skills, licenses, certificates, and/or other qualifications
Educational History

List school name and location, years completed, course of study, and any degrees earned:
High school
College
Technical Training
Other
References

List 3 references' names, telephone numbers, and years known (do not include relatives or employers):
Reference 1
Reference name, telephone number, and years known
Reference 2
Reference name, telephone number, and years known
Reference 3
Reference name, telephone number, and years known
I hereby authorize the potential employer to contact, obtain, and verify the accuracy of information contained in this application from all previous employers, educational institutions, and references. I also hereby release from liability the potential employer and its representatives for seeking, gathering, and using such information to make employment decisions and all other persons or organizations for providing such information. I understand that any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate termination of employment if I am employed, whenever it may be discovered. If I am employed, I acknowledge that there is no specified length of employment and that this application does not constitute an agreement or contract for employment. Accordingly, either I or the employer can terminate the relationship at will, with or without cause, at any time, SO long as there is no violation of applicable federal or state law. I understand that it is the policy of this organization not to refuse to hire or otherwise discriminate against a qualified individual with a disability because of that person's need for a reasonable accommodation as required by the ADA. I also understand that if I am employed, I will be required to provide satisfactory proof of identity and legal work authorization within three days of being hired. Failure to submit such proof within the required time shall result in immediate termination of employment.

I represent and warrant that I have read and fully understand the foregoing, and that I seek employment under these conditions.
Applicant signature

Clear
Date

MonthDayYear
Date
Should be Empty:

Employment Application

Employment History

Employer 1 (current/most recent)

Employer 2

Employer 3

Employer 4

Other Skills and Qualifications

Educational History

References