Hamister Group, LLC Job Application

Federal and state laws prohibit discrimination in employment because of sex, age, race, color, religious creed, marital status, national origin, ancestry, disability or handicap.

Instructions to Applicant: Please read carefully. Every item on this form must be answered to the best of your ability. Your qualifications will be reviewed and you will be given thorough consideration for any applicable vacancies. If you are employed by this agency, this form will become a part of your personnel file.

Applicants are not required to give any information on this form that is prohibited by Federal, State or Local Law.

*Required Fields: All fields marked with an asterisk (*) are required. Your application will not submit unless they are filled out.

Upload a Resume and Cover Letter

If you choose to, please upload a resume and cover letter with your job application.

Personal Information

If under 18 years of age, do you have a work permit?
Are you a citizen of the United States?
If NOT, do you have the legal right to remain permanently and work in the United States? (Proof of citizenship or immigration status will be required upon employment)
Have you ever applied to this company before?
Have you ever worked for this company before?
Do you have any friends or relatives employed by this company?
Have you ever worked for this company under a different name?
Is any additional information related to a change of name, use of an assumed name, or nickname necessary to enable verification of your work record?
Can you perform the essential functions of the job with or without a reasonable accommodation?
Do you have a valid driver's license?
Do you have an out of state license?
Have you received any moving violations in the past 8 years?
Have you had any suspension, revocation, DWI, DWUI, or any occurrence involving harm to anyone or property while driving?
Indicate your availability:
Type of employment desired:
Are you on a layoff and subject to recall?
Can you travel if the job requires?
Are you involved in any activity which would interfere with regular work scheduling?
Referral source:
Are you currently employed?
If yes, may we contact your present employer?
Have you ever been discharged or asked to resign by any former employer?

Military Record

Were you in the US Armed Forces?

Previous Employment 1 (begin with your current or last job)

Dates of (Un)Employment

Employer Info

May we contact this employer for reference?

Previous Employment 2

NOTE: Please include all employment and unemployment gaps for the past 7 years.

Dates of (Un)Employment

Employer Info

May we contact this employer for reference?

Previous Employment 3

NOTE: Please include all employment and unemployment gaps for the past 7 years.

Dates of (Un)Employment

Employer Info

May we contact this employer for reference?

Professional References

Supervisor 1

Supervisor 2

Teacher, Employer, or Other

Record of Education

Elementary / Middle School

Last Year Completed:
Did you Graduate?

High School

Last Year Completed:
Did you Graduate?

College

Last Year Completed:
Did you Graduate?

Other Education

Last Year Completed:
Did you Graduate?

Professional Licenses / Certifications (if any)

Emergency Contact

Applicant's Statement

I understand that any employment by this property/facility will be on a probationary basis. If employed by the facility I agree to abide by all rules indicated in the company handbook, facility/property policies and procedures as well as applicable state regulations governing this facility/property. I further understand that this employment application is not and is not intended to be an employment contract. I certify that the above information is complete and true to the best of my knowledge. I understand that discovery of misrepresentation or omission of facts herein will be cause for immediate dismissal regardless of when this is discovered. I hereby authorize this facility to contact any and/or all of the references and former employers listed in this application to obtain any information, which in employers discretion, it deems necessary to make an employment decision. I agree to take an occupational physical to be conducted by a physician selected by the employer at any time if I am offered employment and agree that the examining physician may disclose the results to my employer or an authorized agent of the employer.
 * I agree to the above Applicant's Statement
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Hamister Group, LLC