Employment Application

Please carefully read and answer all questions. You will not be considered for employment if you fail to completely answer all the questions on this application. You may email a résumé to info@help-1.com, but all questions must be answered.

  1. (required)
  2. PERSONAL INFORMATION
  3. (required)
  4. (required)
  5. (required)
  6. (required)
  7. (required)
  8. (required)
  9. (required)
  10. (valid email required)
  11. (required)
  12. Do you have a High School Diploma or GED
  13. POSITION INFORMATION
  14. check all that you are willing to work
  15. Hours
  16. Status

  17. If employed in this position, would you be in a supervisory or subordinate relationship to any family members?
  18. Have you ever been convicted of a crime other than a minor traffic violation?
  19. QUALIFICATIONS
  20. Please list any education or training you feel relates to the position applied for that would help you perform the work, such as schools, colleges, degrees, vocational or technical programs, and military training.
College
High School
Other
  1. SPECIAL SKILLS
  2. Please list any special skills or experience that you feel would help you in the position that you are applying for.
  3. (required)
  4. REFERENCES
  5. Please list three professional references not related to you, with full name, address, phone number, and relationship. If you don’t have three professional references, then list personal, unrelated references.
Reference #1
Reference #2
Reference #3
  1. WORK HISTORY
  2. Start with your present or most recent employment and work back. Use a separate sheet if necessary.
Job Title #1
  1. May we contact your present employer?
Job Title #2
  1. I declare that all the foregoing statements are true and correct to the best of my knowledge. I authorize the “Employer” to conduct a background check, including criminal history, credit history, and driving record; and to contact my present and past employers, schools, and references to determine my suitability for employment. I hereby release the “Employer” and from all liabilities resulting from these inquires.
  2. (required)
  3. Please email your résumé to: info@help-1.com
 

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