ExpoDisplays - Online Employment Application

Online Employment Application

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Last Name:

First Name:

Middle Name:

Address:

State: Zip Code:

Phone:

E-mail: Social Security Number:

Please fill out the information below, then press submit.
This will be sent to the Human Resources Department at ExpoDisplays for review.
You will be contacted if we would like to bring you in for an interview.
Please Remember that Salary History is REQUIRED for Employment.

We consider all applicants for all positions regardless of race, color, religion, creed, gender, national origin, age, disability,
marital or veteran status, sexual orientation, or an other legally protected status.

Position(s) Applied For
How Did You Learn About Us?
	Advertisement	Relative
	Employment Agency	Walk-In
	Friend	Other

If you are 18 years of age, can you provide proof of your eligibility to work?				Yes	No
Have you ever filed an application with us before?				Yes	No
Have you ever been employed with us before?				Yes	No
Are you currently employed?				Yes	No
May we contact your present employer?				Yes	No
if Yes, please give phone number and contact name		Name:	Phone:
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? Proof of citizenship or immigration will be required upon employment.				Yes	No
On what date would you be available for work?
Are you available to work:	Full Time Part Time Shift Work Temporary
Are you currently on "lay-off" status and subject to recall?				Yes	No
Can you travel if a job requires it?				Yes	No
Have you ever been convicted of a felony? Conviction will not necessarily disqualify an applicant for employment				Yes	No
If yes, please explain

Employment Experience
Start with your present or most recent job. Include any job related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status.

Employer:

Dates Employed: From To

Address:

City:

State:

Zip:

Phone:

Job Title:

Supervisor:

Hourly Rate/Salary: Starting Final

Reason for Leaving:

Work Performed:

Employer:

Dates Employed: From To

Address:

City:

State:

Zip:

Phone:

Job Title:

Supervisor:

Hourly Rate/Salary: Starting Final

Reason for Leaving:

Work Performed:

Employer:

Dates Employed: From To

Address:

City:

State:

Zip:

Phone:

Job Title:

Supervisor:

Hourly Rate/Salary: Starting Final

Reason for Leaving:

Work Performed:

Cut/Paste Your Resume Here

Education

	Name & Address of School	Course of Study	Years Completed	Diploma or Degree
High School
Undergraduate College
Graduate Professional
Other (Specify)

Indicate foreign language you can speak, read and/or write.
	FLUENT	GOOD	FAIR
Speak
Read
Write

Describe any specialized training, apprenticeship, skills and extra-curricular activities.

Describe any job-related training received in the United States Military.

Additional Information
Other Qualifications
Summarize special job-related skills and qualifications acquired from employment or other experience.

Check and Rate Skills/Equipment Operated
On a scale of 0-10 rate your level of experience with these and other program/skills.
(with zero being no knowledge of)

Specialized Skills

	MAC
	PC
	Excel
	PowerPoint
	Photoshop
	Freehand

	QuarkXPress
	Illustrator
	Fax
	Word
	Page Maker
	SalesLogix

		Email
		Typing
		Internet
		Canvas 9
		Form Z
	CAD programs
	CAD programs
	CAD programs
	Other (list & rate)
	Other (list & rate)
	Other (list & rate)

Production/Machinery

	Forklift
	Table Saw
	Hand Tools

	Lifting Capability
	Inventory
	Shipping/Receiving

	Other (list &rate)
	Other (list & rate)
	Other (list & rate)

State any additional information you feel may be helpful to us in considering your application.

Note to Applicants: DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN INFORMED ABOUT THE REQUREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING.
Are you capable of performing in a reasonable manner, with or without a reasonable accommodation, the activities involved in the job or occupation for which you have applied?	Yes
	No

References

1.	Name:	Phone:
	Address:
2.	Name:	Phone:
	Address:
3.	Name:	Phone:
	Address:
4.	Name:	Phone:
	Address:

Applicant's Statement I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applicants are being accepted at that time. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of "at will" nature, which means that the Employee may resign at any time and the Employer may discharge the Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Employer.

Name of Applicant:			Date: