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EMPLOYMENT APPLICATION

Personal Information

$
Desired Pay: *
Employment Desired: *

Employment Eligibility

Are you legally eligible to work in the U.S.? *
Have you ever worked for this employer? *
Have you ever been convicted of a felony? *

Education

High School

College:

Other

Other:

Previous Employment

Please explain any gaps in your employment history.

Employer 1

Employer 2

Employer 3

References

Professional Only

Reference 1

Reference 2

Reference 3

Military Service

Are you a veteran? *

Miscellaneous

Can you perform all essential functions and duties of your job? *
If offered employment, can and will you provide documentation that you are legally authorized to work? *
If offered employment, can and will you provide documentation that you are legally authorized to work (may not be relevant)? *
Have you ever been dismissed from an employment position? *
Have you ever been asked to resign from an employment position? *
Have you ever been investigated for misconduct related to your employment? *
Have you ever had a professional certificate, credential, or license of any kind revoked or suspended? *
Have you ever surrendered a professional license of any kind before its expiration? *

Background Check Consult:

If asked, are you willing to consent to a background check? *

Disclaimer:

Applicant understands that BB&J is an Equal Opportunity Employer and that BB&J is committed to excellence through diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, national origin, veteran status or genetic information. BB&J is committed to providing access, equal opportunity and reasonable accommodations for individuals with disabilities in employment, its services, programs, and activities.

In order to ensure this application is acceptable, please print or type with the application being fully completed in order for it to be considered. Please complete each section EVEN if you decide to attached a resume.

I, the Applicant, certify that my answers are true and honest to the best of my knowledge. If this application leads to my eventual employment, I understand that any false or misleading information in my application and/or interview may result in my employment being terminated.

DISCLAIMER: By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.