JOIN OUR TEAMApplication for EmploymentPersonal information & qualifications · 1 of 2PositionPosition applying forDate you can startSalary desiredPersonal dataLast nameFirst nameMiddle nameStreet / mailing addressCityStateZIP codeHome telephoneCellular telephoneEmail addressDo you have a high school diploma or GED? Yes NoPosition informationCheck all that you are willing to work Full time Part time TemporaryAre you authorized to work in the U.S. on an unrestricted basis? Yes NoHave you ever been convicted of a felony? (Convictions will not necessarily disqualify an applicant for employment.) Yes NoIf yes, explainHave you been told the essential functions of the job or viewed a job description listing them? Yes NoCan you perform these essential functions with or without reasonable accommodation? Yes NoQualificationsList education or training related to the position, including school, college, vocational or technical programs, and military training.School / programDegree / qualificationAddress / city / stateSchool / programDegree / qualificationAddress / city / stateSchool / programDegree / qualificationAddress / city / stateSpecial skillsSkills and experience relevant to this positionReferencesList three professional references who are not related to you. If unavailable, list personal, unrelated references.Reference 1Full namePhoneRelationshipAddress / city / stateReference 2Full namePhoneRelationshipAddress / city / stateReference 3Full namePhoneRelationshipAddress / city / state
MAGNUM SERVICESExperience & authorizationWork history & signature · 2 of 2Work historyStart with your present or most recent employment and work back.Employment 1Job titleStart dateEnd dateCompany nameSupervisorPhoneCityStateZIP codeDutiesReason for leavingStarting salaryEnding salaryMay we contact your present employer? Yes No N/AEmployment 2Job titleStart dateEnd dateCompany nameSupervisorPhoneCityStateZIP codeDutiesReason for leavingStarting salaryEnding salaryEmployment 3Job titleStart dateEnd dateCompany nameSupervisorPhoneCityStateZIP codeDutiesReason for leavingStarting salaryEnding salaryEmployment 4Job titleStart dateEnd dateCompany nameSupervisorPhoneCityStateZIP codeDutiesReason for leavingStarting salaryEnding salaryCertification & signatureI certify that the facts set forth in this Application for Employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize the Employer to make an investigation of any of the facts set forth in this application and release the Employer from any liability. The employer may contact any listed references on this application.I acknowledge and understand that the company is an “at will” employer. Therefore, any employee (regular, temporary, or other type of category employee) may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without cause, with or without notice to the other party.Applicant signature (type full name)Date I have read the certification above and agree to sign this application electronically using my typed name.