Application - Catch The Comet

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Application for Employment

The COMET does not discriminate in educational or employment opportunities or decisions for qualified persons on the basis of race, color, religion, sex, national origin, age, disability, sexual orientation or veteran status.

Date

Position Applied For

First Name

Last Name

Social Security Number

Preferred Phone Number

Present Address:

Address Line 1

Address Line 2

City

State

Zip Code

Country

Permanent Address:

Address Line 1

Address Line 2

City

State

Zip Code

Country

Are you a United States citizen?

Yes

If not, are you authorized to work in the United States?

Yes

Have you ever been discharged or forced to resign for misconduct or satisfactory performance from any job?

Yes

If yes, explain:

Do you possess a valid you driver’s license?

Yes

Driver’s License No:

State

Employment Availability

Full-Time

Part-Time

Hours/week:

Nights/Weekends:

What date can you be available to start work?

Criminal History

The information requested is needed for a legally permissible reason, including but not limited to, a legitimate occupational qualification of business necessity.

Have you been convicted of a crime other than a minor traffic violation? A “yes” answer to this question will not necessarily bar you from employment. The nature and severity, and date of the offense in relation to the position you apply for will be considered.

Yes

If yes, describe in full:

Education

Select the highest grade completed

Did you graduate?

Yes

Other Education

(Business or trade school, college or university)

Enter your education

Type	School Name	Location	Date Graduated	Degree Received	Major Subject	Credits

Military Service

Are you a veteran of the U.S. Military Service?

Yes

If yes, Branch:

Employment History

Start with your present employment or last job (list your employment record in reverse order). If more than one position/classification has been held with a given organization, list each as a separate period of employment.

Enter your employment info

Name of Employer	Position Held	Supervisor Name/Title:	Address	Phone	Reason for Leaving:	Description of Duties:	Starting Salary:	Last Salary:	Date Employed:	Date Separated:

Attach Resume & Cover Letter

Choose File

May we contact your present employer?

Yes

References

Please list three professional references other than relatives:

Enter your reference's info

Name	Title	Address	Work Phone	Mobile Phone

Based on the Job Description of the position for which you are applying, are you able to perform the essential functions or duties listed of the job? (Note: You may be asked to demonstrate your ability to perform these functions/duties.)

Yes, I need no reasonable accommodations or special assistance to perform them.

Yes, I will need reasonable accommodations or special assistance to perform them.

Please specify:

OVERVIEW OF THE HIRING AND EMPLOYMENT PROCESS

This application is but one part of the hiring and employment process. Other parts may include an interview, an employment examination or test, and a demonstration of an ability to perform the essential functions of the job. If you need an accommodation in order to complete any part of the hiring and employment process, including this application, please call (803) 255-7133 and ask for assistance.

APPLICANT STATEMENT

I certify that the answers and information provided by me in this application for employment are true, correct and completed to the best of my knowledge. I understand that if employed, any false or misleading information or omission of fact given in my application or interview(s) may result in discharge.

I authorize investigation of all information contained in this application for employment as may be necessary in arriving at an employment decision.

I understand that this application is not, and is not intended to be a contract for employment.

Digital Signature (Type your name)

Date / Time