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LAFS Employment Application

THIS APPLICATION IS NOT AN EMPLOYMENT CONTRACT but merely is intended to evaluate suitability for employment. It is the policy of the company to provide equal employment to all qualified persons without discrimination on the basis of sex, race, color, religion, age, national origin, citizenship, disability, veteran status, or any other status protected under local, state or federal law. It is also the policy of the company to have the option of conducting pre-employment screening before a job offer is made. If a job offer is made, employment may be contingent upon the successful completion of a pre-employment drug screening and/or medical examination. This application will remain active for 3 years.
Current Job Openings Select Open Position: 

Personal

Personal Information

First Name*:
Middle Name:
Last Name*:
Home Phone*:
Work Phone:
Cell Phone:
Email Address*:
SSN*:

Addresses

Current Address

Street*:
City*:
State*:
Zip Code*:
From (MM/YYYY)*:

Prior Address (1)

Street:
City:
State:
Zip Code:
From (MM/YYYY):
To (MM/YYYY):

Prior Address (2)

Street:
City:
State:
Zip Code:
From (MM/YYYY):
To (MM/YYYY):

Education

High School

School:
City:
State:
Diploma:

Undergrad School

School:
City:
State:
Diploma:
Deg/Cert/Dip:
Area of Study:

Grad School

School:
City:
State
Diploma:
Deg/Cert/Dip:
Area of Study:

Other School

School:
City:
State:
Diploma:
Deg/Cert/Dip:
Area of Study:

Employment

Employment Information

Position Applied For:
Date You Can Start:
Calendar (yyyy-mm-dd)
Desired Salary (CURRENCY_SYMBOL):
Do You Prefer:
Can you work:
 Weekends
 Evenings
Available:
 M
 Tu
 W
 Th
 F
 Sa
 Su
Not Available:
Please answer all of the following questions.
1.
Are you at least 18 years of age and legally eligible to work for our company in the United States?
2.
Have you worked for this business before?
 
If yes, please provide dates and locations.
 
3.
Have you received a description of the job or been made aware of the essential functions of the job for which you are applying?
4.
Do you understand the job requirements?
 
If no, please explain.
 
5.
Are you on layoff and subject to recall?
6.
Are you currently bound by a noncompetition, confidentiality or trade secret agreement?
 
If yes, please explain...
 
7.
Have you ever been discharged or asked to resign from a job?
 
If yes, please explain...
 
8.
Have you ever been convicted of or pled guilty to a felony or crime other than a minor traffic citation?
 
If yes, please explain...
 

Employers

Employer

May we contact your present employer?
Employer*:
City*:
State*:
Zip Code*:
Phone*:
Position Held*:
From (MM/YYYY)*:
To (MM/YYYY)*:
Pay upon leaving*:
Supervisor*:
Duties*:
Reason For Leaving*:

Prior Employer (1)

Employer:
City:
State:
Zip Code:
Phone:
Position Held:
From (MM/YYYY):
To (MM/YYYY):
Pay upon leaving:
Supervisor:
Duties:
Reason For Leaving:

Prior Employer (2)

Employer:
City:
State:
Zip Code:
Phone:
Position Held:
From (MM/YYYY):
To (MM/YYYY):
Pay upon leaving:
Supervisor:
Duties:
Reason For Leaving:

Prior Employer (3)

Employer:
City:
State:
Zip Code:
Phone:
Position Held:
From (MM/YYYY):
To (MM/YYYY):
Pay upon leaving:
Supervisor:
Duties:
Reason For Leaving:

Skills

Job-related Skills

References

Reference (1)

Name*:
Address*:
Telephone*:
Relationship*:
Years Acquainted*:

Reference (2)

Name*:
Address*:
Telephone*:
Relationship*:
Years Acquainted*:

Reference (3)

Name*:
Address*:
Telephone*:
Relationship*:
Years Acquainted*:

Resumes

Resume (Text Version)

 
Copy and Paste a text version of your resume here.
 

Upload File

 
Attach a file to your application submission
 

Agreement

Applicant Certification Agreement

1.
I UNDERSTAND and agree that, except as specifically prohibited by state law or County ordinance or regulation, all Livesey All Freight Systems, Inc. (Company) policies and procedures may be modified, amended, or deleted by the Company at its option; that the policies and procedures do not create any property rights in employment may be terminated by either me or the Company at any time with or without cause. I UNDERSTAND that all employees who do not have a written employment contract are employed at the will of the Company for an indefinite period and are subject to termination at any time.
2.
I CERTIFY that all information given on this employment application, related employment papers and all interviews is true and correct. I understand that the Company may make a thorough investigation of my character reputation, past employment and medical history. I authorize the giving and receiving of any such information requested by the Company (including Financial and credit records)* and hereby relieve and release all former employers and their agents of any liability for any information they may give to the Company. I hereby waive any rights or claims I may have whether presently fully developed or not, against Company or its agents or employees, arising out of, or resulting from the release, authorized or unauthorized, of the information received pursuant to or in connection with the Company's handling, processing, investigation, etc. of my application for employment with the Company.
3.
I AGREE that if I am employed by Company, that in the future some potential employer may contact the Company or its representatives concerning my work record and my work performance at the Company. I hereby consent to and authorize persons employed by the Company to divulge any and all information they consider relevant to any person representing themselves to be an employer or potential employer of mine with respect to my work record and/or performance of my job at Company. I understand that all information provided herein is public record and is subject to review upon request.
4.
I UNDERSTAND that a pre-employment drug screening is required. I AGREE to a physical examination if requested, including samples for use of illegal drugs or substances, and understand that failure to meet any job-related medical and/or health requirements for the position could prevent my employment or continued employment by the Company. *NOTE: The Provisions of the Fair Credit Reporting Act may be applicable if a credit report on the applicant is obtained and considered. Read Notification and Acknowledgement of Background Investigations.
5.
I HAVE READ AND REVIEWED the information provided in this application and the above statements. By signing this application for employment I certify that I understand all parts of it and have answered all questions completely and fully.
6.
I UNDERSTAND that all employees who do not have a written employment contract are employed at the will of the Company for an indefinite period and are subject to termination at any time.
 
I understand that by typing my name in the signature box below and submitting this application electronically, I have read, understand, and I agree to the terms of this employment application and that this becomes a legal and binding contract.
 
Security Code
 
Security Code
 
  captcha
Signature
 
Type Name in Signature Box*:
 
 
Date: 2018-10-21 11:25:33

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