Aurora Borealis Employment Application

WE ARE A COMPLETE DRUG FREE WORKPLACE

1. We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, marital or military status, the presence of a non-job-related medical condition or disability, or any other legally protected status. We comply with all applicable laws governing employment practices, and we do not discriminate on the basis of any unlawful criteria.

2. This application will be considered current for only 30 days from the date of completion.

3. All questions must be answered for the application to be considered. If not applicable, please indicate with N/A.

Personal Information

Your Name (required)

Phone Number (required)

Your Email (required)

Date

Street Address

City

State / Province / Region

Postal / Zip Code

Select Country

If you have lived at this address less than three years, please provide your previous address

Referred by

Position applying for

Wage expected:

Start Date

Educational Experience

High School:

College or University:

Type of Degree(s) and Major Course(s) of Study:

Any additional educational experience which relates to the position for which you are applying:

Work Experience

Company Name

Phone Number

Street Address

City

State / Province / Region

Postal / Zip Code

Select Country

Start/End Date

Salary

Reason for Leaving

Company Name

Phone Number

Street Address

City

State / Province / Region

Postal / Zip Code

Select Country

Start/End Date

Salary

Reason for Leaving

Company Name

Phone Number

Street Address

City

State / Province / Region

Postal / Zip Code

Select Country

Start/End Date

Salary

Reason for Leaving

How many jobs have you had in the last 5 years not listed above:

Please indicate the job duties you have performed which relate to the position for which you are applying:

Are you eligible for employment in the United States?
YesNo

Additional Notes:

Days Available for Work
MondayTuesdayWednesdayThursdayFridaySaturdaySunday

Other:

Hours Available for Work:

Personal References

Name (first and last):

Phone Number

Address:

Name (first and last):

Phone Number

Address:

Resume Upload

Agreement

Before signing the application, please check all the information on it to make sure it is correct and complete. If you need additional room to enter information, please enter it on a separate sheet and attach it to this application.

The information above is true and correct. I understand the employers and persons listed in this application may also be contacted for verification and references. I authorize the verification of the information I have provided. I further understand that any falsification, misrepresentation or omissions may be grounds for termination of my employment with this company at any time.

I understand the acceptance of this application and any other pre- employment processing by the company does not signify that a job opening exists and in no way is an offer of employment or a commitment of any kind by this company.

AgreeDo Not Agree

Name (first and last):

Date