Careers Employment ApplicationStep 1 of 714%Position(s) Applied For:Date How Did You Learn About Us?AdvertisementEmployment AgencyFriendRelativeWalk InJobOtherName First Middle Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country PhoneHave you ever used or been known by a name other than the one listed above? Yes NoIf Yes, list all other names, dates used and reason for using the other namesAre you 18 years or older? Yes NoCan you provide required proof of your eligibility to work? Yes NoHave you ever filed an application with us before? Yes NoDate of previous application Have you ever been employed with us before? Yes NoDates of your employment & name of supervisorAre you legally authorized to work in the United States? Yes NoOn what date would you be available to work? Are you able to work: Full Time Part Time SummersSpecific Pay you DesireHave you ever been convicted of a crime, had adjudication of a crime withheld, or pled nolo contendere (no contest) to a crime, including but not limited to robbery, embezzlement, forgery, perjury, drugs, tax evasion or any criminal offense involving dishonesty or breach of trust? Yes NoPlease state your age at the time of the offense, type of offense, disposition of the offense and any rehabilitationHave you ever been arrested for a crime which has been yet been adjudicated? Yes NoPlease give details regarding such arrest, including dates of and reasons for arrest and by whom you were arrestedAre you currently on probation? Yes NoHave you ever been a defendant in a civil action for an intentional tort, such as assault, battery, conversion, civil theft, defamation, embezzlement, fraud, or trespass? Yes NoPlease indicate the type of action, where the action was pending, and the disposition of the case In any previous employment, have you ever been notified by any representative of management or human resources that you have been by a co-worker, client, vendor or other individual of sexual, or any other form of unlawful, harassment, or discrimination? Yes NoPlease explain fully including the ultimate outcome of the matter.A yes answer to any of the foregoing five questions will not necessarily be a bar to employment. The nature, severity and date of the offense(s) or incident(s) will be taken into account in determining the affect on suitability for employment.High SchoolFrom To GraduateDiploma/DegreeCollegeFrom To GraduateDiploma/DegreeLanguagesList all languages you can speakList all languages you can readList all languages you can write ReferencesReference 1Name & Title/OccupationAddressTelephone No.Years Known Reference 2Name & Title/OccupationAddressTelephone No.Years Known Reference 3Name & Title/OccupationAddressTelephone No.Years Known Reference 4Name & Title/OccupationAddressTelephone No.Years Known Do you have the ability to perform the essential functions of the job for which you are applying? Yes NoPlease explain and describe, if possible, how with or without accommodation, you may otherwise be able to perform these functions. This will be taken into account in determining your suitability for employment.List specific job skills and job-related, equipment or software programs you can operate, if pertinentComputer: Specify softwareSpecialized machines/toolsOther Special SkillsMilitary ExperienceHave you served or are currently serving in the U.S. Armed Forces? Yes NoPlease provide branch in which you served, dates of service and rank at the end of serviceWere you honorably discharged? Yes NoPlease ExplainA dishonorable discharge will not necessarily be a bar to employment. the nature, severity and date and the offense(s) or incident(s) will be taken into account in determining the affect on suitability for employment Employment HistoryEmployment 1Dates of EmploymentName and Address of EmployerSalary/Rate of PayType of BusinessTitle/Position Reason for leaving the above positionEmployment 2Dates of EmploymentName and Address of EmployerSalary/Rate of PayType of BusinessTitle/Position Reason for leaving the above positionEmployment 3Dates of EmploymentName and Address of EmployerSalary/Rate of PayType of BusinessTitle/Position Reason for leaving the above positionEmployment 4Dates of EmploymentName and Address of EmployerSalary/Rate of PayType of BusinessTitle/Position Reason for leaving the above positionPlease use the space below to explain any gaps in employment listed above that are longer than one (1) month.Are you currently employed? Yes NoMay we contact your present employer? Yes NoAre you currently on leave or under contract with another private, public, or charter school? Yes NoPlease explain: Employment ReferencesHave you ever been discharged, terminated or asked to resign from a position? Yes NoPlease Explain:May we contact your previous employers? Yes NoEmployer 1Name & TitleCompany Name & AddressPhone #Years Known Employer 2Name & TitleCompany Name & AddressPhone #Years Known Employer 3Name & TitleCompany Name & AddressPhone #Years Known Employer 4Name & TitleCompany Name & AddressPhone #Years Known Licenses and CertificationsPlease list below any relevant licenses, certifications, credentials, accreditation and special training you may have:Certificates & Training 1Certificate, License, Credential, AccreditationExpirationBy Whom Issued Certificates & Training 2Certificate, License, Credential, AccreditationExpirationBy Whom Issued Certificates & Training 3Certificate, License, Credential, AccreditationExpirationBy Whom Issued Certificates & Training 4Have you ever had a certificate, license, credential or accreditation suspended or revoked or been placed on a probationary status? Yes NoPlease identify the license, certificate, credential, or accreditation and the date and reason for suspension, revocation, or probation. Additional InformationOccasionally the forma of an application blank makes it difficult for an individual to adequately summarize his/her qualifications for employment. To assist in finding the proper position for you, use the space below to summarize any additional abilities, accomplishments or experience which you believe necessary to describe your full qualifications.Please state briefly your reason(s) for wanting to work for the company.Please upload any supporting documents Drop files here or I certify that the answers given by me to the foregoing questions and statements are true and correct without any falsification, omissions, or misleading statements whatsoever. I agree that the Company shall not be held liable in any respect if my employment is terminated because of inaccurate, false or misleading statements or answers or omissions made by me in this Application. I authorize previous employers or persons named above to give any information regarding my employment, together with any information that they may have regarding me, whether or not it is in their records, unless I have otherwise indicated. 1 agree to release from liability the Company and all individuals and/or institutions, for any information that may be given by them in consideration for the Company considering me for employment. I agree to comply with the Company's rules, regulations and policies and acknowledge that these rules, regulations and policies may be changed, interpreted, withdrawn or supplemented by the Company any time and without prior notice to me. I understand and agree that my employment, if any, is governed by Florida law and is for no definite period of time and may, regardless of the date of payment of the my wages/salary, be terminated at any time, without any pervious notice, and without liability to me for wages/salary, except such as may have been earned at the date of such termination. I acknowledge that any offer of employment, or my acceptance of an employment offer, if such is to occur, may be withdrawn, at any time, at the option of the Company or myself. I understand that this Application and any other documents which I may receive are not contracts of employment. I further understand that no representative of the Company other than the President of the Company, has the authority to enter into any agreement for employment for any specified period of time or to assure any benefits or terms and conditions of employment, or make any agreement contrary to the foregoing. I agree to give the Company two weeks prior notice of resignation, if possible, should I decide to end my employment after starting work. It is understood that the Company may supply to any prospective employer a complete record of my employment with no responsibility to the company or any of its staff. I understand that I have expectation of privacy with regard to any property owned or operated by the company, including vehicles, tools and equipment, computer data (whether generated by me or by others), storage space/areas, desks and lockers, all of which are subject to inspection by the company at any time. I further understand that I may be asked to submit for inspection all personal belongings, including clothes, which I wear or bring to the work site. If illegal or unauthorized drugs, alcohol, firearms, weapons or stolen property are found during an inspection, or if I refuse to submit to a search of my effects, I will be required to vacate the premises as soon as possible and may be disciplined up to and including discharge. I understand that if I am offered employment, post job offer but before my employment begins, the company may require a medical evaluation which may include a physical examination by a physician selected by the company to which I consent. This evaluation may also include a pre-employment drug screening examination administered by a professional laboratory as part of my application for employment to which I also consent. I understand that either refusal to submit to the pre-employment drug screening examination or a failure to qualify according to the standards established by the company for this examination shall be held in confidence and furnished only to the authorized officer of the company from which I am now seeking employment for use solely in consideration relevant to my employment. I further understand that upon commencement of employment with the company I may again be required, for reasonable suspicion, to submit to a drug screening examination administered by a professional laboratory. I understand that refusal to take a requested drug screening test or failure to meet the standards set for the examination may result in immediate suspension or discharge. I understand that, if driving is relevant to the work that I will be performing, I authorize the Company to obtain my driver’s license record. I understand that, according to federal law, all individuals who are hired must, as a condition of employment, produce certain documents to verify their identity and their legal authorization to work in the U.S. As a consequence, I understand that any offer of employment would be contingent on my ability to produce the required documentation within the time period required by law. I understand that, if hired, I will be placed on a 90-day introductory probationary period in accordance with Florida law. I further understand that if I am terminated for unsatisfactory performance within the 90-day probationary period, the company will contest any unemployment benefits I might attempt to obtain as a result of my termination.Agreement* I hereby acknowledge that I have read the above statement and understand same. This iframe contains the logic required to handle Ajax powered Gravity Forms.