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Submit a General Application

Please fill out the form below and click Submit to submit your application for consideration. Fields with an asterisk (*) are required.

Contact Information
* First Name:
* Last Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone:
* Email:
Application Information
* Referred By:
Opt-In Confirmation
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IIS Application for Employment

APPLICATION FOR EMPLOYMENT

Pre-Employment Questionnaire

An Equal Opportunity Employer / Un empleador de igualdad de oportunidades

PERSONAL INFORMATION / INFORMACION PERSONAL

* Full Name / Nombre completo
* Current Address (City, Street, City, Zip Code) / Dirección actual (ciudad, estado, código postal)
* Phone / Teléfono
Email / Correo Electronico
* Are you 18 years or older? / ¿Tienes 18 años o más?
Yes
No
Are you prevented from lawfully becoming employed in the USA because of visa or immigration status? / ¿Se le impide trabajar legalmente en los EE. UU. Debido a su visa o estado migratorio?
Yes
No

EMPLOYMENT DESIRED / EL EMPLEO DESEADO

Position / Posición
* Date You Can Start / Fecha en que usted puede comenzar
* Ever applied to this company before? / ¿Alguna vez ha solicitado a esta empresa antes?
Yes
No
If so, where and when? / Si es así, ¿dónde y cuándo?
* Are you employed now? / ¿Está trabajando ahora?
Yes
No
* If so, may we inquire of your present employer? / Si es así, ¿Podemos preguntarle a su empleador actual?
Yes
No

EDUCATION / EDUCACIÓN

* High School (Name and Location) / Escuela secundaria (nombre y ubicación)
* *Number of Years Attended / Numero de años asistidos
* Did you graduate? / ¿Te graduaste?
Yes
No
College (Name and Location) / Colegio (nombre y ubicación)
Number of Years Attended / Numero de años asistidos
Did you graduate? / ¿Te graduaste?
Yes
No

GENERAL / GENERAL

Subjects of Special Study / Sujetos de estudio especial
Special Skills or Certifications / Habilidades especiales o certificaciones
US Military or Naval Service / Servicio militar o naval de los EE. UU.
Rank / Rango
* Are you currently an active member of the National Guard or Reserves? / ¿Eres actualmente un miembro activo de la Guardia Nacional o Reservas?
Yes
No

FORMER EMPLOYERS / EX EMPLEADOS

List below the last three employers you've had, starting with the most recent one first.

Enumere a continuación los últimos tres empleadores que ha tenido, comenzando primero por el más reciente.

Name and Address of Employer / Nombre y dirección del empleador
Date Started (Month/Year) / Fecha de inicio (mes / año)
Date Ended (Month/Year) / Fecha de finalización (mes / año)
Position/Salary / Puesto/Salario
Reason For Leaving / Razón para irse
Name and Address of Employer / Nombre y dirección del empleador
Date Started (Month/Year) / Fecha de inicio (mes / año)
Date Ended (Month/Year) / Fecha de finalización (mes / año)
Position/Salary / Puesto/Salario
Reason For Leaving / Razón para irse
Name and Address of Employer / Nombre y dirección del empleador
Date Started (Month/Year) / Fecha de inicio (mes / año)
Date Ended (Month/Year) / Fecha de finalización (mes / año)
Position/Salary / Puesto/Salario
Reason For Leaving / Razón para irse

REFERENCES / REFERENCIAS

Give the names of three people, not related to you, whom you have known at least one year.

Dé los nombres de tres personas, no relacionadas con usted, a quienes haya conocido al menos un año.

* Name (Reference #1) / Nombre
* Phone Number (Reference #1) / Número de teléfono
* Business (Reference #1) / Negocio
* Years Acquainted (Reference #1) / Años de conocerse
* Name (Reference #2) / Nombre
* Phone Number (Reference #2) / Número de teléfono
* Business (Reference #2) / Negocio
* Years Acquainted (Reference #2) / Años de conocerse
* Name (Reference #3) / Nombre
* Phone Number (Reference #3) / Número de teléfono
* Business (Reference #3) / Negocio
* Years Acquainted (Reference #3) / Años de conocerse

I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time.

In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company.

I understand that no company representative, other than it's President, and then only when in writing and signed by the President, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing.

Certifico que toda la información presentada por mí en esta solicitud es verdadera y completa, y entiendo que si se descubre información falsa, omisiones o tergiversaciones, mi solicitud puede ser rechazada y, si estoy empleado, mi empleo puede ser rescindido en cualquier momento.

En consideración a mi empleo, acepto cumplir con las reglas y regulaciones de la compañía, y acepto que mi empleo y compensación pueden ser terminados, con o sin causa, y con o sin aviso, en cualquier momento, ya sea en mi o en la compañía. opción. También entiendo y acepto que los términos y condiciones de mi empleo pueden ser cambiados, con o sin causa, y con o sin aviso, en cualquier momento por la compañía.

Entiendo que ningún representante de la compañía, aparte de su presidente, y solo cuando está por escrito y firmado por el presidente, tiene autoridad para celebrar un acuerdo de empleo por un período específico de tiempo, o para hacer un acuerdo contrario a lo anterior. .

* I have read and agree to the terms of employment stated above. / He leído y acepto los términos de empleo mencionados anteriormente.
Yes
No
* Signature / Firma
* Date Signed / Fecha firmada
Equal Opportunity Employment
We are an Equal Opportunity employer and do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.

The information provided will be used for research, reporting, statistical purposes and to monitor legal compliance. To help us comply with these government requirements, please complete the following information.

Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired. We appreciate your cooperation.
Gender:
Female
Male
I Choose Not to Respond
Race/Ethnicity:
American Indian or Alaska Native (Not Hispanic or Latino)
A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachment
Black or African American (Not Hispanic or Latino)
A person having origins in any of the Black racial groups of Africa
Hispanic or Latino
A person of Cuban, Mexican, Puerto Rican, Central or South American, or other Spanish culture or origin, regardless of race
Asian (Not Hispanic or Latino)
A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam
White (Not Hispanic or Latino)
A person having origins in any of the original peoples of Europe, North Africa, or the Middle East
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands
Two or More Races (Not Hispanic or Latino)
All persons who identify with more than one of the above races
I Choose Not to Respond
Veteran Status: (Please check all that apply)
Individual with a Disability
An individual with a disability is a person who has a physical or mental impairment which substantially limits one or more of such person's major life activities, or who has a record of such impairment.
Vietnam Era Veteran
A person who 1) Served on active duty for a period of more than 180 days, and was discharged or released therefrom with other than a dishonorable discharge, if any part of such active duty occurred; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases; or 2) Was discharged or released from active duty for a service-connected disability if any part of such active duty was performed; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases.
Disabled Veteran
1) A veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or 2) A person who was discharged or released from active duty because of a service-connected disability.
War/Campaign/Expedition Veteran
A veteran who served on active duty in the U.S. military, ground, naval or air service during a war or in a campaign or expedition for which a campaign badge has been authorized.
Armed Forces Service Medal Veteran
A veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order No. 12985. To identify the military operations that meet this criterion, check your DD Form 214, Certificate of Release or Discharge from Active Duty.
Recently Separated Veteran
Any veteran during the three-year period beginning on date of such veteran's discharge or release from active duty in the U. S. military, ground, naval or air service.
I Choose Not to Respond

I agree that this form may be electronically signed and agree that my typed signature is the same as a handwritten signature for the purposes of validity, enforceability, and admissibility.
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