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Application for Employment


PLEASE FILL OUT COMPLETELY



Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, sexual preference, marital or veteran status, or the presence of a non-job-related medical condition or disability.

Position(s) applied for:
Salary Expectations:
Referral Source:
Do you know anyone who is/was employed by Brady People ID?
YES
NO
If YES, who:
Relationship:


First Name:
Middle Name:
Last Name:
Address:
City:
State/Province:
Zip/Postal Code:
Telephone:
Fax:
Email Address:
Social Security Number:


If you are under 18, can you furnish a work permit?
YES
NO
I am not under 18 years of age

Have you filed an application at Brady People ID?
YES
NO
If YES, give date:

Have you ever been employed by Brady People ID?
YES
NO
If YES, give date:

Are you employed now? May we contact your present employer?
Yes, I am Employed. Yes, you may contact my employeer
Yes, I am Employed. No, you may not contact my employeer
No, I am not employed

Are you eligible to legally work in the U.S.?
(If YES, proof is required upon employment)
YES
NO

On what date would you be available for work?

Are you on a lay-off and subject to recall?
YES
NO

Can you travel if a job requires it?
YES
NO

Have you been convicted of a felony within the last 7 years?
(Conviction will not necessarily disqualify applicant from employment.)
YES
NO
If YES, please explain:


Veteran of the U.S. Military service?
YES
NO
If YES, Branch:

List professional, trade, business or civic activities and offices held.
(You may exclude those which indicate race, color, religion, sex, or national origin.)


Employment References
Provide the name, address, and telephone number of three employment references (previous supervisors, managers, or co-workers):

Reference 1:
Name
Company
Company Address
Phone
Position

Reference 2:
Name
Company
Company Address
Phone
Position

Reference 3:
Name
Company
Company Address
Phone
Position



Special Employment Notice To Disabled Veterans, Vietnam Era Veterans, And Individuals With Physical Or Mental Disabilities.

Government contractors are subject to 38 USC 2112 of the Vietnam Era Veterans Readjustment Act of 1974 which, requires that they take affirmative action to employ and advance in employment qualified disabled veterans and veterans of the Vietnam Era, and Section 503 of the Rehabilitation Act of 1973, as amended which requires government contractors to take affirmative action to employ and advance in employment qualified disabled individuals.

If you are a disabled veteran, or have a physical or mental disability, you are invited to volunteer this information. The purpose is to provide information regarding proper placement and appropriate accommodation to enable you to perform the job to the best of your ability in a proper and safe manner. This information will be treated as confidential. Failure to provide this information will not jeopardize or adversely affect your consideration for employment.

If you wish to be identified, please sign below.

By checking below, you acknowledge you would like to be identified as one of the following

Disabled Individual - Disabled Veteran - Vietnam Era Veteran



EMPLOYMENT EXPERIENCE

Start with your present or last job. Include military service assignments and volunteer activities. Exclude organization names which indicate race, color, religion, sex, or national origin.

Employment 1:
Employer  
Address  
Telephone  
Job Title  
Supervisor  
Reason for leaving:  
Dates Employed: From:
To:
Hourly Rate/Salary Starting:
Final:
Work Performed:  

Employment 2:
Employer  
Address  
Telephone  
Job Title  
Supervisor  
Reason for leaving:  
Dates Employed: From:
To:
Hourly Rate/Salary Starting:
Final:
Work Performed:  

Employment 3:
Employer  
Address  
Telephone  
Job Title  
Supervisor  
Reason for leaving:  
Dates Employed: From:
To:
Hourly Rate/Salary Starting:
Final:
Work Performed:  

Employment 4:
Employer  
Address  
Telephone  
Job Title  
Supervisor  
Reason for leaving:  
Dates Employed: From:
To:
Hourly Rate/Salary Starting:
Final:
Work Performed:  

Employment 5:
Employer  
Address  
Telephone  
Job Title  
Supervisor  
Reason for leaving:  
Dates Employed: From:
To:
Hourly Rate/Salary Starting:
Final:
Work Performed:  

Special Skills and Qualifications:
Summarize special skills and qualifications acquired from employment or other experience:


EDUCATION

High School
School Name:
Years Completed:
Diploma/Degree:
Describe Course of Study:

Honors Received:

College / University
School Name:
Years Completed:
Diploma/Degree:
Describe Course of Study:

Honors Received:

College / University
School Name:
Years Completed:
Diploma/Degree:
Describe Course of Study:

Honors Received:

Graduate / Professional
School Name:
Years Completed:
Diploma/Degree:
Describe Course of Study:

Honors Received:



State any additional information you feel may be helpful to us in considering your application.

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 its 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.

By clicking submit, I certify that the above information is true and complete to the best of my knowledge.

  
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