Application for Employment

Personal Information

Name:
Address:
City, State, Zip:
Phone:
Email:

Position Information

Position applying for:
Salary Requirement:
How did you hear about us?
On what date would you be available to work?
Are you available to work:

Additional Information

If you are under 18 years of age, can you provide proof of eligibility to work? Yes No N/A

Have you ever filed an application with us before? Yes No If yes, provide date:

Have you ever been employed with us before? Yes No If yes, provide date:

Are you currently employed? Yes No If yes, may we contact your present employer? Yes No

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? Yes No

Are you currently on "layoff" status and subject to recall? Yes No

Can you travel if a job requires it? Yes No Can you relocate if a job requires it? Yes No

If the position you are applying for requires driving, do you have a valid driver license? Yes No

Have you ever been convicted of a felony? Yes No

Education Information

High School
Name of School: Address of School:
Course of Study: Diploma / Degree:

Undergradute College
Name of School: Address of School:
Course of Study: Year Completed: Diploma / Degree:

Graduate College
Name of School: Address of School:
Course of Study: Year Completed: Diploma / Degree:

Other
Name of School: Address of School:
Course of Study: Year Completed: Diploma / Degree:

Employment History

Employer: Address:
Job Title: Supervisor:
Phone: Reason for Leaving:
Dates Employed - From: To: Hourly Rate / Salary - Starting: Ending:

Work Performed:

Employer: Address:
Job Title: Supervisor:
Phone: Reason for Leaving:
Dates Employed - From: To: Hourly Rate / Salary - Starting: Ending:

Work Performed:

Employer: Address:
Job Title: Supervisor:
Phone: Reason for Leaving:
Dates Employed - From: To: Hourly Rate / Salary - Starting: Ending:

Work Performed:

Employer: Address:
Job Title: Supervisor:
Phone: Reason for Leaving:
Dates Employed - From: To: Hourly Rate / Salary - Starting: Ending:

Work Performed:

References

Name: Phone: Relationship to You:

Applicant's Statement

By checking this box, I certify that answers given herein are true and complete to the best of my knowledge. In addition, I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

By checking this box, I hereby authorize Interlink Supply to conduct a personal background investigation, including credit and criminal history check, as part of Interlink Supply's review of my application for employment.

By checking this box, I agree to Interlink Supply's Substance Abuse Testing Policy:

Interlink Supply reserves the right to conduct or require screen tests on any employee while on company premises, engaged in company business, operating company equipment or on applicants for employment unless prohibited by applicable law. Employment with Interlink Supply is contingent upon the passing of a substance abuse screen.

By checking this box, I agree to Interlink Supply's Employment Policies:

I understand and acknowledge that, unless otherwise defined by application law, any employment relationship with this organization is of an "at will" nature, which means that the employee may resign at any time and the employer may discharge employee at any time with or without cause. It is further understood that this "at will" employee relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

I understand that all employees are subject to a 60-day probationary period.

I understand that false or misleading information given in my application or interview(s) may result in discharge.

I understand that I am required to abide by all rules and policies of Interlink Supply/Bridgepoint Systems.

Signature of Applicant: Date:

Cleaning Supplies for Restoration, Hard Surface, and Carpet Cleaning Professionals