Employment Application

Application for Employment

Thompson Law, P.C. does not discriminate in employment opportunities or practices on the basis of race, color, religion, gender/sex (including pregnancy), national origin, age, disability, military or veteran status, genetic information, or any other characteristic protected by law. Consistent with the Americans with Disabilities Act, applicants may request accommodations needed to participate in the application process.
Contact Information
Name*
First Middle Last
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Phone*
Which position are you applying for?*
How did you hear about this position?*
Are you legally eligible to work in the U.S.A.?*
- Yes
- No
Are you 18 years of age or older?*
- Yes
- No
Have you been employed with us before?*
- Yes
- No
Are you currently awaiting trial, sentencing or disposition of a criminal charge?*
- Yes
- No
Education
High School or G.E.D.*
Years Completed*
Did you graduate?*
- Yes
- No
Business or Vocational School AND Field of Study
Years Completed
Did you graduate?
- Yes
- No
College or University AND Field of Study
Years Completed
Did you graduate?
- Yes
- No
Graduate School AND Field of Study
Years Completed
Did you graduate?
- Yes
- No
Previous Employment
Start with your current or most recent position.
Employer*
Type of Business*
Business Address*
Street Address Address Line 2 City State ZIP Code
Business Phone*
Job Title*
Supervisor / Manager Name*
Start Date*
End Date (if applicable)
Salary: Starting and Ending*
Responsibilities*
Reason for Leaving*
May we contact this employer?*
- Yes
- No
Employer*
Type of Business*
Business Address*
Street Address Address Line 2 City State ZIP Code
Business Phone*
Job Title*
Supervisor / Manager Name*
Start Date*
End Date*
Salary: Starting and Ending*
Responsibilities*
Reason for Leaving*
May we contact this employer?*
- Yes
- No
Employer*
Type of Business*
Business Address*
Street Address Address Line 2 City State ZIP Code
Business Phone*
Job Title*
Supervisor / Manager Name*
Start Date*
End Date*
Salary: Starting and Ending*
Responsibilities*
Reason for Leaving*
May we contact this employer?*
- Yes
- No
What are your salary requirements?*
When would you be available to start?*
Type of employment desired:*
- Full-time only
- Part-time only
- Full or Part-time
Additional skills and/or information you would like to add:
Cover Letter Upload
Accepted file types: doc, docx, pdf.
Resume Upload
Accepted file types: doc, docx, pdf.
Link to Your LinkedIn Profile
Professional References
1.) Name*
First Last
Relationship*
Email*
Phone*
2.) Name*
First Last
Relationship*
Email*
Phone*
3.) Name*
First Last
Relationship*
Email*
Phone*
Applicant Statements
I understand that if I misrepresented or deliberately left out a fact in my application, I may be refused employment or, if employed, I may be terminated.*
- I agree
- I disagree
I authorize investigation of all statements contained in this application for employment and for the company to obtain additional information as may be necessary in evaluating my qualifications and experience.*
- I agree
- I disagree
I give the employer the right to contact and obtain information from all references, employers, educational institutions and to otherwise verify the accuracy of the information contained in this application, except if stipulated for my current employer, and give my permission for those individuals and entities to release the information. I hereby release from liability the employer and its representatives for seeking, gathering, and using such information. I also hereby release references, employers, educational institutions, corporations or organizations for furnishing such information.*
- I agree
- I disagree
If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no representative of the employer other than an authorized executive has the authority to make any assurances to the contrary. I further understand that any such assurances must be in writing and signed by an authorized executive.*
- I agree
- I disagree
This application is current for only 45 days. After that, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to fill out a new application.*
- I agree
- I disagree
It is this company's policy not to refuse to hire a qualified individual with a disability because of that person's need for a reasonable accommodation as required by the Americans with Disabilities Act. I understand that I may make a request for an accommodation if needed to complete this application or, if hired, to perform the essential functions of the position.*
- I agree
- I disagree
In the event of employment, I understand that false or misleading information given in my application or any interview may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer and that this release will remain in effect for the length of my employment.*
- I agree
- I disagree
I understand that to receive a position with this company, I must pass a background investigation.*
- I agree
- I disagree
Thompson Law, P.C. does not discriminate in employment opportunities or practices on the basis of race, color, religion, gender/sex (including pregnancy), national origin, age, disability, military or veteran status, genetic information, or any other characteristic protected by law. Consistent with the Americans with Disabilities Act, applicants may request accommodations needed to participate in the application process.
Disclaimer & Signature
By submitting this application or signing below, I acknowledge that I have read and responded to the above statements and hereby certify that the facts and answers I have provided in my employment application are true and complete.
Typed Name*
Today's Date

Application for Employment

Contact Information

Education

Previous Employment

Professional References

Applicant Statements

Disclaimer & Signature