Employment Application Application for Employment Thompson Law, PLLC. 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 InformationName* First Middle Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific 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 EducationHigh School or G.E.D.* Years Completed*OneTwoThreeFourDid you graduate?* Yes No Business or Vocational School AND Field of Study Years CompletedOneTwoThreeFourDid you graduate? Yes No College or University AND Field of Study Years CompletedOneTwoThreeFourDid you graduate? Yes No Graduate School AND Field of Study Years CompletedOneTwoThreeFourDid you graduate? Yes No Previous EmploymentStart with your current or most recent position.Employer* Type of Business* Business Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Business Phone*Job Title* Supervisor / Manager Name* Start Date* MM slash DD slash YYYY End Date (if applicable) MM slash DD slash YYYY 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 AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Business Phone*Job Title* Supervisor / Manager Name* Start Date* MM slash DD slash YYYY End Date* MM slash DD slash YYYY 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 AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Business Phone*Job Title* Supervisor / Manager Name* Start Date* MM slash DD slash YYYY End Date* MM slash DD slash YYYY 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 UploadAccepted file types: doc, docx, pdf, Max. file size: 2 MB.Resume UploadAccepted file types: doc, docx, pdf, Max. file size: 2 MB.Link to Your LinkedIn Profile Professional References1.) Name* First Last Relationship* Email* Phone*2.) Name* First Last Relationship* Email* Phone*3.) Name* First Last Relationship* Email* Phone*Applicant StatementsI 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, PLLC. 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 & SignatureBy 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 MM slash DD slash YYYY PhoneUntitled I agree to receive texts at the number provided from Thompson Law, PLLC. Frequency may vary and include information on appointments, events, and other marketing messages. Message/data rates may apply. To opt-out, text STOP at any time. CAPTCHA Δ