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Other Work Experience >> Personal References >> Resume >> Statement and Conditions
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0. Employment Position
Select Your Desired Position
The job requirements for the position will be displayed below.
1. Personal Information
First Name Middle Name Last Name
Street Address
Street Address Line 2
City State / Province / Region
Postal / Zip Code Country
Email Address
Home Telephone
Work Telephone
How did you hear about us? (check all the apply)
Advertisement   Friend   College
Walk-In   Employment Agency   Govt/State Agency
Relative   Other:
2. General Questions
1. Have you ever been employed by us before?
If you selected yes, what date?
2. Are you currently employed?
3. May we Contact your present employer?
4. Are you 18 Years or Older?
5. For Non-US citizens, are you legally allowed to work in this country?
(Proof of citizenship or immigration status or work permit is required upon employment.)
6. You are Available to Work:
Date you can begin Work:
7. Have you been convicted of a felony within the last seven (7) years?
(Other than a traffic violation.)(Conviction will not necessarily disqualify an applicant from employment.)
If you selected yes, please explain:

3. Education
High School
School Credits Major Diploma / Degree
College / University
School Credits Major Diploma / Degree
Technical / Other
School Credits Major Diploma / Degree
Other Applicable Educational Qualifications
4. Work Experience
Employment Information
List below your four most recent employers, beginning with your most recent. All times must be accounted for whether employed or not.
Select Number of Employers
5. Other Work-Related Experience

Specialized Training, Programs, or Skills
Describe in detail any specialized training, computer or office equipment skills, certifications, licenses or on-the-job training problems you have completed.


Licenses And Certifications
Please list any licenses or certifications held and the dates obtained: (CDL, Skilled Trade License, etc.)

  License or Certification Date Obtained
  License or Certification Date Obtained
  License or Certification Date Obtained
  License or Certification Date Obtained
  License or Certification Date Obtained
6. Personal References
  Name Phone Number Relationship
  Name Phone Number Relationship
  Name Phone Number Relationship
  Name Phone Number Relationship
7. Resume
Upload your Resume:
  6MB max filesize
8. Applicant's Statement and Conditions of Employment
"I understand that an investigative consumer report involving information concerning my character, employment history, generalreputation, police record, personal habits, mode of living, credit and indebtedness may be obtained prior to any final offer of employment.

“I certify that the answers given by me in this employment application are true, correct and complete. I agree that the company shall not be liable, in any respect, if my employment is terminated because of misstatements or pertinent omissions made by me in this application. Moreover, I understand that all offers of employment are contingent upon passing the company's prescribed physical examination and drug screen.”

“I agree, as a condition of my employment (should I be employed by the Company), to submit to a medical examination if requested and based on the position that I accept or urinalysis test if requested and paid for by the company I further agree to the search or examination of myself or personal property while on the company's premises or while conducting its business elsewhere, I also authorize any company, school, police or security personnel, or other person to give any information regarding my employment, habits, ability, or any other characteristics whatsoever, together with any information they have regarding me whether or not it is in their records. I hereby release all physicians, examiners, companies, schools, or other persons from liability for any damages whatsoever for such testing, examining, or issuing this information. It is agreed and understood that completion of this application
does not mean a job opening exists and in no way obligates the company to employ me.”

“In the event of employment, I will comply with all company rules and regulations as established from time to time including the company's substance abuse policy. I am willing to work all assigned overtime or other special work assignments as requested by the company. Furthermore, since the company does not offer contracts of employment (unless signed by the President), I understand that nothing contained herein is intended to create a contract between the company and me for either employment or the provision of any compensation or benefits. I understand that I have the right to terminate my employment at any time and likewise, the company has the same right.”

“I hereby understand and acknowledge that any employment relationship with this Company 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 notice, with or without cause. It is further understood that this “At-Will” employment relationship may not be changed by any written document or by verbal agreement unless such change is specifically acknowledged in writing by an authorized Executive of this Company. I also understand that Addonics Technologies, Inc. retains the right to amend, modify, add or delete any or all policies or procedures at its sole and absolute discretion.”

“During my employment with Addonics Technologies, Inc. and after my employment ends, I agree not to disclose any confidential or proprietary information regarding operating and trade secrets. I further agree that with respect to any civil litigation involving Addonics Technologies, Inc. in which I am a potential witness and which does not involve an actual or potential claim by me personally, I will not discuss the facts of the case with any third parties without first notifying Addonics Technologies, Inc. or unless a representative or attorney of Addonics Technologies, Inc. is present. A copy of this form may be used as the original. The use of results from this form and/or tests will be used for prudent employment decisions.”

This application is valid for thirty days from the application date unless renewed in person or in writing. By clicking the "Submit" button, I have agreed to the terms specified in the Applicant's Statement and Conditions of Employment.