Job Application | Blue Ribbon Linen and Supply

Employment Application

Name
First Last
Today's Date
MM slash DD slash YYYY
Present Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone Number
Message Phone
What type of job are you applying for?
What position are you applying for?
When are you available for employment?
Which type of employment are you seeking?
- Full-time
- Part-time
- Temporary or Summer
Record Of Employment
Name of Current/Most Recent Employer
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone Number
Type of Business
Dates Employed
(from Mo/Yr to Mo/Yr)
Rate of Pay
Starting & Ending Pay
Supervisor's Name and Title
Reason for Leaving
List jobs you held, duties performed, skills used or learned, advancements or promotions.
May we contact your current employer?
- Yes
- No
Name of Next Previous Employer
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone Number
Type of Business
Dates Employed

(From Mo/Yr to Mo/Yr)
Rate of Pay

Starting to ending pay.
Reason for Leaving
Supervisor's Name and Title
List the jobs you held, duties performed, skills used or learned, advancements or promotions.
Name of Next Previous Employer
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone Number
Type of Business
Dates Employed
From Mo/Yr to Mo/Yr
Rate of Pay
Starting and ending pay.
Reason for Leaving
Supervisor's Name and Title
List the jobs held, duties performed, skills used and learned, advancements or promotions.
Name of Next Previous Employer
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone Number
Type of Business
Dates Employed
From Mo/Yr to Mo/Yr
Rate of Pay
Starting and ending pay.
Reason for Leaving
Supervisor's Name and Title
List the jobs you held, duties performed, skills used and learned, advancements or promotions.
Have you ever been convicted of a criminal offense?*
- Yes
- No
If yes, please explain.
Are you 18 years of age?
- Yes
- No
Are you authorized to work in the United States?
- Select All
- Yes
- No
Do you have a valid driver's license?
- First Choice
- Second Choice
- Third Choice
(For driving jogs only)
License Number and State Issued?
Education
Name of High School
Check completed years.*
- 1 year
- 2 years
- 3 years
- 4 years
School Name
Major Subjects
College
Check completed years
- 1 year
- 2 years
- 3 years
- 4 years
Name of College
Subject Studied
Other job related education.
If you are an experienced operator of any business/plant machines or equipment, please list.
Voluntary Applicant Survey
Applicants are considered for employment without regard to race, color, age, religion, sex, national origin, marital status, citizenship status, disability, genetic information or any other category protected by federal, state and local statute. As a government contractor, we are committed to compliance with applicable government regulations and affirmative action responsibilities. Solely to help us comply with government record-keeping, reporting and other requirements, we ask that you assist us by completing this Voluntary Applicant Survey. We appreciate your cooperation. This data is for periodic government reporting and will be kept in a confidential file.
Position(s) Applied for:
Date:
Name:
Referral Source:
- Advertisment
- Employment Agency
- Employee
- Friend
- Other
Check one:
- Male
- Female
Check One of The Following:
- White (Not Hispanic or Latino)
- Black or African American (Not Hispanic or Latino)
- Hispanic or Latino
- Native Hawaiian or Other Pacific Islander
- Asian ( Not Hispanic or Latino)
- American Indian or Alaska Native (Not Hispanic or Latino)
- Two or More Races (Not Hispanic or Latino)
Upload Resume
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Max. file size: 512 MB.
This employment application is used to notify me that the nature and scope of an investigation, if one is conducted, could include such general identification information as residence verification, and, as applicable, information concerning my employment, education, general reputation, character, personal characteristics, and habits, and that such information may be developed through personal interviews with third parties such as family members, neighbors, friends, associates, former employers, educational institutions, custodians of official records of other sources. Only job-related information developed from such a report will be considered in evaluating my employment application or continued employment. I herby authorize these persons, companies, organizations or corporations to answer all questions or release any information regarding the items listed in this paragraph. I hereby release them from any liability and hold them harmless from any claim for releasing any truthful information within their knowledge and/or records. I authorize the Company to release to any person, firm, entity or organization with which I may seek employment in the future, any truthful information concerning my work experience with the company,. I hereby release and hold the company harmless from any claim for releasing any truthful information within its knowledge and/or records. I understand that any job offer that may be extended to me with be contingent upon the successful completion of a drug and alcohol test. I certify that the answers given by me to this foregoing questions and during any interviews are true and correct without consequential omissions, and understand that, if employed, omissions and/or false statement on this application or during any interview may result in dismissal. I understand and acknowledge that, if hired, my employment is for no definite period and either the employer or I may terminate our relationship at will at any time, without notice or any reason, and that this employment application does not constitute an employment contract. I have had an opportunity to have my questions about this statement's content and intent answered and understand its terms.*

Signature of Applicant
Date
MM slash DD slash YYYY
Signature of Applicant

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