EmailMe Form - Top Gun Sales Performance Job Application Form

Name *

First Last

Email *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

PERSONAL INFORMATION

Home Phone Number *

### - ### - ####

Cell Phone Number *

### - ### - ####

Are you legally authorized to work in the United States? *

Yes

No

Are you 18 or over? *

Yes

No

If required, do you have a valid driver's license? *

Yes

No

Do you have reliable transportation to work? *

Yes

No

Have you ever been convicted or pled guilty to any felony or misdemeanor, other than a traffic violation? *

Yes

No

Have you ever had a driver's license or a professional license revoked? *

Yes

No

If you answered yes to either of the previous two questions above, state the dates, locations and nature of the incident(s).

POSITION / AVAILABILITY

Position you are seeking? *

Are you currently employed *

Yes

No

How did you learn about this position?

Salary you are expecting? *

Please specify amount (range is acceptable, ex: $25,000 - $35,000) A dollar amount must be entered. Negotiable will not be accepted and your application will be VOID.

Years of related work experience? *

Days Available *

Hours Available *

AM

PM

Graveyard

For specific Day/Hour availability, please enter information below.

What date are you available to start work? *

MM / DD / YYYY

EDUCATION

Name Of High School

Address

Street Address City State / Province / Region Postal / Zip Code Country / Region

Name Of University

Address

Street Address City State / Province / Region Postal / Zip Code Country / Region

Other

Address

Street Address City State / Province / Region Postal / Zip Code Country / Region

Other Training / Skills / Languages

Other Credentials / Licenses & Certifications / Professional Affiliations

US Military Service

EMPLOYMENT HISTORY

present or last position

Employer: *

Position Title: *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Supervisor: *

Phone Number *

### - ### - ####

Start Date *

MM / DD / YYYY

End Date *

MM / DD / YYYY

Responsibilities: *

Salary *

Input hourly wage, if not salaried. Please specify amount (range is acceptable, ex: $25,000 - $35,000) A dollar amount must be entered. Negotiable will not be accepted and your application will be VOID.

Reason for Leaving: *

May We Contact Your Present/Previous Employer? *

Yes

No

Previous Position

Employer:

Position Title:

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Supervisor:

Phone Number

### - ### - ####

Email

Start Date

MM / DD / YYYY

End Date

MM / DD / YYYY

Responsibilities:

Salary

Input hourly wage, if not salaried. Please specify amount (range is acceptable, ex: $25,000 - $35,000) A dollar amount must be entered. Negotiable will not be accepted and your application will be VOID.

Reason for Leaving:

May We Contact Your Previous Employer? *

Yes

No

PROFESSIONAL REFERENCE #1

Name/Title

Number of Years Known

Phone Number

### - ### - ####

Email

PROFESSIONAL REFERENCE #2

Name/Title

Number of Years Known

Phone Number

### - ### - ####

Email

PROFESSIONAL REFERENCE #3

Name/Title

Number of Years Known

Phone Number

### - ### - ####

Email

AUTHORIZATION AND RELEASE

This completed employment application will become part of your official employment record. I certify that all the information provided by me in this application, on my resume and during the pre-employment process is true and complete. I understand that any misrepresentation, false statement or omission on this application will be sufficient cause for disqualification during the employment process, and if I am hired, may result in termination at any time. I authorize Top Gun to contact my previous employers, my past educational institutions and my references to acquire verification of these facts. I authorize prior employers, educational institutions and references to release any information requested by Top Gun, and I hereby release all individuals and organizations from any liability which may result from requesting and furnishing such information. I understand that an offer of employment will be contingent upon the results of a criminal background check. I also understand that the evaluation process may include chemical screening for alcohol or prohibited drugs, and that future screening may be required. I understand that there is no binding contract for employment between Top Gun and myself, and that my employment is at will, meaning that my employment with Top Gun may be terminated, at my or Top Gun's discretion, with or without cause at any time. I agree that should an employment offer be extended to me and accepted, I will adhere to the policies, rules and regulations of employment with Top Gun.

Do you agree with the terms and conditions? *

Yes, I agree.

Initial *

Date *

MM / DD / YYYY