Employment Application - Industrial Training Services

Date of Application*

This application for employment if good for 30 days only. Consideration for employment after 30 days requires a new application.

PERSONAL

Name*

First Middle Last

Address*

Number & Street, City, State, Zip Code

Phone Number*

Email*

Position Sought*

Requested Status*

Full Time
Part Time

Date Available*

Salary Desired*

Are you legally eligible for employment in the United States?*

If offered employment, you will be required to provide documentation to verify eligibility.

Yes
No

If you live outside the Murray region, are you willing to relocate?*

If offered employment, you will be required to work at our Murray, KY office.

Yes
No

EDUCATION

Please indicate education or training which you believe qualifies you for the position you are seeking.

High School*

No. of Years Completed

Diploma*

Yes
No

GED*

Yes
No

Name of High School*

City/State

College and/or Vocational Schools

Number of Years Completed

Name of College/Vocational School

City/State

Major

Degrees Earned

Name of College/Vocational School

Other Training or Degrees

City/State

Other Training or Degrees

Major

Degrees Earned

Other Training or Degrees

Please indicate education or training which you believe qualifies you for the position you are seeking.

School(s)

Other Training or Degrees

Course

Other Training or Degrees

Degree of Certificate Earned

Other Training or Degrees

PROFESSIONAL LICENSE OR MEMBERSHIP

You need not disclose membership in professional organizations that may reveal information regarding race, color, creed, sex, religion, national origin, ancestry, age, disability, marital status, veteran status or any other protected status.

Type of License(s) Held

State of

License Number

License Expiration Date

Other Professional Memberships

Have any licenses been revoked?

Yes
No

Are all licenses held in good standing?

Have you been convicted of a felony within the past 7 years?*

Felony convictions are not an absolute bar to employment

Yes
No

If yes, please explain the circumstances

SKILLS

Office*

Software Skills*

Other Skills*

EMPLOYMENT

List last employer first, including U.S. Military Service.

Have you ever been employed at ITS?*

Yes
No

May we contact your present employer?*

Yes
No

If any employment was under a different name, indicate name

Employer #1*

Address #1*

Telephone #1*

Position #1*

Date of Employment #1*

Mo/Yr to Mo/Yr

Salary #1*

Supervisor #1*

Department #1*

Duties #1*

Reason for Leaving #1*

Employer #2

Address #2

Telephone #2

Position #2

Date of Employment #2

Mo/Yr to Mo/Yr

Salary #2

Supervisor #2

Department #2

Duties #2

Reason for Leaving #2

Employer #3

Address #3

Telephone #3

Position #3

Date of Employment #3

Mo/Yr to Mo/Yr

Salary #3

Supervisor #3

Department #3

Duties #3

Reason for Leaving #3

Employer #4

Address #4

Telephone #4

Position #4

Date of Employment #4

Mo/Yr to Mo/Yr

Salary #4

Supervisor #4

Department #4

Duties #4

Reason for Leaving #4

Gaps in Work History

Please explain any gaps in work history.

Have you ever been discharged or asked to resign from a job?*

Yes
No

Please Explain*

REFERENCES

Please list 2 professional and 2 personal references.

Professional Reference #1*

First Last

Professional Reference #1 Address*

Street Address City State ZIP Code

Professional Reference #1 Phone

Professional Reference #2*

First Last

Professional Reference #2 Address*

Street Address City State ZIP Code

Professional Reference #2 Phone*

Personal Reference #1*

First Last

Personal Reference #1 Address*

Street Address City State ZIP Code

Personal Reference #1 Phone

Personal Reference #2*

First Last

Personal Reference #2 Address*

Street Address City State ZIP Code

Personal Reference #2 Phone*

Upload Resume

If you would like to include your resume for consideration, please upload the pdf here.

APPLICANT'S CERTIFICATION AND AGREEMENT

I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize ITS to verify their accuracy and to obtain reference information on my work performance. I hereby release ITS from any/all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based on such information. I understand that, if employed, falsified statements of any kind or omissions of facts called for on this application shall be considered sufficient basis for dismissal. I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules and regulations of employment of the Employer. However, I further understand that neither the policies, rules, regulations of employment nor anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is for an indefinite duration and at will and that either I or the Employer may terminate my employment at any time with or without notice or cause.

Signature*

Comments

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