Application for Employment

"*" indicates required fields

Step 1 of 11 - Important Notice

Best Talent Staffing Application for Employment

Important Notice:
This is a very significant document. You should be very careful as you complete it. Answer each item accurately and completely. Failure to do so may result in you not being considered for the position or in your termination if inaccurate or omitted information is discovered after your employment has begun. Do not simply write “see resume.” Complete responses are required for each item. Please read our process for selecting candidates.

Date*

Month

Day

Year

Name*

First Last

Personal Information

Full Name*

First Middle Last

List all other names by which you have ever worked or been educated

Note: This information is only necessary for verification of your prior work history and education.

Home Address*

Street/Apt. No. Address Line 2 City State ZIP Code

Home Phone Number*

Mobile Phone Number*

Email Address*

Enter Email Confirm Email

Are you 18 years or older?*

Yes

Can you provide proof that you have the right to employment in the US?*

Yes

Desired Employment

Position*

Date you can start*

MM slash DD slash YYYY

Desired salary*

When are you available to work?*

Full time

Part time

Are you employed now?*

Yes

If Yes, may we contact your present employer?*

Yes

Who referred you to our company?

Have you ever applied to our company before?*

Yes

Where?*

When?*

Have you ever worked for our company before?*

Yes

Where?*

When?*

Was termination voluntary or involuntary?*

Exact reasons for leaving*

Name of your last supervisor at our company*

First Last

Names of all relatives who work(ed) for the company*

Names of all friends and acquaintances who work(ed) for the company*

Former Employers

List all current or past employer from the past 5-7 years, starting with the most recent one.

Additional Former Employers:

Name of former employer	Job Title	Actions

There are no former employers.

Maximum number of former employers reached.

Unemployment History

Please account for any time you were not employed in the last 10 years, after leaving school. (You need not list any unemployed periods of one month or less. Note: Periods of unemployment will not necessarily disqualify an applicant.)

Add a period of unemployment

From	To	Actions

There are no Entries.

Maximum number of entries reached.

Education

Please list all education.

Add More Education

School Level	Name and Location of School	Actions

There are no Entries.

Maximum number of entries reached.

Miscellaneous

Subjects of Special Study or Research Work

Special Training

Special Skills

Licences and Certifications

Do you have any commitments to another entity, business, or person that might interfere with your employment with our company, such as being subject to a restrictive covenant, to a trade secrets agreement, to recall from layoff, or holding a second job?

Yes

Explain Fully

Performance of Job-Related Functions

Are you able to perform the essential functions of the job, with or without reasonable accommodation, for which you are applying?

Yes

Do you currently take any illegal drugs?

Yes

Describe Fully

Do you use alcohol to the extent that you would be prevented from performing the essential functions of the job for which you are applying, with or without reasonable accommodation?

Yes

Describe Fully

If requested, are you available to work (check as many that would apply):

Weekends

Evenings

Days

Overtime

References

Give the names of three persons not related to you whom you have known at least one year.

References

Reference Name	Years Acquainted	Actions

There are no References.

Maximum number of references reached.

Public Records

From time to time, the company may obtain information about you from public records. If you wish to waive your right to receive a copy of any public record, you may check the box.

Authorizations

Important: Please read carefully and agree to each authorization paragraph before signing.

Truthful Statements*

I declare under penalty of perjury under the laws of the state of California and the United States of America that the facts contained in this application or any resume or other documentation submitted are true and complete to the best of my knowledge. I understand that any false information or significant omissions will disqualify me from further consideration for employment, and will be justification for my dismissal from employment, if discovered at a later date.

I agree.

Criminal Matters*

I agree to immediately notify the company if I should be convicted of or plead guilty or nolo contendere to any crime during my period of employment, if hired.

I agree.

Investigation of Information*

I authorize the investigation of all statements contained in this application (and accompanying resume or other documentation, if any) and further authorize any person, school, current employer (except as expressly noted), past employer(s), consumer reporting agency and organizations, whether or not named in this application form (and accompanying resume or other documentation, if any), to provide the company with records, information and opinion that may be lawfully used in making a hiring decision. I release all such informants and the company from all liability for any decision, claim or damage that may result from furnishing and/or relying on such information and opinion (which is truthful or made in good faith) to you.

I agree.

Drug Screening and Medical Examinations*

I give permission for a pre-employment drug screening exam and, if the company makes a conditional job offer, i give permission for a medical examination. I also consent to the appropriate release of the results of the pre-employment drug screening and of the medical examination, as may be deemed necessary, and agree to execute any release or other documentation necessary to effectuate this consent.

I agree.

Company Business and Confidential or Trade Secret Information*

I understand that, if hired, and during my employment, I shall always give preference to this company’s business. I further agree not to use or disclose company trade secrets or confidential or proprietary information to anyone outside the company or anyone within the company who is not authorized to have the information. I further agree to execute any documentation necessary to effectuate this provision. I will not engage in other activities that create a conflict of interest with my position with the company unless given permission in writing by the company.

I agree.

Agreement for At-Will Employment*

If I become employed, in consideration of my employment, I agree that my employment will be at-will, and may be terminated with or without cause, and with or without notice, at any time at the option of myself or the company. I understand and acknowledge that only the president of the company has the authority to enter into an employment agreement for a specified period of time or for termination only for cause, and any such agreement must be in writing. I understand and acknowledge that this constitutes the entire agreement between me and the company regarding the term of my employment and supersedes any other oral or written agreement.

I agree.

Compliance with Rules*

If I become employed, in consideration of my employment, I agree to comply with the rules, regulations, policies and procedures of the company.

I agree.

Pre-Employment Documents*

If offered employment, I understand that I will be required to review, complete and execute various employment documents (including, but not limited to, this application, employee handbook and employee handbook receipt form, and confidentiality and non-disclosure agreements), and agree that the process of my being hired will not be complete until all employment documents have been signed.

I agree.

Company Problem Resolution Procedure and Mutual Agreement to Arbitrate*

If offered employment, I understand that as a condition of employment I agree to the company’s problem resolution procedure which includes a mutual agreement to arbitrate as a final and binding step, and I agree that I will be bound by that agreement irrespective of whether or not I sign it.

I agree.

Pre-Employment Mutual Agreement to Arbitrate*

I understand that by signing and submitting this application, I agree to the exclusive, final and binding resolution of all disputes or claims of any kind arising out of or relating to my application for employment with the company and the company’s decision whether to hire me by the terms and procedures set forth in the company’s mutual agreement to arbitrate claims. I may review a copy of the mutual agreement to arbitrate upon request. I also understand that if I do not sign the application and agree to submit all covered claims to the mutual agreement to arbitrate, I will not be eligible for employment with the company.

I agree.

Date*

Month

Day

Year

Signature*

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Our process for professional candidates:

Please complete an application form.
Submit your application and wait for our Hiring Specialist to contact you within the next 48 hours to schedule a phone interview. For your convenience, you may indicate a preferred date & time that you want to be contacted.
After a successful telephone interview and we determine that we can find clients needing your services, a job offer will be made, based on the completion of:
- Reference Checks: 2 professional & 1 personal (someone who knows you well but is NOT a family member)
- Verification of Previous Employment
- Review of State Licensure & Certifications
- Submission of Employment Contract & Other required forms
- Acknowledgement of Policies & Procedures
- Skills Checklist (as needed or required by the client)
A second interview (Video or personal interview) to review all of the above
A conditional offer of employment based on:
- Successful Criminal Background Check
- Passing Pre-employment Physical Exam and/or other tests (as needed or required by the client)
Submission of W4 & I9 and other government required forms

Thank you for your interest in joining our company, where our priority is making our employees and clients successful. Your success is our success!