Employment Experience
List most recent employment first. Be sure all your experience or employment related to this job are listed here, or use an extra sheet of paper if necessary.
Name and Address of Employer
Supervisor's Name, Title, and Phone
Summarize the type of work performed and job responsibilities:
Name and Address of Employer
Supervisor's Name, Title, and Phone
Summarize the type of work performed and job responsibilities:
Name and Address of Employer
Supervisor's Name, Title, and Phone
Summarize the type of work performed and job responsibilities:
Professional References
Please list five (3) professional references; (2) of the references must not be related to you.
Additional Information
I am skilled in operating the following office equipment and/or software programs (check all that apply). Indicate level of skill by marking L (limited), I (intermediate), or A (advanced) next to the program:
What skills or additional training do you have that are related to the job for which you are applying?
List professional, trade, business or civic activities and offices held. (Exclude labor organizations and memberships which reveal race, color, religion, national origin, sex, age, disability, or other protected status.):
If employed, do you expect to be engaged in any additional business or employment outside of our job? If yes, please give details:
Why would you like to work for Far West, Inc.?
If yes to one or both of the above questions, you must explain in detail below. If felony, include a copy of your judgement. Explanation if answered Yes to felony or misdemanor:
If yes, please list them:
If yes, please list them:
CERTIFICATE OF APPLICANT
I hereby certify that all information made on, or in connection with, this application is true and complete to the best of my knowledge and belief. I hereby authorize and request any former employers, personal references including, but not limited to, friends or associates, schools, police and court personnel, credit agencies, and any other person to furnish Far West, Inc. any information or opinions concerning my work habits, reasons for termination, eligibility for rehire, salary information, character information, criminal history, driving records, and credit history or any other relevant information requested by Far West, Inc.
I understand that any misrepresentation or concealment of material fact will be sufficient grounds for rejection of my application, or removal from employment. The Applicant understands that Far West, Inc.'s acceptance of this Application is not an offer, promise or contract of employment. Far West, Inc. does not represent or warrant that Applicant will be able to obtain employment by submission of this Application.
VOLUNTARY AFFIRMATIVE ACTION STATISTICAL INFORMATION
Our company asks that all applicants and employees fill out this form, but it is not required to obtain employment and it will not subject the applicant or employee to any adverse treatment. It is necessary to record this information in order to comply with federal, state, and local fair employment practice laws. This information will be kept confidential and maintained separately from your application form.
It will be used only in accordance with federal requirements. Subject to the Far West, Inc. shareholder hire policy, all qualified applicants and employees will receive consideration for employment opportunities without regard to race, color, religion, national origin, sex, age, physical handicap, veteran or marital status, pregnancy, or parenthood. Inquiries concerning the application of federal, state, and/or local regulations and this requested information may be directed to this office.
Thank you for your assistance with our EEO reporting requirements.