Mac Enterprises Inc

Employment Application

First Name:

Middle Name:

Last Name:

SSN:

Home #:

Address:

Second Address:

City:

State:

Postal Code:

Country:

Work #:

Pager #:

Answer Machine:

Cell #:

Email Address:

Web Address:

Are you Legally able to work in the United States?

Yes

If you are hired, you must provide proof of authorization to work in the United States.

Are you 18 years or Older?

Yes

Regular and predictable attendance is an essential function.
Can you meet the attendance requirement?

Yes

Are you able to perform the essential job function of the position for which you are applying?

Yes

Have you been convicted of or plead guilty to a crime?

Yes

If yes, please fill in the conviction history and date. or have all papers ready at the interview.
Note: A Conviction will not necessarily disqualify you from employment.

Mac Enterprises Information

Have you ever worked for Mac Enterprises?	When	Position	Did you Complete Your Contract?	Reason for Leaving
Yes No

Position(s) Applied For:	Date you can start:	Date you can work until:	Desired wage or salary:
Emergency Contact Person:	Emergency Phone Number:

Education

Education: What School

Location

Graduated
Yes/No

Degree
Diploma/GED

Date-Year

High School

Yes

If GED
Where:

College or University

Yes

Trade/Vocation School:

Yes

Graduate:

Yes

Masters or PHD:

Employment History or Record
Present Employment
Name of current or most recent employer:	Telephone:	Employment Date From: To:

Address:

Second Address:

City:

State:

Postal Code:

Reason for leaving:

If you were on contract did you complete it?

Yes

If no, why not?

Types of work/job duties:

If currently employed may we contact employer?

Yes

Are you eligible for rehire?

Yes

Position:

Supervisor Name :

Work Employment 1
Name of Employer:	Telephone:	Employment Date From: To:

Address:

Second Address:

City:

State:

Postal Code:

Reason for leaving:

If you were on contract did you complete it?

Yes

If no, why not?

Types of work/job duties:

Are you eligible for rehire?

Yes

Position:

Supervisor Name :

Work Employment 2
Name of Employer:	Telephone:	Employment Date From: To:

Address:

Second Address:

City:

State:

Postal Code:

Reason for leaving:

If you were on contract did you complete it?

Yes

If no, why not?

Types of work/job duties:

Are you eligible for rehire?

Yes

Position:

Supervisor Name :

Applicant Signature-Please read carefully before signing

By signing this application, I declare that I have read the following information about Mac Enterprises

Mac Enterprises policy is to have a drug and alcohol free work place.I agree that if I receive a conditional job offer, that as the last state of the hiring process I must submit to a drug test, and depending upon the position for which I applied, I may also be required to undergo a physical examination.I understand that a positive drug test will disqualify me from employment.

I also agree that if I am employed by Mac Enterprises I will submit to drug and alcohol testing during employment according to its Drug Free Work Place Environment Policy.I hereby give my consent to having such test results released to Mac Enterprises

I authorize Mac Enterprises to check my education,employment and criminal records and to contact my references, schools, and former employers.I release Mac Enterprises, my schools and former employers from any claims I might have related to their furnishing requested information.I also release Mac Enterprises from future references it may give about me.

By signing this application, I am representing that the information provided by me is complete and true to the best of my knowledge.I understand that any misrepresentation or omssion on this application may preclude an offer of employment, may result in a withdrawal of an employment offer, or may result in my discharge from employment if I am already employed at the time, the misrepresentations or omissions are discovered.

I understand and agree that my employment relationship with Mac Enterprises will be "at will", which means that I may resign at any time and Mac Enterprises may discharge me at any time, with or without cause.

Signature of Applicant:
or Email Address:

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