QUEST CORPORATION OF AMERICA, INC.

Employment Application

APPLICANT INFORMATION Must be filled out completely
Last Name:
First:
Middle:
Date:
10/20/2020
Street Address:
Apt/Unit#:
City:
State:
Zip:
Phone:
E-mail Address:
Driver's License No.:
State Issued:
Exp.Date:
Date Available:
Social Security No.:
Desired Salary:
Position Applied for:
Referred By:
Are you legally authorized to work in the United States?: YES     NO
 
Have you ever worked for this company?: YES     NO If so, when?:
Have you ever been convicted of a felony?: YES     NO If yes, explain:
EDUCATION
High School: Address:
From: To: Did you graduate?: YES     NO Degree:
College: Address:
From: To: Did you graduate?: YES     NO Degree:
Other: Address:
From: To: Did you graduate?: YES     NO Degree:
Languages Spoken Fluently:   English     Spanish     Other
 
Skills / Qualifications:
REFERENCES
Please list three professional references.
Full Name: Relationship:
Company: Phone:
Address:
Full Name: Relationship:
Company: Phone:
Address:
Full Name: Relationship:
Company: Phone:
Address:


Applications will be maintained on file for a period of 30 days.
PREVIOUS EMPLOYMENT
Company: Phone:
Address: Supervisor:
Job Title: Starting Salary $: Ending Salary $:
From: To: Reason for Leaving:
May we contact your previous supervisor for a reference?: YES     NO
 
Company: Phone:
Address: Supervisor:
Job Title: Starting Salary $: Ending Salary $:
From: To: Reason for Leaving:
May we contact your previous supervisor for a reference?: YES     NO
 
Company: Phone:
Address: Supervisor:
Job Title: Starting Salary $: Ending Salary $:
From: To: Reason for Leaving:
May we contact your previous supervisor for a reference?: YES     NO
 
MILITARY SERVICE
Branch: From: To:
Rank at Discharge: Type of Discharge:
RESUME
Upload resume in PDF, DOC or DOCX format:
 
APPLICANT STATEMENT: I understand that Quest Corporation of America, Inc. follows an employment-at-will policy, in that I or the employer may terminate my employment any time, or for any reason consistent with applicable state or federal law. I understand that this application is not a contract of employment. I understand that to be employed I must be lawfully authorized to work in the United States, and that I will be required to provided identification and either proof of citizenship or proof of authorization to work in the U.S.

Under penalties of perjury, I certify that the information set forth in this application, including but not limited to, resumes, accompanying documentation, work samples, etc., are true, correct and complete to the best of my knowledge. I understand and agree that any omissions, falsifications, misstatements or misrepresentations above may disqualify me for employment consideration and, if I am hired, may result in immediate termination regardless of when it is discovered. If requested to do so, I agree to provide Quest with a copy or copies of any degrees, diplomas or certifications referenced in this application for employment or subsequent job interviews.

I hereby authorize Quest Corporation of America, Inc. to make an investigation of any of the facts submitted in this application and release them from any liability. I consent to the release of information about my ability, employment history, and fitness for employment by employers, schools, law enforcement agencies, and other individuals and organizations to investigators, human resources staff, and other authorized agents of Quest for employment purposes. I understand that this consent shall continue to be effective during my employment if I am hired.

I agree that by using an e-signature feature, I am applying my electronic signature, which is the legally binding equivalent to my handwritten signature. I also agree that no certification authority and/or other third-party verification is necessary to validate my electronic signature.
Signature: Date: