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Application – Tsay Federal Contracting Group

APPLICATION INSTRUCTIONS

If you need help to fill out this application form or for any phase of the employment process, please notify the person that gave you this form and every effort will be made to accommodate your needs in a reasonable amount of time. Please contact Rose Law [email protected]
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    Name
    Current Address
    Prior Address
    Are you over 18 years old?
    Are you legally eligible for employment in the United States?
    (If offered employment, you will be required to produce documentation of eligibility.)

    APPLICANT NOTE

    This application form is intended for use in evaluating your qualifications for employment. This is not an offer of employment or an employment contract. Please answer all questions completely and accurately. False or misleading statements during the interview and on this form are grounds for terminating this application process or, if discovered after employment, terminating employment. All qualified applicants will receive consideration without discrimination because of sex, marital status, race, age, color, religion, national origin, or disability. A felony conviction will not necessarily bar an applicant from employment. Affirmative action hiring may be requested by qualified applicants/ Additional testing of job-related skills and for the presence of drugs in your body review. Depending on company policy and the needs of the job, you will be required to complete a medical history form and may be required to be examined by a medical professional designated by the company.

    AVAILABILITY

    MM slash DD slash YYYY
    What category would you prefer?
    For which schedules are you available?

    EDUCATION

    Please check highest grade completed.
    High School
    College
    Other

    SECURITY

    Have you been convicted of a felon and/or served time in the past seven years?
    If so, please describe below. (In accordance with company policy this information will be reviewed for job relatedness and time since last conviction.)
    Conviction(s)
    Conviction(s)

    JOB RELATED SKILLS

    NOTE: Do not fill out any part of this section you believe to be non-job related.
    If the job requires, do you have the appropriate valid driver’s license?
    License
    Have you had any moving violations?
    Have you been given a job description or had the requirements of the job explained to you?
    Do you understand these requirements?
    Can you perform the requirements of this job with or without reasonable accommodation?
    Can you perform the essential function of the position for which you are applying? (If you have any questions as to what functions are applicable to the position for which you are applying, please ask the interviewer before you answer this question.)

    REFERENCES

    Include only individuals familiar with your work ability. Do not include relatives.
    Reference 1
    Reference 2

    EMPLOYEE REFERENCES

    Your application will not be considered unless every question in this section is answered. Since we will make every effort to contact previous employers, the correct telephone numbers of past employers are critical.
    MOST RECENT EMPLOYER
    MM slash DD slash YYYY
    MM slash DD slash YYYY
    Job
    SECOND MOST RECENT EMPLOYER
    MM slash DD slash YYYY
    MM slash DD slash YYYY
    Job
    THIRD MOST RECENT EMPLOYER
    MM slash DD slash YYYY
    MM slash DD slash YYYY
    Job
    Have you ever been discharged or asked to resign from a job

    LICENSE/MEMBERSHIPS

    List all professional license or memberships:
    LICENSE(S) HELD
    LICENSE(S) HELD
    LICENSE(S) HELD

    CERTIFICATION, RELEASE, AND ACKNOWLEDGEMENT

    I certify that I have read and understand the applicant note on page one of this form and that the answers given by me to the foregoing questions and the statements made by me are complete and true to the best of my knowledge and belief. I understand that any false information, omissions or misrepresentations of facts called for in this application may result in rejection of my application or discharge at any time during my employment. I authorize the company and/or its agents, including consumer-reporting bureaus, to verify any of this information including, but not limited to, criminal history and motor vehicle driving records. I authorize all persons, schools, companies, and law enforcement authorities to release any information concerning my background and herby release any said persons, schools, companies, and law enforcement authorities from any liability for any damage whatsoever for issuing this information. I also understand that the use of illegal drugs is prohibited during my employment. If company policy requires, I am willing to submit to drug testing to detect the use of illegal drugs prior to and during employment. I understand and agree that if employed by one of the companies in the TSAY Federal Contracting Services I am responsible for reporting any behavior which I believe, may violate company policies regarding equal employment opportunity or harassment. Furthermore, I understand and agree that if employed by one of the TFCS companies my employment with the company is one of termination at-will by either the company or myself, and that this document is signed by the President of the company and me.

    **This application for employment is good for 90 days. Consideration for employment after 90 days requires a new application**

    Tsay Federal Contracting Services is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability or status as a protected veteran.