General Employment Application

Employment Experience:
List your most recent employer first. Please be thorough and detailed.
Employer:
Date Employed From:
MM slash DD slash YYYY
Date Employed To:
MM slash DD slash YYYY
Address
Street Address
Hourly Rate / Salary : Starting
Hourly Rate / Salary : Final
Phone
Job Title
Supervisor
Reason for Leaving
Work Performed
May we Contact?
- Yes
- No
Employer:
Date Employed From:
MM slash DD slash YYYY
Date Employed To:
MM slash DD slash YYYY
Address
Street Address
Hourly Rate / Salary : Starting
Hourly Rate / Salary : Final
Phone
Job Title
Supervisor
Reason for Leaving
Work Performed
May we Contact?
- Yes
- No
Employer:
Date Employed From:
MM slash DD slash YYYY
Date Employed To:
MM slash DD slash YYYY
Address
Street Address
Hourly Rate / Salary : Starting
Hourly Rate / Salary : Final
Phone
Job Title
Supervisor
Reason for Leaving
Work Performed
May we Contact?
- Yes
- No
Explain any gaps in your work history:
Have you ever been discharged or asked to resign from a job?
- Yes
- No
If so, please explain:
If so, please explain:
References:
(Do not include family members or past supervisors that you have listed above)
Name
Phone Number
Best time to call
Occupation
Name
Phone Number
Best time to call
Occupation
Name
Phone Number
Best time to call
Occupation
APPLICANT’S STATEMENT:

I certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize Scherer Bros. to verify their accuracy and to obtain reference information on my work performance and history. I hereby release Scherer Bros. from all/all liability of whatever kind of nature, which could result from obtaining and having an employment decision based on such information.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with Scherer Bros. is of an “at will” nature, which means that I may resign at any time and Scherer Bros. may discharge me at any time without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of Scherer Bros. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I also understand that I am required to abide by all rules and regulations at Scherer Bros.
Signature
Date
MM slash DD slash YYYY

Step 1 of 3

Employment Application

Eduction:

High School

College

Graduate/Professional

Other (Specify)

Employment Experience:

References:

APPLICANT’S STATEMENT:

Applicant Self Identification Form