GoDaddy

employment application

  We are an equal opportunity employer. All applicants are considered without regard to race, color, religion, disability, sex, national origin, age or any other basis protected by federal, state, or local law.
PERSONAL                                                                                                                                       
 

First Name   Middle   Last
Street Address   Social Security No.
City/State/Zip   Phone
E-mail Address   Cell Phone
How did you find out about this job?   Which one    
If hired, do you have a reliable means of transportation to get to work?    What is it?
Minimum salary expected   Are you at least 18 years old?  
If the job requires driving: Drivers License No.
  State   DOB  
Are you legally eligible for employment in the U.S.?   (Proof of U.S. citizenship or immigration status will be required if hired.)
Have you been convicted of a crime?   If yes, state the nature of the offense and disposition of the case. Include dates and places.

  Employment Data
 

Name of Prospective Employer  
Are you seeking:      What positions(s) are you applying for?
What hours and shift(s) would you prefer to work?
What Hours and shift(s) you would prefer not to work?
Please indicate any shift(s) you would not be available to work
Are you willing to work overtime?      Weekends?      Holidays?
Are you currently employeed?    If hired, when would you be able to start?

Have you ever worked for this organization before?     If yes, name used:
List any friends or relatives employeed by this company:
Are you on layoff and subject to recall?
Have you ever been discharged or asked to resign from any position?  If yes, please describe:

How many days have you missed from school or work within the last year other than approved vacation, sick, or disability leave?
How many days have you been late to school or work within the last year other than approved vacation, sick, or disability leave?
Please describe:

Are you able to perform all the tasks required for the position for which you are applying without reasonable accommodation?
Please describe which tasks, if any you will need an accommodation to perform, and explain what type of accommodation you will need:

  EDUCATION (Check highest level attained.)
 

High School:
Name of school:
Location of school:
Are you enrolled in a co-op program?
If yes, identify program and school:

College
Name of school:
Location of school:
Degree & Major:
Minor:

  MILITARY SERVICE
 

Are you a veteran?    If yes, give dates of service:     From  To
List any special skills or training:  
Honorable Discharge

  WORK HISTORY (Please list your last four employers, beginning with the most recent.)
 

1.

Company
Address
City/State/Zip
Dates of Employment: From  To
Job Title
Breifly describe duties:

Salary: Beginning    Ending
Supervisor's Name & Title
Supervisor's Phone with Area Code
Supervisor's Email

Specific reason for leaving:



2.

Company
Address
City/State/Zip
Dates of Employment: From  To
Job Title
Breifly describe duties:

Salary: Beginning    Ending
Supervisor's Name & Title
Supervisor's Phone with Area Code
Supervisors Email

Specific reason for leaving:



3.

Company
Address
City/State/Zip
Dates of Employment: From  To
Job Title
Breifly describe duties:

Salary: Beginning    Ending
Supervisor's Name & Title
Supervisor's Phone with Area Code
Supervisor's Email

Specific reason for leaving:



4.

Company
Address
City/State/Zip
Dates of Employment: From  To
Job Title
Breifly describe duties:

Salary: Beginning    Ending
Supervisor's Name & Title
Supervisor's Phone with Area Code
Supervisor's Email  

Specific reason for leaving:




 

May we contact all of the employers listed above?    If not, tell us which one(s) you do not wish us to contact and why.

How many jobs have you had in the last five years not listed above?
Why are you seeking a new position at this time?
List any business-related outside interests and organizations you're active in:

  PLEASE READ THE FOLLOWING CAREFULLY AND SIGN AND DATE THE APPLICATION ELECTIONICALLY.


 
 

I authorize the Prospective Employer to make an investigation of all information contained in this employment application and I release from liability all individuals, companies and corporations supplying such information. I understand any false answers, statements, or implications made by me on this application or other required documents shall be considered sufficient cause for denial of employment or discharge. I specifically authorize and direct my current and former employers to supply employment related information to the Prospective Employer and do hereby release my current and former employers from liability for providing information to the Prospective Employer. Upon termination of my employment for whatever reason, I release the Prospective Employer from all liability for supplying any information concerning my employment to any potential employer. I authorize the Prospective Employer, if applicable, to request a copy of my credit report, motor vehicle driving record, and any other investigative report deemed necessary through various third-party sources. As required by law, upon request within a reasonable period of time, I will be notified as to the nature and scope of such investigations. I hereby agree to submit to any drug test required of me, whether prior to my employment or if employed by the Prospective Employer at any time thereafter. If requested, I will take a post-job offer physical examination and my employment will be conditional upon passing such examination. During my employment, in the event I receive medical treatment for any condition, including a physical, psychological, emotional, or psychiatric condition that is job-related, I hereby authorize the limited release and exchange of such medical information relating to my condition between the treatment provider and a company-designated physician. I further understand this is an application for employment and that no employment contract is being offered. I understand that if I am employed, such employment is for an indefinite period of time and the Prospective Employer may change wages, benefits, and conditions at any time. My employment is at will. No individual with the Prospective Employer is authorized to change the employment-at-will status except an officer of the Prospective Employer, who may do so only in writing. By electronically entering my name and date below, I acknowledge that I have read and agree to all of the above.

Signature    Date:     
              
APPLICANT'S ELECTRONIC SIGNATURE REQUIRED TO PROCESS THIS FORM.

  This form is for general use throughout the United States. Specialty Training Consultants does not assume responsibility for the use of this form. Check with counsel to ensure compliance with state law. All rights reserved. No part of this form may be reproduced without written permission of Specialty Training Consultants, LLC. Copyright Specialty Training Consultants, LLC.

Specialty Training Consultants, LLC      Phone 877-808-4877      Fax 914-992-0452
Website: www.hirebetternow.com