Application

Human Resources Center, Inc. is an Equal Opportunity Employer and complies with all applicable Federal, State and local laws concerning discrimination in employment.  No question in this Application is intended to elicit information in violation of any such law, nor will any information obtained in response to any question be used in violation of any such law.

HRCI complies with the law regarding reasonable accommodations for disabled applicants.  Applicants who require reasonable accommodations to participate in the interview process should contact the Human Resources Director to arrange for such accommodations.  Please read this Application carefully and print your responses in ink.  You may submit a personal resume to accompany this Application; however, it is important for you to answer all questions and complete all sections of this Application.

Employment History

List your work experience, starting with current or most recent employment. Include self-employment and summer and part-time jobs. If more space is required, please continue on a separate sheet. You may attach a resume, but you must complete this section of this Application as well. HRCI may verify all information disclosed in this Section.

Skills and Qualifications

Education

HRCI may verify with the sponsoring educational/training facility and/or professional organization/agency all information disclosed in this Section.

Reference

List the name and telephone number of three business/work references who are not related to you and are not previous supervisors.

If not applicable, list three school or personal references who are not related to you.

Additional Information

List professional, trade, business, or civic associations and any offices held.

EXCLUDE INFORMATION THAT WOULD REVEAL SEX, RACE, RELIGION, NATIONAL ORIGIN, AGE, COLOR, DISABILITY, OR ANY OTHER SIMILARLY PROTECTED STATUS.

ACKNOWLEDGMENT__________________

I certify that the answers given by me to the foregoing questions and the statements made by me in this Application for Employment are correct and complete.  I understand that, if I become employed, any material misrepresentation or omission of fact in this Application or in any resume or other materials submitted in connection with this Application for Employment shall be grounds for my discharge from employment.

         I authorize HRCI, as part of its evaluation of my suitability for employment, to verify all education, training, and professional licensure/certification/registry claimed by me and to secure from my previous employers and references information concerning my professional accomplishments, skills, work characteristics and ability.  For these purposes, a photocopy of my signature which appears below shall serve in the same capacity as an original.

         In compliance with the federal Immigration Reform and Control Act, I certify that, if hired, I will provide, within three (3) business days from the date my employment begins, proof of my identity and eligibility for employment in the United States.

         I understand that this Application for Employment is not a contract for employment and that, if I am employed, employment with HRCI is “at will.”  This means that both HRCI and I each retain the right to terminate my employment for any or no reason with or without cause or notice at any time.

         I further acknowledge and agree that no manager or representative of HRCI, other than an Officer/Principal in writing, has the authority to enter into an agreement for employment for any specified period of time, to guarantee any particular position for a specified period of time or to make any binding promises with respect to compensation, promotional opportunities or any other terms or conditions of employment.

         I further acknowledge and agree that, if an offer of employment is extended to me, I will not rely on any oral statements made by any manager or other representative of HRCI with respect to any term or condition of employment in deciding whether to accept an offer of employment,

            I also understand that, upon the commencement of my employment or during the period of my employment, I may be required to sign as a condition of my employment certain standard agreements protecting HRCI’s confidential/proprietary information, trade secrets and customer/client relationships.

I represent and warrant that I have read and fully understand the foregoing and seek employment under these conditions.