Salmon Hills
Job Application
Fields marked with an '*' are required.
First Name *:
Last Name *:
Address:
City:
State:
Zip Code:
Country:
Phone:
Fax:
Email *:
Soc. Sec. #:
Are you a U.S. citizen or an alien authorized to work in the United States:
Yes
No
Have you ever been convicted of a crime other than a minor traffic offence:
Yes
No
If yes, please explain:
Position(s) Applied For:
Have you worked for Salmon Hills before?
Yes
No
If yes, please list date and position
Dates available to work?
(please list only those dates you can honor)
First day you can work:
Last day you can work:
Are you seeking full or part-time work?
Full Time
Part Time
List times available:
Weekends?
Weekdays?
Any shift?
Education and Special skills/Qualifications
High School:
College or Special Training:
Number of Years
Degree Earned:
Other skills (please indicate time in job - months):
Typing(WPM):
Switchboard:
Cook:
Food Prep:
Line Server:
Cashier:
A/P-A/R:
Heavy Equip.:
Bus Driving:
Repair / Maintenance:
2nd Language:
Computer Skills ( please list)
Other Skills
Employment History
May we contact your present employer?
Yes
No
Company Name:
Address:
City:
State:
Zip Code:
Country:
Supervisor Name:
Supervisor Phone:
Position:
Salary:
Reason for leaving?
Please list two additional references we may contact:
Name:
Phone:
Name:
Phone:
Uniform Size:
Pants:
Jacket:
Terms and Conditions
PLEASE READ CAREFULLY I UNDERSTAND THAT IF I AM OFFERED EMPLOYMENT, I WILL, AS A CONDITION OF EMPLOYMENT, BE REQUIRED TO SUBMIT PROOF OF MY IDENTITY AND LEGAL RIGHT TO WORK IN THE UNITED STATES. ALL APPLICANTS WILL RECEIVE CONSIDERATION FOR EMPLOYMENT WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, AGE, MARITAL STATUS, NATIONAL ORIGIN, OR HANDICAP. I UNDERSTAND AND AGREE THAT, IF I AM EMPLOYED, ANY FALSE STATEMENT, MISREPRESENTATION OR OMISSION OF FACTS ON THIS APPLICATION, ON ANY SUPPORTING DOCUMENTS, OR PROVIDED ORALLY, REGARDLESS OF WHEN DISCOVERED TO BE FALSE, WILL RESULT IN MY IMMEDIATE DISMISSAL. I UNDERSTAND AND AGREE THAT, IF I AM OFFERED A POSITION, IT WILL BE OFFERED ON CONDITION THAT MY EMPLOYMENT SHALL BE “AT WILL” AND FOR NO DEFINITE PERIOD, AND THAT MY EMPLOYMENT MAY BE TERMINATED, AT ANY TIME, WITH OR WITHOUT CAUSE AND WITH OR WITHOUT PRIOR NOTICE. I UNDERSTAND THAT NO SUPERVISOR OR MANAGER MAY ALTER OR AMEND THIS CONDITION EXCEPT IN WRITING, SIGNED BY A COMPANY OFFICER. I UNDERSTAND THAT THE COMPANY STRICTLY PROHIBITS HARASSMENT AND, DURING MY EMPLOYMENT, I WILL BE EXPECTED TO ABIDE BY THE COMPANY’S EMPLOYEE HANDBOOK, INCLUDING ITS POLICY PROHIBITING DISCRIMINATION AND HARASSMENT. I UNDERSTAND THAT EMPLOYMENT DISPUTES, IF ANY, WILL BE GOVERNED BY A BINDING ARBITRATION PROVISION. THE ARBITRATION POLICY IS AVAILABLE FOR REVIEW PRIOR TO ACCEPTING EMPLOYMENT AT SALMON HILLS. IN EXCHANGE FOR THE COMPANY’S CONSIDERING MY APPLICATION FOR EMPLOYMENT, I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED IN THIS APPLICATION AND ANY SUPPORTING DOCUMENTS. I AUTHORIZE SALMON HILLS TO SECURE INFORMATION ABOUT MY EXPERIENCE FROM FORMER EMPLOYERS, EDUCATIONAL INSTITUTIONS, OR ANY REFERENCES I HAVE PROVIDED, AND FOR THOSE PARTIES TO PROVIDE SUCH INFORMATION CONCERNING THE SUBJECTS COVERED HEREIN, AND I HEREBY RELEASE ALL PARTIES FROM ANY LIABILITY ARISING FROM SUCH INVESTIGATION. IN EXCHANGE FOR THE COMPANY’S CONSIDERING MY APPLICATION FOR EMPLOYMENT, I HEREBY AUTHORIZE MY FORMER EMPLOYER TO RELEASE PERSONNEL INFORMATION AND RECORDS, WHICH MY EMPLOYER HAS KEPT REGARDING MY EMPLOYMENT, INCLUDING MY WORK PERFORMANCE. I UNDERSTAND THAT SALMON HILLS MAY RETAIN PHOTOCOPIES OF MY RECORDS FOR ITS FILES. I HEREBY RELEASE ALL PARTIES, INCLUDING MY FORMER EMPLOYER AND SALMON HILLS FROM ANY LIABILITY ARISING FROM THE RELEASE, REVIEW AND RETENTION OF ANY RECORDS PERTAINING TO ME. I AGREE AND CONSENT THAT ANY PHOTOGRAPH TAKEN BY OR AT THE REQUEST OF SALMON HILLS AT ANY TIME MAY BE USED IN ANY MANNER WHATSOEVER.
I have read and agree to the terms and conditions