First Name: Last Name:  
Middle Name:    
     
Social Security Number:    
Street Address:    

City:
State:
Zip:

 

County:

   

Home Phone:

Business Phone:  
Have you ever applied for employment with us? Yes: No:
If yes, when?:
 
     
Position Desired    
     

Title:

Desired Salary: $  
City: State:  
  Zip:  
     
Are you eligible to work in the United States? Yes: No:
Are you available to work holidays? Yes: No:
When will you be available to begin work? /(Month/Year)
Are you 21 or older? Yes: No:
Have you been convicted of or pleaded no contest to a felony within the last five years? Yes: No:
   
If yes, please explain:

Have you been convicted of, pleaded guilty to, or pleaded no contest to, an act of dishonesty, or breach of trust or moral turpitude, such as misdemeanor petty theft, burglary, fraud, writing bad checks, and other related crimes within the last five (5) years?

 * Yes: No:

If yes, please explain:

Do you have other special training or skills (additional spoken or written languages, computer software knowledge, machine operation experience, etc.)?

How did you hear of our organization?

*Conviction of a crime, or pleading guilty to a criminal charge, will not necessarily disqualify you from the job for which you are applying. Each conviction or plea will be considered with respect to time, job relatedness, and other relevant factors.

Availability

Days Available
Sun. Mon. Tues. Wed. Th.
 Fri. Sat.
Total Hours Available: Hours Available: from to

Education

High School: City: State:
College: City: State:
Degree: # of Years Completed:
Graduate Study Yes: No: Degree:

Conditions of Employment

Arcturus Corporation sets high standards for its employees, and compliance with these standards is a condition of employment. If you are offered a position, you need to carefully consider what we would require of you before you accept. As an employee, you must do everything you can to make our external and internal customers feel like customers, including:

  • Following our standards of professionalism
  • Arriving on time
  • Maintaining a positive, enthusiastic attitude
  • Treating coworkers with respect
  • Offering exit appreciation to clients
  • Being honest and dedicated in your work
  • Using proper phone etiquette
  • Completing necessary training requirements
  • Expediting customers' transactions/requests quickly and professionally
  • Following company policies and procedures
  • Assisting customers
  • Following directions
  • Meeting standards of work quality and quantity
  • Maintaining a professional appearance and complying with the company dress code
  • Accepting a work schedule that may require holiday work

Are you willing and able to comply with all the requirements listed? Yes: No:
If your answer is no, or if you have concerns about being able to comply with any of these requirements, please explain:

Agreement of the Transfer of Information

I declare the information provided by me in this application is true, correct, and complete to the best of my knowledge. I understand that if employed, any falsification, misstatement, or omission of fact in connection with my application, whether on this document or not, may result in immediate termination of employment. I authorize you to verify any and all information provided above.

I acknowledge that employment may be conditional upon successful completion of a substance abuse screening test as part of the Company's pre-employment policy.

I acknowledge that if I become employed, I will be free to terminate my employment at any time for any reason, and that Arcturus retains the same rights. No Arcturus representative has the authority to make any contrary agreement.

I understand it is unlawful to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal and/or civil liabilities.

Signature: Date:

Printed Name:

 

Copyright (c) 2004. Company Name Inc.