Employment Application Form

Employment Application
First
Last
Means of Transportation:
Days Available to Work:
Able to work on holidays
Shifts Available to Work:
Interested in:
Towns Available to Work:

APPLICATION FOR EMPLOYMENT

CSI IS AN EQUAL OPPORTUNITY EMPLOYER. IT IS OUR POLICY THAT ALL APPLICANTS BE CONSIDERED SOLEY ON THE BASIS OF QUALIFICATION AND ABILITY WITHOUT REGARD TO RACE, RELIGION, COLOR, SEX, AGE, NATIONAL ORIGIN, DISABILITY OR VETERAN STATUS.


Personal Information

Name:
Name:
First
Last
Address:
Address:
City
State/Province
Zip/Postal
Permanent Address (If Different than Above):
Permanent Address (If Different than Above):
City
State/Province
Zip/Postal
Have you been employed previously by CSI?
Are you 18 years old or older?
Do you have the legal right to work in the US?
Have you ever been convicted of a crime?
Do You have any physical or mental conditions that preclude you from performing any work for which you are being considered?

Education

Graduate?

Graduate?

Graduate?

Work Experience

Employer Address:
Employer Address:
City
State/Province
Zip/Postal

Employer Address:
Employer Address:
City
State/Province
Zip/Postal

Employer Address:
Employer Address:
City
State/Province
Zip/Postal

May we contact your present employer?
May we contact your previous employer(s)?

US Military Record

US Military or Naval Service?
Present Membership in National Guard or Reserves?

Business / Personal References

Reference (1) - Name:
Reference (1) - Name:
First
Last
Address
Address
City
State/Province
Zip/Postal

Reference (2) - Name:
Reference (2) - Name:
First
Last
Address
Address
City
State/Province
Zip/Postal

Reference (3) - Name:
Reference (3) - Name:
First
Last
Address
Address
City
State/Province
Zip/Postal

By signing this application, I certify that: this application is complete and accurate to the best of my knowledge and that I have not made any attempt to conceal information and that falsification could be cause for dismissal. Further, CSI or its agents may request employment information from previous employers and persons or corporations who provide information related to my previous employment and will be released from liability or damage. Also, if required, I agree to undergo a medical examination by a company-designated physician and understand that medical approval must be obtained before employment can begin. I have noted that CSI is an Equal Opportunity Employer and ad applicants receive lawful consideration for employment without regard to Race, Religion, Color, Sex, National Origin, Disability, or Veteran Status.

I realize that if I am hired, CSI reserves the right to terminate my employment whenever the need arises.