|
PERSONAL INFORMATION
Incomplete information could disqualify you from further consideration
|
|
|
|
|
|
|
|
|
|
|
|
Are you eligible to work in the U.S.?
|
|
Are you at least 18 years of age or older?
(If no, you may be required to provide authorization to work)
|
|
|
Have you ever signed a non-compete, non-solicitation agreement, or other type of restrictive covenant with any present or former employer?
|
|
|
If yes, please provide the employer name, type of business it is engaged in and further explain (you may be required to furnish a copy of the agreement in order to be considered for employment).
|
|
|
|
|
|
EMPLOYMENT DESIRED
|
|
|
|
|
Are you able to perform the essential functions of the job for which you are applying, with or without reasonable accommodation?
|
|
Are you currently employed?
|
|
May we contact your present employer?
|
|
|
Have you ever pled "guilty" or "no contest" to or been convicted of a crime?
|
|
If yes, please provide date(s) and details:
|
ANSWERING "YES" TO THESE QUESTIONS DOES NOT CONSTITUTE AN AUTOMATIC BAR TO EMPLOYMENT. SUCH FACTORS AS DATE OF THE OFFENSE, SERIOUSNESS AND NATURE OF THE VIOLATION, REHABILITATION AND POSITION APPLIED FOR WILL BE TAKEN INTO ACCOUNT.
|
|
|
Have you ever been terminated from employment or asked to resign by an employer?
|
|
If yes, please provide company name(s) and details:
|
|
|
|
Can you work overtime, including weekends?
|
|
|
|
REFERRAL SOURCE
|
How did you hear about us?
|
|
|
|
Have you ever worked for Frost before?
|
|
Do you know anyone who works for Frost?
|
|
|
|
|
EDUCATION
|
High School: (name and location)
|
|
|
|
|
|
|
College/University: (name and location)
|
|
|
|
|
|
College/University: (name and location)
|
|
|
|
|
|
Trade, Business or
Correspondence School: (name and location)
|
|
|
|
|
|
|
EMPLOYMENT HISTORY
Include your last seven (7) years of employment history, including periods of unemployment, starting with the most recent and working backwards in time.
Incomplete information could disqualify you from further consideration
|
Number of Employers
|
|
|
|
|
|
|
Immediate supervisor & title:
|
|
|
Duties & responsibilities:
|
|
|
|
|
............................................................................................................................................................................................................................................... |
|
|
|
|
|
Immediate supervisor & title:
|
|
|
Duties & responsibilities:
|
|
|
|
|
............................................................................................................................................................................................................................................... |
|
|
|
|
|
Immediate supervisor & title:
|
|
|
Duties & responsibilities:
|
|
|
|
|
............................................................................................................................................................................................................................................... |
|
|
|
|
|
Immediate supervisor & title:
|
|
|
Duties & responsibilities:
|
|
|
|
|
............................................................................................................................................................................................................................................... |
|
|
|
|
|
Immediate supervisor & title:
|
|
|
Duties & responsibilities:
|
|
|
|
|
............................................................................................................................................................................................................................................... |
|
|
|
|
|
Immediate supervisor & title:
|
|
|
Duties & responsibilities:
|
|
|
|
|
............................................................................................................................................................................................................................................... |
|
|
|
|
|
Immediate supervisor & title:
|
|
|
Duties & responsibilities:
|
|
|
|
|
............................................................................................................................................................................................................................................... |
|
|
|
|
|
Immediate supervisor & title:
|
|
|
Duties & responsibilities:
|
|
|
|
|
............................................................................................................................................................................................................................................... |
|
|
|
|
|
Immediate supervisor & title:
|
|
|
Duties & responsibilities:
|
|
|
|
|
............................................................................................................................................................................................................................................... |
|
|
|
|
|
Immediate supervisor & title:
|
|
|
Duties & responsibilities:
|
|
|
|
|
............................................................................................................................................................................................................................................... |
|
|
Do you have any special skills, experience and/or training that would enhance your ability to perform the position applied for? (please describe)
|
|
Computer skills (please describe)
|
|
|
Upload resume (optional): .doc or .pdf format only
|
|
|
REFERENCES
Please provide the names of three (3) references not related to you, whom you have known at least three (3) years.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
APPLICANT STATUS (OPTIONAL)
|
We are subject to certain governmental record keeping and reporting requirements for the administration of civil
rights laws and regulations. In order to comply with these laws, we invite our employees to voluntarily self-identify
their race and ethnicity. Submission of this information is voluntary and refusal to provide it will not subject you to
any adverse treatment. The information will be kept confidential and will only be used in accordance with the
provisions of applicable laws, executive orders, and regulations, including those that require the information to be
summarized and reported to the federal government for civil rights enforcement. When reported, data will not
identify a specific individual.
|
Do you wish to participate?
|
|
|
Hispanic or Latino
- A person of Cuban, Mexican, Puerto Rican, South or
Central American, or other Spanish
culture or origin, regardless of race.
|
|
If you answered no to the previous question above, please select the appropriate race/ethnicity designation below:
|
|
|
|
|
|
|
|
|
|
APPLICATION STATEMENT
I certify that all information I have provided in order to apply for and secure work with the employer is true, complete and correct.
I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) cancel further consideration of this application, or (ii) immediately discharge me from the employer's service, whenever it is discovered.
I expressly authorize, without reservation, the employer, its representatives, employees or agents to contract and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me.
I understand that the employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by applicable local, state or federal law.
I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to reapply and fill out a new application.
If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute and agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied, oral or written agreements contrary to the forgoing express language are valid unless they are in writing and signed by the employer's president.
I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and the federal immigration laws require me to complete an I-9 Form in this regard.
I UNDERSTAND THAT ANY OFFER OF EMPLOYMENT IS CONTINGENT UPON SUCCESSFULLY PASSING A DRUG TEST AND THAT A PRE-EMPLOYMENT BACKGROUND SCREEN IS REQUIRED PRIOR TO THE START OF WORK.
|
|