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Application for Employment

Name(Required)

First Middle Last

Address(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Email(Required)

Phone(Required)

Position Applying for (ASMH only accepts applications for current openings):

Check One:(Required)

Full Time

Part Time

Temporary

Days and Hours available for Work:(Required)

Have you ever been employed by ASMH, its predecessors, or affiliates?(Required)

Yes

If yes, when/where?

List relatives employed at American Serb Memorial Hall(Required)

In accordance with the United States Immigration Reform and Control Act of 1986, all applicants hired will be required to comply with the employment eligibility verification provisions as a condition of employment. Please answer the following:

Can you submit a legal verification of your right to work in the United States?(Required)

Yes

Do you have a current employer with whom you would be employed after employment by ASMH or, if employed by us, would you plan to hold concurrent employment elsewhere?(Required)

Yes

If YES, please explain:

If you will be driving a vehicle for company business please provide:

Driver’s License #

State

Expiration Date

Previous Employers

List all employers - continue on a separate sheet if necessary. A resume is NOT a substitute for completing this application.

Employer Name

Employer Address

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Employer Phone

Employer Supervisor Name

Job Title

Employed Start & End Date

Starting Salary

Ending Salary

Job Responsibilities

Reason for Leaving

Employer Name

Employer Address

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Employer Phone

Employer Supervisor Name

Job Title

Employed Start & End Date

Starting Salary

Ending Salary

Job Responsibilities

Reason for Leaving

Employer Name

Employer Address

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Employer Phone

Employer Supervisor Name

Job Title

Employed Start & End Date

Starting Salary

Ending Salary

Job Responsibilities

Reason for Leaving

Schools / Certificates

High School/GED: Name, Location (City, State, and Country if other than U.S.)

Major Course /Study

Graduated

Yes

Degree/Certificate

College/Trade School: Name, Location (City, State, and Country if other than U.S.)

Major Course /Study

Graduated

Yes

Degree/Certificate

Graduate School: Name, Location (City, State, and Country if other than U.S.)

Major Course /Study

Graduated

Yes

Degree/Certificate

Please tell us about any honors or special recognition you have received:

Professional Certifications/Affiliations:

Please list languages in which you can communicate. Indicate degree of proficiency (e.g. excellent, fair, etc.)

Consent

I agree to the application terms below

Nature of Employment: Regardless of whether or not I become employed by American Serb Memorial Hall (ASMH), I recognize that this application is not and should not be considered a contract of employment. I further understand that employment at ASMH is on an “at-will” basis and employment is not guaranteed for any term, and may be terminated by the company or myself for any reason, at any time, with or without notice, so long as there is no violation of applicable law. I understand that no employee of ASMH has any authority to enter into any agreement for employment for any specified period of time, or to assure any benefits or terms or conditions of employment, unless such agreement is in writing and signed by the President the of Board of Directors of ASMH or designee.

Physical Examination: I will take a post-offer physical examination and/or drug test, from a physician designated by ASMH, at ASMH’s expense. I authorize the physician or testing facility to provide ASMH the results of the examination and I release ASMH from any liability from the lawful use of such information for employment purposes. I understand that further employment consideration for job placement may be affected by the results of the examination.

Certification of Accuracy Statement: I certify that all statements I have made on this application and related papers and in interviews are true, and I understand any falsification, misrepresentation or intentional omission may be grounds for eliminating me from further employment consideration, rescinding an employment offer, or lead to dismissal from employment without any obligation on the part of ASMH, except for payment to me for the employment services already rendered.

ASMH will not discriminate against any employee or applicant for employment because of age, religion, sex, race, color, national origin, or because they are disabled, a disabled veteran or Vietnam era veteran, or on the basis of any other characteristic protected by applicable federal, state or local law. Answers to questions will be utilized for applicable, job-related information only.

Applicant's Signature

Date

This Application will remain active for 60 days. For consideration beyond 60 days, you must reapply.

This field is for validation purposes and should be left unchanged.

Employment Opportunities

Application for Employment

Previous Employers

Schools / Certificates

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