Full Time
Anywhere
Posted 4 weeks ago

Here you can add the job description. Make your changes here.

Application for Employment with Bayside Community Network, Inc.
We are an Equal Opportunity Employer. We are dedicated to a policy of non-discrimination in employment on any improper basis including race, color, age, sex, religion, creed, national origin, marital status, sexual orientation, political belief, or physical or mental handicap that does not prohibit performance of essential job functions. Please answer all questions specifically and completely. Please provide exact dates.
Date*
MM slash DD slash YYYY
Name*
First Last
Position(s) applied for:
Home Phone
Cell Phone
Email
Address*
Street Address City State ZIP Code
Referral Sources*
- Advertisement
- Relative
- Friend
- Walk-In
- Employment Agency
- Employee
- Other
If other, please enter other.*
If employee, please enter name.
Please select where advertised
- Cecil Whig
- The Herald
- Guardian
- Craigslist
- Other
If other, please enter other.*
Have you ever applied for employment with us before?*
- Yes
- No
Have you ever been employed by us before?*
- Yes
- No
Type of employment desired?*
- Full-time
- Part-time
- Temporary
Date you would be available to begin work*
MM slash DD slash YYYY
What is your desired salary?*
Hours you would be available to work (check all that apply):*
- Days
- Evenings
- Overnights
- Weekend
- Any
Days of the week you would be available to work (check all that apply):*
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
- Sunday
Have you ever pled "guilty" or "no contest" or been convicted of a crime other than a minor traffic offense: (We do complete extensive criminal and driving record investigations.)*
- Yes
- No
If yes, please explain.
Are you legally eligible for employment in the United States?*
- Yes
- No
Are you of legal age to work in the United States?*
- Yes
- No
As a requirement of employment, you must attend approximately two weeks of initial training that will be scheduled during the day. This must also be completed annually. Are you available to attend training during the day?*
- Yes
- No
Employment History
List your last three employers, beginning the the current or most recent. Please anser all questions specifically and completely.
Current or most recent employer*
Address*
Street Address City State ZIP Code
Phone*
Supervisor's Name and Title*
Your Job Title*
Beginning date of employment*
MM slash DD slash YYYY
Status*
- Currently still employed
- No longer employed at this company
Ending date of employment
MM slash DD slash YYYY
Starting Salary*
Ending or Current Salary*
Starting Duties*
Ending Duties*
Reason for leaving*
Eligible for Rehire?*
- Yes
- No
May we contact for a reference?*
- Yes
- No
If no, please state reason.
How would this employer rate your performance?*
Employer
Address
Street Address City State ZIP Code
Phone
Supervisor's Name and Title
Your Job Title
Beginning date of employment
MM slash DD slash YYYY
Status
- Currently still employed
- No longer employed at this company
Ending date of employment
MM slash DD slash YYYY

If still currently employed, please leave blank.
Starting Salary
Ending Salary
Starting Duties
Ending Duties
Reason for leaving
Eligible for Rehire?
- Yes
- No
May we contact for a reference?
- Yes
- No
If no, please state reason.
If no, please state reason.
How would this employer rate your performance?
Employer
Address
Street Address City State ZIP Code
Phone
Supervisor's Name and Title
Job Title
Beginning date of employment
MM slash DD slash YYYY
Status
- Currently still employed
- No longer employed at this company
Ending date of employment
MM slash DD slash YYYY

If still currently employed, please leave blank.
Starting Salary
Ending Salary
Starting Duties
Ending Duties
Eligible for Rehire?
- Yes
- No
Reason for leaving
May we contact for a reference?
- Yes
- No
If no, please state reason.
How would this employer rate your performance?
Have you ever been discharged or forced to resign from any position in the last five (5) years?*
- Yes
- No
If yes, please explain
Educational Background
High School Name and Location*
Course of Study
Did you graduate?
- Yes
- No
Degree or Diploma
College Name and Location
Course of Study
Did you graduate?
- Yes
- No
Degree or Diploma
Graduate School Name and Location
Course of Study
Did you graduate?
- Yes
- No
Degree or Diploma
Please summarize any training, skills, licenses or certificates that may qualify you as being able to perform job-related functions in the position for which you are applying.
Driving History
Do you have a valid driver's license?*
- Yes
- No
How many years of driving experience do you have?*
Do you hold any special driving certificates?*
- Yes
- No
If yes, please explain.
Has your driver's license ever been suspended or revoked?*
- Yes
- No
Are any vehicle or traffic law convictions and/or violations recorded on your driver's license in the past 5 years?*
- Yes
- No
If yes, please explain.
Have you ever been in a traffic accident in the past 5 years?*
- Yes
- No
If yes, were you at fault?
- Yes
- No
References
Please list three (3) character references (non-relatives) who have known you for the past three years or longer.
Reference #1 Name*
First Last
Address*
Street Address City State ZIP Code
Occupation*
Phone*
Reference #2 Name*
First Last
Address*
Street Address City State ZIP Code
Occupation*
Phone*
Reference #3 Name*
First Last
Address*
Street Address City State ZIP Code
Occupation*
Phone*
Please read the following application statement carefully and certify.
About the information on this application: I verify that the information on this application is true and correct. I understand that any false statements, misrepresentations, or omissions of fact on the application or during an interview may result in the reject of my application or in separation from Bayside Community Network, Inc. (BCN) if I become subsequently employed. I understand that BCN does not unlawfully discriminate in employment and no question on this application is used for the purpose of ommitting or excusing any applicant from consideration for employment on a basis prohibited by local, state or federal law.
About investigations and information from current and former employers and/or personal references: I authorize Bayside Community Network, Inc. to investigate all of the statements contained in this application in order to establish qualification for employment. I authorize BCN to inquire of and receive information from my current and former employers and/or personal references as to my character and ability. I agree and hold BCN, it's agents, or representatives of BCN; and my current and former employers; and/or personal references harmless from any claims or damages resulting from the transmittal, receipt, or use of any of the information described above.
About drug screening: I consent to take a pre-employment drug screen as required by BCN and such future drug/alcohol screens that will be required by BCN.
About investigative consumer reports: I further consent to the obtaining of investigative consumer reports from investigative or credit agencies on which BCN may condition employment. These consumer reports may include credit reports, criminal history, arrest records, military records, or other sources of information. I understand that if a consumer investigative report is requested, I have the right, under the Fair Credit Reporting Act, to request in writing, within a reasonable time, a complete and accurate disclosure of the nature and scope of the investigation.
About proof of meeting minimum age requirements and the right to work in the United States: I agree to provide proof of meeting minimum age requirements of applicable laws and submit proof of my real age if I am employed. I also consent, if hired, to provide documentation of the right to work in the United States as required by Federal Immigration Laws under The Immigration Reform and Control Act of 1986.
About at-will employment: I agree, if employed, to confirm to the guidelines and policies of BCN whenever adopted or changed by BCN, and that those guidelines and policies do not constitute an employment for contract. I further agree that if I accept a position with BCN, my employment will be for an unspecified term and may be terminated at the will of either BCN or myself, with or without cause, and with or without notice. No words or actions of BCN or myself, will be deemed to create an express or implied contract of employment or require that BCN has good cause for terminating my employment. This at-will agreement will remain in effect throughout the duration of my employment.
I certify that I have read and fully understand and accept all of the terms of this application.*
- Yes, I certify
- No, I do not certify
Your signature below is required to be considered for employment (sign at time of interview).
_____________________________________________________
Date ___________________
Resume File Upload
File
Max. file size: 2 GB.
Captcha

Application for Employment with Bayside Community Network, Inc.

Employment History

Educational Background

Driving History

References

Please read the following application statement carefully and certify.

Your signature below is required to be considered for employment (sign at time of interview).

Resume File Upload