We are an equal-opportunity employer. We will take affirmative action to ensure that during the interview process and employment, applicants and employees are treated without discrimination based on race, color, religion, sex, age, national origin, handicap, or marital status. We only hire individuals authorized for employment in the United States.
INSTRUCTIONS: In filling out your application, you are requested to furnish complete and accurate information concerning your employment. All applications are verified. A false or incomplete application will not be considered and can be used as a reason for discharge.
Personal Information
First Name
Last Name
SSN
Address
City/Town
State/Province
Zip Code
Mobile Phone
Home Phone
Date Of Birth
Marital Status
Do you have a legal right to work in the U.S.A.?
Employment Desired
Position applied for
Date you can start
Desired Salary
Are you employed?
If so, may we contact them?
Have you ever applied to this company before?
Education History
Employment History (start with the last one first)
References (please list the details of three referees who are not related to you)
IN CASE OF EMERGENCY, PLEASE PROVIDE US WITH INFORMATION OF THE CONTACT PERSON(S) BELOW.
EMPLOYMENT AGREEMENT
I CERTIFY THAT THE FACTS CONTAINED IN THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND THAT, IF EMPLOYED, FALSIFIED STATEMENTS ON THIS APPLICATION SHALL BE GROUNDS FOR DISMISSAL.
I UNDERSTAND THAT FILLING OUT THIS APPLICATION DOES NOT NECESSARILY MEAN AN OFFER OF EMPLOYMENT AND THAT MY APPLICATION MAY BE DENIED FOR ANY REASON.
I AUTHORIZE THE INVESTIGATION OF ALL STATEMENTS CONTAINED HEREIN AND THE REFERENCES AND EMPLOYERS LISTED ABOVE TO GIVE YOU ANY AND ALL INFORMATION CONCERNING MY PREVIOUS EMPLOYMENT AND ANY PERTINENT INFORMATION THEY MAY HAVE, PERSONAL OR OTHERWISE AND RELEASE THE COMPANY FROM ALL LIABILITY FOR ANY DAMAGE THAT MAY RESULT FROM UTILIZATION OF SUCH INFORMATION. I ACKNOWLEDGE THAT A FAX OR A XEROX MACHINE COPY SHALL BE AS VALID AS THE ORIGINAL.
IN CONSIDERATION FOR MY EMPLOYMENT, I AGREE TO ABIDE BY THE POLICIES AND RULES OF THE COMPANY, WHICH POLICIES MAY BE CHANGED, WITHDRAWN, ADDED OR INTERPRETED AT ANY TIME, AT THE COMPANY’S SOLE OPTION AND WITHOUT PRIOR NOTICE TO ME.
I ALSO ACKNOWLEDGE THAT THIS EMPLOYMENT APPLICATION AND ANY OTHER EMPLOYEE-RELATED DOCUMENTS ARE NOT CONTRACTS OF EMPLOYMENT AND THAT MAY VOLUNTARILY LEAVE EMPLOYMENT UPON PROPER NOTICE THAT MY EMPLOYMENT MAY BE TERMINATED, OR ANY OFFER OR ACCEPTANCE OF EMPLOYMENT WITHDRAWN, AT ANY TIME, WITH OR WITHOUT CAUSE, BY THE EMPLOYER.
I UNDERSTAND I AM FREE TO ACCEPT OR NOT TO ACCEPT ASSIGNMENTS, AND I AM NOT GUARANTEED HOURS OR REQUIRED TO WORK A CERTAIN NUMBER OF HOURS EACH WEEK.
I AGREE THAT EITHER ANGELS HELPERS INC OR I CAN TERMINATE OUR EMPLOYMENT RELATIONSHIP AT ANY TIME, WITH OR WITHOUT CAUSE AND WITH OR WITHOUT NOTICE, EXCEPT THAT WHERE POSSIBLE DUE NOTICE WILL BE GIVEN BY BOTH.
I UNDERSTAND THAT IN CASE OF INJURY OR ILLNESS WHILE IN THE EMPLOYMENT OF THIS COMPANY, I AGREE THAT THIS COMPANY SHALL BE ENTITLED TO RECEIVE OVERALL REPORTS AND RECORDS COVERING ANY MEDICAL OR RELATED EXAMINATIONS AND AUTHORIZE ANY AND ALL SUCH DOCTORS, MEDICAL EXAMINERS, AND HOSPITALS TO GIVE TO THIS COMPANY OVERALL REPORTS AND RECORDS COVERING SUCH EXAMINATIONS, CONDITION, CARE, AND TREATMENT RELATED TO OR RESULTING FROM THE ALLEGED ILLNESS OR INJURY.
IN CONSIDERATION FOR MY EMPLOYMENT BY YOUR COMPANY, I AGREE THAT I WILL NOT ACCEPT EMPLOYMENT EITHER DIRECTLY OR INDIRECTLY WITH RESPECT TO ANY CURRENT CLIENT OF ANGELS HELPERS, INC AT THE TIME OF MY EMPLOYMENT OR ANY FORMER CLIENT OF ANGELS HELPERS INC WHO TERMINATED THEIR AGREEMENT WITH ANGELS HELPERS INC TO WHOM I HAVE BEEN ASSIGNED TO WORK, FOR AT LEAST 360 DAYS AFTER THE LAST DATE THAT I WAS ASSIGNED TO WORK WITH SAID CLIENT, IN THE COURSE OF EMPLOYMENT WITH ANGELS HELPERS, INC. CLIENT IF FOR ANY REASON, I VIOLATE THE TERMS OF THIS AGREEMENT, I AGREE TO PAY ANGELS HELPERS, INC. UPON THE DEMAND THE SUM OF $10,000.00 AS LIQUIDATED DAMAGES.
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