Employment Form

Federal and state laws prohibit discrimination on the basis of sex, race, creed, religion, color, national origin, citizenship, age in accordance with applicable law, handicap, disability, medical condition, marital and veteran’s status in all practices, privileges and conditions of employment. Ansbacher Law strictly adheres to these laws and regulations and will consider all qualified applicants for employment without regard to any of these factors.

Position(s) Applied For:(Required)

Date of Application(Required)

How Did You Learn About Us?(Required)

Friend's Name(Required)

Relative's Name(Required)

Other(Required)

Name(Required)

First Last

Address(Required)

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

Phone(Required)

Email(Required)

Have you ever filed an application with us before?(Required)

Yes

If Yes, give date(Required)

Have you ever been employed with us before?(Required)

Yes

If Yes, give date(Required)

Are you currently employed?(Required)

Yes

May we contact your present employer?(Required)

Yes

Do you have a legal right to live and work in the United States?(Required)

Yes

Note: Proof of citizenship or immigration status will be required upon employment.

On what date would you be available for work?(Required)

Are you available to work:(Required)

Full Time

Part Time

Temporary

Are you currently on "lay-off' status and subject to recall?(Required)

Yes

Can you travel if a job requires it?(Required)

Yes

Have you ever been arrested, cited, charged, or convicted of any crime?(Required)

Yes

If yes, please explain.(Required)

Indicate any foreign languages you can speak, read and/or write.

Language(Required)

Speak(Required)

Fluent

Good

Fair

Read(Required)

Fluent

Good

Fair

Write(Required)

Fluent

Good

Fair

Language

Speak

Fluent

Good

Fair

Read

Fluent

Good

Fair

Write

Fluent

Good

Fair

Language

Speak

Fluent

Good

Fair

Read

Fluent

Good

Fair

Write

Fluent

Good

Fair

List professional, trade, business or civic activities and offices held. You may exclude memberships which would reveal sex, race, religion, national origin, age, ancestry, handicap or other protected status.(Required)

References

Provide name, address and telephone number of three professional references who are not related to you, and are previous employers.

1. Reference Name(Required)

First Last

Phone(Required)

Company/Title(Required)

Address(Required)

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

2. Reference Name

First Last

Phone

Company/Title

Address

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

3. Reference Name

First Last

Phone

Company/Title

Address

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

Have you ever had any job-related training in the United States military?(Required)

Yes

If yes, please describe.(Required)

Special Skills and Qualifications

Please summarize special job-related skills and qualifications acquired from employment or other experience.(Required)

For purposes of these questions, please write in full, complete sentences.

Describe your ideal work environment.(Required)

Describe a work or academic situation in the past that challenged you and how you responded.(Required)

Describe how you manage deadlines and priorities.(Required)

What characteristics do you possess that make you a good colleague?(Required)

How would you handle communications with upset or unprofessional people?(Required)

Applicant's Statement

I certify that answers given herein are true and complete to the best of my knowledge. I have not omitted any employment (full or part time) during the previous ten years from my job history. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I hereby authorize Ansbacher Law to investigate my background and qualifications for purposes of evaluating whether I am qualified for the position for which I am applying. I specifically authorize such an investigation by information services and outside entities of the company's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and my application for employment will not be processed further. This application for employment shall be considered active for a period of time not to exceed 90 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. I understand that if employed the first 90 days of my employment will be a probationary period. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

Name(Required)

First Last

Date(Required)

Employment Form

Employment Form

Indicate any foreign languages you can speak, read and/or write.

References

Special Skills and Qualifications

**For purposes of these questions, please write in full, complete sentences. **

Blogs & News

For purposes of these questions, please write in full, complete sentences.