How did you hear about this position?
Date you can start:
If so, when?
If yes, please explain:
Did you graduate?
Please list previous employers, beginning with the most recent
You must complete this section even if attaching a resume.
May we contact your current employer?YesNo
Name of Employer:
Employed From (date):
Name of Supervisor:
Rate of Pay:
Name of Supervisor:
If not, who did?
In exchange for the consideration of my job application by Word Machinery
(hereinafter called "the Company"), I agree that:
"Neither the acceptance of this application nor the subsequent entry into any
type of employment relationship, either in the position applied for or any other
position, and regardless of the contents of employee handbooks, personnel
manuals, benefit plans, policy statements, and the like as they may exist from
time to time, or other Company practices, shall serve to create an actual or
implied contract of employment, or to confer any right to remain an employee of
the Company, or otherwise to change in any respect employment-at-will
relationship between it and the undersigned, and the relationship cannot be
altered except by a written instrument signed by the President or General
Manager of the Company. Both the undersigned and the Company may end the
employment relationship at any time, without specified notice or reason. If
employed, I understand that the Company may unilaterally change or revise their
benefits, policies, and procedures and such changes may include reduction in
I authorize investigation of all statements contained in this application. I
understand that the misrepresentation or omission of facts called for is cause
for dismissal at any time without any previous notice. I hereby give the Company
permission to contact schools, previous employers (unless otherwise indicated),
references, and others and hereby release the Company from any liability as a
result of such contact.
I also understand that (1) the Company has a drug and alcohol policy that
provides for pre-employment testing as well as testing after employment; (2)
consent to and compliance with such policy is a condition of my employment; and
(3) continued employment is based on the successful passing of testing under
such policy. I further understand that continued employment may be based on the
successful passing of job-related physical examinations.
I further understand that my employment with the Company shall be introductory
for a period of sixty (60) days, and further that at any time during the
introductory period or thereafter, my employment relation with the Company is
terminable at will for any reason by either party.
If I become employed at Word Machinery I understand that the following are not
allowed inside company buildings: cell phones, pagers, wireless communication
devices, USB Jump Drives, PDA's, flash disk, or any other communication device
that has the ability to transfer any information.
I certify that the facts contained in this application are true to the best of
my knowledge and understand that, if employed, falsified statements on this
application shall be grounds for dismissal. I authorize 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
I also understand and agree that no representative of the company has any
authority to enter into any agreement for employment for any specified period of
time, or to make any agreement contrary to the foregoing, unless it is in
writing and signed by an authorized company representative.
This waiver does not permit the release or use of disability-related or medical
information in a manner prohibited by the Americans with Disabilities Act (ADA)
and other relevant federal and state laws."
Word Machinery is an equal opportunity employer. Employment decisions are
made without regard to race, color, religion, gender, sexual orientation,
national origin, citizenship, age, or disability. Employment at Word Machinery
depends solely on your qualifications.