General
Information:
Address:
Educational Background:
Have
you ever been convicted of or pleaded guilty to any
criminal offense (before a court or by military court
martial)?
Yes
No
If “yes” please explain:
If hired, your responses
will be verified by a criminal record check. Conviction
of a criminal offense does not automatically bar a
person from employment at Academics Plus, Inc. Factors
such as federal, state or local statutory requirements,
the relationship of the offense to employment, the
length of time since the offense and the seriousness
and nature of the violation will be taken into account.
Were you ever employed by Academics
Plus, Inc.?
Yes
No
Federal, state,
and/or local law prohibits discrimination in hiring
and employment on the basis of age, color, disability,
marital status, national origin, race, religion, sex,
veteran status, citizenship, or other legally protected
categories.
EMPLOYMENT RECORD :
Academics Plus, Inc. reserves the right to verify
all information including salary.
List all periods of employment, including
any military service, for the last ten years (or last
four employers). Start with your most recent positions
and note any periods of unemployment. Be sure to sign
the bottom of this page.
May
we contact your present employer?
Yes
No
Employer
1
Duties:
Reason
for leaving:
Employer
2
Duties:
Reason
for leaving:
Employer
3
Duties:
Reason
for leaving:
Employer
4
Duties:
Reason
for leaving:
References:
Individuals qualified to give an opinion of your ability
and experience
Please read
the following statements carefully. We will consider
you for employment after you sign this application.
Typing your name in the box below will be accepted as
your signature.
1.
The information I’ve provided on this
application is accurate to the best of my
knowledge and subject to verification by Academics
Plus, Inc. I understand that any misrepresentation
or omission of fact in my application or resume
will be justification for refusal to employ
me or for termination of my employment without
notice by Academics Plus, Inc. I understand
that should this application or a criminal
record check reveal a conviction of a crime,
Academics Plus, Inc. reserves the right to
terminate further processing of this application
or my employment, if hired. Factors such as
federal, state or local statutory requirements,
the relationship of the offense to employment,
the length of time since the offense and the
serious- ness and nature of the violation
will be taken into account.
2. I understand that this employment application
is not a contract of employment. I further
understand that if I am hired I will be an
employee at will and that I may voluntarily
leave employment at any time and for any reason
and may be terminated by the employer at any
time and for any reason.
3.
I understand that:
a) If employed, I shall sign
the Confidentiality and Non-Disclosure Agreement
and Covenant Not to Compete in which I’ll
agree to protect Academics Plus, Inc.’s
confidentiality information. This agreement
also sets forth the conditions under which
Academics Plus, Inc. is assigned the entire
right, title, and interest to invent- ions
or ideas developed while in Academics Plus
Inc.’s employ.
b) The immigration Reform
and Control Act of 1986 requires that every
individual hired be authorized to work in
the United States.I understand that if offered
employment I will be required to present proper
documentation of my work eligibility and identification.
c ) If employed, my paycheck could be withheld until proper documentation of my work eligibility and identification are submitted to Academics Plus, Inc.
d) If employed, I must at
all times comply with Academics Plus, Inc.
standards of work performance and business
conduct.
Please
type your full name below.
Signature:
Date: