download employment application here (microsoft word)

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					                                                    Employment Application

     The following information is requested to help us make the best possible placement within Axis GeoSpatial LLC. All
     portions of this application pertaining to you must be completed. We appreciate the time you spend in filling in this
     application form. Axis GeoSpatial does not discriminate on the basis of age, religion, color, sex, national origin,
     marital status, and/or physical or mental handicap.



 Applicant Information
 Last Name                                                   First                                     M.I.           Date
 Street
                                                                                                       Apartment/Unit #
 Address

 City                                                        State                                     ZIP

 Phone                                            E-mail Address

 Previous
                                                                                                       Apartment/Unit #
 Address

 City                                          State                                                   ZIP

 Date Available                                                        Social Security No.

 Is the name and SS# the same as registered under the Social Security Regulations?                                        YES         NO

 Drivers License
                                                Identification No.
 State of Issue

 Position Applied for                                                                             Desired Salary

 Other positions for which you would like to be considered

                                                                       If no, can you submit verification of your legal
 Are you a citizen of the United States?      YES         NO                                                              YES         NO
                                                                       right to work in the US?

 Have you ever applied with this company?     YES         NO           If so, when?

 Have you ever been convicted of a crime?     YES         NO           If yes, explain

 How were you referred to Axis GeoSpatial?

 Are you related to anyone in the employ of
                                              YES         NO           If yes, who?
 Axis GeoSpatial?

 In case of an accident, notify:     Name

                                                                       Phone
 Relation
                                                                       Number




Axis GeoSpatial, LLC             8600 Brooks Drive              Easton, MD 21601        TEL 410.822.1441              FAX 410.822.6225
 Education
 High School                                             Address

 From                To              Did you graduate?   YES         NO        Degree

 College                                                 Address

 From                To              Did you graduate?   YES         NO        Degree

 Graduate                                                Address

 From                To              Did you graduate?   YES         NO        Degree

 Other                                                   Address

 From                To              Did you graduate?   YES         NO        Degree

 Specialized Training or Relevant Coursework:




 References
 Please list three professional references.

 Full Name                                                                 Relationship

 Company                                                                   Phone      (      )

 Address

 Full Name                                                                 Relationship

 Company                                                                   Phone      (      )

 Address

 Full Name                                                                 Relationship

 Company                                                                   Phone      (      )

 Address




Axis GeoSpatial, LLC            8600 Brooks Drive             Easton, MD 21601       TEL 410.822.1441      FAX 410.822.6225
    Employment Record (Please list most recent position first)

    From:              To:

    Name and Address of Employer

    Telephone Number                                    Job Title

    Supervisor

    Salary                      Reason for Leaving

    May we contact them?



    From:              To:

    Name and Address of Employer

    Telephone Number                                    Job Title

    Supervisor

    Salary                      Reason for Leaving

    May we contact them?



    From:              To:

    Name and Address of Employer

    Telephone Number                                    Job Title

    Supervisor

    Salary                      Reason for Leaving

    May we contact them?




    Professional and Managerial Applicants Only

    List special training or noteworthy achievements.




Axis GeoSpatial, LLC       8600 Brooks Drive            Easton, MD 21601   TEL 410.822.1441      FAX 410.822.6225
    All Applicants

    I certify that the information contained in this application is correct to the best of my knowledge, and understand that
    falsification of this application in any detail is grounds for disqualification from further consideration or dismissal from
    employment in accordance with Axis GeoSpatial policy. I agree to conform to the rules and regulations of Axis
    GeoSpatial, and understand that my employment and compensation can be terminated, with or without cause, and
    with or without notice, at any time, at the option of either Axis GeoSpatial or myself. I further understand that no
    personnel recruiter or interviewer or other representative of the company, other than the President or Vice President,
    has any authority to enter into any agreement for employment for any specified period of time.



    Authorization Signature of Applicant                                         Date




    Release for Verification of Information

    I acknowledge that consideration of employment is contingent on the results of a reference and background check.
    Therefore, I hereby authorize Axis GeoSpatial to (1) investigate the truthfulness of all statements made on this
    application and my resume or materials I have provided Axis GeoSpatial; (2) contact my former employers and other
    listed references or any other persons who can verify information; (3) investigate my credit and legal history; and (4)
    discuss the results of any investigation with other employees of the company involved in the hiring process. In
    addition, I give my consent for all contacted persons included former employers to provide information concerning this
    application, and I release each such person from liability for providing information to Axis GeoSpatial.


    Authorization Signature of Applicant                                         Date




Axis GeoSpatial, LLC        8600 Brooks Drive            Easton, MD 21601     TEL 410.822.1441           FAX 410.822.6225

				
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Description: download employment application here (microsoft word)