Application for Employment Fax completed application to: 615-242-9578
IR-G is an equal opportunity employer and does not discriminate in regard to race, sex, religion, national or ethnic origin, disability, age, veteran status, or sexual orientation.
PLEASE TYPE OR PRINT. Complete the entire application. You may attach a resume, but you must still complete all questions; or your application will be deemed incomplete and may not be considered.
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Position Applying For:
Branch: |
Name (Last, First, Middle): |
Other names under which you have attended school or been employed:
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Street Address: |
City, State & Zip: | ||||||
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How long at current address:
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Previous address:
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Social Security Number:
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Home Phone:
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Work Phone:
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Other Phone:
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Are you eligible to work in the United States? |
Yes No |
You will be required upon employment to submit verification of your legal right to work in the US. | |||||
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Are you available to work overtime? |
Yes No |
Rate of pay expected: | |||||
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Are you 18 years of age or older? |
Yes No |
If NO, what is your current age? | |||||
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Have you been convicted of a non-juvenile felony within the last 7 years?
(You may answer NO if the record of conviction has been sealed, expunged, impounded, pardoned, or annulled by a court of law or statute. No applicant is obligated to disclose sealed or expunged records) |
Yes No |
If YES, describe in full:
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Have you ever been discharged or resigned from a job because your employer believed that you were in involved in an incident(s) relating to violence, threats of violence, possession of weapons, suspected theft, repeated harassment of employees, customers, or vendors, lewd behavior, possession of alcohol or illegal drugs, or being under the influence of alcohol or illegal drug use at its workplace? |
Yes No |
If YES, please explain: | |||||
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Have you ever been employed by IR-G? |
Yes No |
If YES, dates of employment & reason for leaving:
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Are you related to any current IR-G employee? |
Yes No |
If YES, their name & their relationship to you? | |||||
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Do you have a valid driver’s license? |
Yes No |
State of issuance: License #:
Expiration date: | |||||
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How did you learn about this employment opportunity? Check all that apply:
Ad in newspaper Walk-in Referral by employee
Online posting posting Other: | |||||||
EDUCATION
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Name of School |
City/State |
Did you graduate? |
If No, # of years left to graduate |
If Yes, date of Graduation |
Degree received |
Major |
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High School:
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Yes No |
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GED:
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Yes No |
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Other School:
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Yes No |
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College:
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Yes No |
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College:
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Yes No |
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College:
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Yes No |
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Other credentials/ licenses/ professional affiliations, etc., which are relevant to the job(s) for which you are applying.
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SKILLS: Please list technical skills, clerical skills, trade skills, etc., relevant to this position. Include relevant computer systems and software packages of which you have a working knowledge, and note your level of proficiency (basic, intermediate, expert)
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WORK EXPERIENCE- Please detail your entire work history. Begin with your current or most recent employer. If you held multiple positions with the same organization, detail each position separately. Attach additional sheets if necessary. Omission of prior employment may be considered falsification of information. Please explain any gaps in employment.
Include full-time military or volunteer commitments. PLEASE DO NOT complete this information with the notation “See Resume.”
PLEASE NOTE: IR-G reserves the right to contact all current and former employers for reference information.
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Dates Employed (most recent position)
From: To
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Full time Part-time
If part-time, # hrs./wk: |
Title: |
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Starting Salary:
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Organization Name and Address:
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Final Salary:
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Supervisor’s Name, Title and Phone #:
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Other Reference Name, Title and Phone #:
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Contact my current references:
At any time
Only if I am a finalist candidate |
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Primary duties:
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Reason for Leaving: | |
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Dates Employed (most recent position)
From: To
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Full time Part-time
If part-time, # hrs./wk: |
Title: |
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Starting Salary:
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Organization Name and Address:
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Final Salary:
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Supervisor’s Name, Title and Phone #:
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Other Reference Name, Title and Phone #:
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Contact my current references:
At any time
Only if I am a finalist candidate |
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Primary duties:
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Reason for Leaving: | |
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Dates Employed (most recent position)
From: To
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Full time Part-time
If part-time, # hrs./wk: |
Title: |
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Starting Salary:
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Organization Name and Address:
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Final Salary:
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Supervisor’s Name, Title and Phone #:
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Other Reference Name, Title and Phone #:
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Contact my current references:
At any time
Only if I am a finalist candidate |
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Primary duties:
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Reason for Leaving: | |
PLEASE READ CAREFULLY AND SIGN THAT YOU UNDERSTAND AND ACCEPT THIS INFORMATION.
I certify that all the information on this application, my resume, or any supporting documents is complete and accurate to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of any information may result in disqualification from consideration for employment or, if employed, disciplinary action, up to and including immediate dismissal.
I authorize IR-G to investigate, without liability, all statements contained in this application and supporting materials. I authorize references and former employers, without
liability, to make full response to any inquiries in connection with this application for employment. If requested, I agree to submit to a physical exam, criminal and credit
background investigation, and/or screening for illegal substances upon conditional offer of employment. I understand that this document is NOT an offer of employment,
and that an offer of employment, if tendered, does NOT constitute a contract for continued guaranteed employment. I understand that employees of IR-G serve at-will,
and the employment relationship may be terminated at any time by either party, or any or no reason, other than a reason prohibited by law.
If employed, I will be required to furnish proof of eligibility to work in the United States, and to comply with company policies and regulations. I understand that if employed
on a temporary basis, I would be paid for hours worked only, and would be ineligible for benefits including paid time off.
I understand and agree that as a condition of employment and to the extent permitted by federal, state, and local law, I may be required to sign a confidentiality, non-compete, and/or conflict of interest agreement.
Applicant Signature: ____________________________
Date:________________
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General Information: info@ir-g.com | ||||
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