Applicants will be considered for all positions without regard to race, color, religion, sex, national origin, age, marital, or veteran status or the presence of a non-job-related medical condition or handicap.

Date of Application:
Position (s) Applied For:
Referral Source:	Advertisement Friend Relative Walk-In Employment Agency
First Name:	Middle Initial
Last Name:
Address:
City:
State:
Zip:
Phone:
Are you Available to Work?	Full-Time          Part-Time Shift-Work         Temporary
Have you filled an application here before? :
Have you ever been employed here before? :
Can you travel if the job requires it? :
Please provide driver’s license information:	State   Number
Have you been convicted of a crime? :	Yes No
Are any criminal charges or proceedings pending against you? :	Yes No
If “yes” to either or both above, please explain. Conviction of a crime will not automatically result in your disqualification. The nature of the crime, date of conviction, etc. will be considered in relation to the particular position(s) available for which you have applied.
If yes, explain :
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? :	Yes No
Are you a veteran of the U.S. Military Service? :	Yes No
If yes, what branch: :
Indicate languages you speak, read, and/or write:
Language :
Fluent Good Fair Speak Read Write
Language :
Fluent Good Fair Speak Read Write
What is the state of your physical health?	Excellent          Good Fair         Poor
Please describe any physical problems:

EDUCATION
Name of School and Location	Years Attended	Grade Completed

Special Awards/Training :
EMPLOYMENT EXPERIENCE Please list your last three jobs, beginning with your most recent. Please include military service and volunteer activities. If you have a resume, please email it to us and only list employer name below.
MAY WE CONTACT YOUR PRESENT EMPLOYER? :	Yes No
1. Employer :
Job Title :
Address :
Phone :
Starting Salary :	Final Salary :
Supervisor :
Dates Employed: __ to __ :
Reason for Leaving :
Describe Job:
2. Employer :
Job Title :
Address :
Phone :
Starting Salary :	Final Salary :
Supervisor :
Dates Employed: __ to __ :
Reason for Leaving :
Describe Job:
3. Employer :
Job Title :
Address :
Phone :
Starting Salary :	Final Salary :
Supervisor :
Dates Employed: __ to __ :
Reason for Leaving :
Describe Job:

REFERENCES: List three people who can attest to your work performance.
Name	Address	Phone	Relationship

AUTHORIZATION: In order for Sharp Training to process my application for employment, I hereby authorize any and all law enforcement agencies, current, and former employees, academic institutions, the military services and any other institutions or agencies to supply any information regarding my background and fitness for employment to Sharp Training and to it’s agents and employees. I hereby release such law enforcement agencies, former employers, academic institutions, military service, Sharp Training and other institutions and agencies, their agents and employees from liability arising from the supplying and use of such information. I further understand that if I am offered employment by Sharp Training, state law requires that I submit to a state and national criminal history records check for a period of ninety (90) days from my employment. I will also be required to submit fingerprinting, at my expense, so that my fingerprints may be provided to the Federal Bureau of Investigation for the national criminal history records check. I further understand and agree that if I have been convicted of a crime that has not been disclosed to Sharp Training, that Sharp Training may immediately dismiss me as provided by Public Act No. 93-328.

APPLICANT’S STATEMENT: BY CLICKING SUBMIT: I certify that all of the foregoing information and any resume is true and complete. I understand that any misrepresentation or omission may result in my disqualification from further consideration for employment and/or my termination from employment. ;

* required