Job Application

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Office Systems Installations (OSI) is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Please fill out all of the sections below:

APPLICATION INFORMATION

Date: *
Applicant Name: *
Address: *
City *
State: *
Zip Code: *
Telephone Number (cell): *
Social Security Number:
Date of Birth: *
Drivers License Number:
Exp. Date *
State: *
Email Address: *
***Referred by:

EMPLOYMENT INFORMATION

Position(s) Applied for: *
What hours or shift are you available to work overtime? *
On what date can you start working if you are hired? *
Do you have reliable transportation to and from work? *
Salary Desired: *

PERSONAL INFORMATION

Are you 18 years of age or older?
YesNo
Are you a U.S. citizen or approved to work in the United States?
YesNo

PREVIOUS EMPLOYMENT

1. Employer Name:
Job Title:
Supervisor Name:
Employer Address:
City, State and Zip Code:
Telephone:
Dates Employed:
Reason for leaving:
Dates Employed:
Reason for leaving:
AT-WILL EMPLOYMENT The relationship between you and Office Systems Installations(OSI) is referred to as "employment at will". This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or Office Systems Installations (OSI). No represtative of Office Systems Installations (OSI) has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will", and that you acknowledge that no oral or written statements or represtations regarding your employment can alter your "at will" employment status, except for a written statement signed by you and either our Company's President or our Director of Operations.
Date
Applicant Signature
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Verification

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