Application for Employment at Rauch

EEO/ADA Employer

PRESCREENING
We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, the presence of a non-job related medical condition or handicap, or any other legally protected status.
If yes, then whom?
If yes, then whom?
EMPLOYMENT PREFERENCES
Date available to begin work. *
Date available to begin work.
$
Please indicate your availability below:
Sunday (select all that apply) *
Monday (select all that apply)
Tuesday (select all that apply) *
Wednesday (select all that apply) *
Thursday (select all that apply) *
Friday (select all that apply) *
Saturday (select all that apply) *
Referral Source
Check all that you may be interested in *
Name *
Name
Mailing Address *
Mailing Address
Cell Telephone No.
Cell Telephone No.
Home Telephone No. *
Home Telephone No.
Business Phone No.
Business Phone No.
Have you ever been convicted of a felony since your 18th birthday? *
Provide Nature of Offense, Name & Location of Court, and Date of Conviction
Are any of your educational or employment records found under a different last name? *
Previous Last Name(s)
Have you ever been discharged or forced to resign from any position? *
Please provide four professional references, including the person's name and telephone number.
Education & Training
Choose one.
Did you graduate from High School or obtain a GED? *
High School, Junior High or Elementary
Provide name and location of school(s), dates attended, courses/subjects completed, credit hours earned, and diplomas/certificates received.
**Must be from a recognized accredited school - original transcript is required if hired** Provide name and location of school(s), dates attended, credit hours earned, type of degree earned (i.e. BA/BS), major, and minor.
Please provide entity professional license is issued by, field/trade specialization, license number, issue date, and expiration date.
Skills
Please use the space below to elaborate on skills above (i.e. words per minute for typing, other software skills, foreign languages spoken and written fluently)
Employment History
Please start with your most recent position.
May we contact your present employer? *
Job 1
Starting Date
Starting Date
Ending Date
Ending Date
Employer/Company Address
Employer/Company Address
Nature of employment
$
Telephone Number
Telephone Number
Job 2
Starting Date
Starting Date
Ending Date
Ending Date
Employer/Company Address
Employer/Company Address
Nature of employment
$
Telephone Number
Telephone Number
Job 3
Starting Date
Starting Date
Ending Date
Ending Date
Employer/Company Address
Employer/Company Address
Nature of employment
$
Telephone Number
Telephone Number
CONDITIONS OF EMPLOYMENT STATEMENT
Under penalties of perjury, I declare that my answers to the questions on this application and any necessary examinations and supplements are true and give Rauch, Inc. the right to investigate all information given and to secure additional appropriate information if necessary. In accordance with the law and my understanding of this statement, I authorize my current and former employers to give any information regarding my employment, together with all information regarding me, and hereby release from all liability or responsibility all persons, companies, or corporations furnishing such information in good faith. If I am hired, I understand that I am free to resign at any time, with or without cause and with or without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without prior notice, except as may be required by law. I understand that the completion of this application does not assure me of a position with Rauch, Inc. and does not obligate Rauch, Inc. to me in any way. I further understand that any misrepresentation herein may cause my application to be rejected and/or subject me to dismissal. Candidates selected for hire must pass a functional exam prior to employment. I am aware that the results will be made available to the Human Resources Director or a duly authorized representative. Rauch, Inc. is committed to a drug free work place to protect the safety of workers and the public and will comply with the Federal Drug Free Work Place Act, therefore, I may be subject to a random drug test. I also understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary for me to reapply and fill out a new application. I understand that this application and submitted attachments become a part of Rauch, Inc. records and will not be returned, reused or copied for me once submitted. By my signature (signified by typing your full legal name), I certify, authorize and acknowledge the above statements.
Signified by typing your full legal name
Date Application Submitted *
Date Application Submitted
ADDITIONAL INFORMATION
Additional information (i.e., cover letter, resume, etc.) can be emailed to hroffice@rauchinc.org
VOLUNTARY INFORMATION
We are an equal opportunity employer and do not discrimnate in hiring or employment on the basis of race, color, religion, national origin, citizenship, gender, marital status, sexual orientation, gender identity, age, disability, veteran status, or any other characteristic protected by federal, state, or local law.
To maintain accurate data, we request that you fill in the sections that apply to you. This information is being requested on a voluntary basis. You will not be subjected to adverse treatment either by providing the information or by opting not to complete these sections.
The only purpose this information serves is to assist us in promoting equal employment opportunities throughout our organization.
I understand that any false statements in this application may be cause for rejection or termination of my employment with Rauch, Inc. I also grant permission to Rauch, Inc. to investigate my former employment and references, to my former employers and references to release information about me to Rauch, Inc. In consideration of my potential employment with Rauch, Inc, I absolve Rauch, Inc., former employers, and references from any liability with respect to providing information about me, including my employment and attendance records and reasons for termination. I understand that neither this document nor any offer of employment from the employer constitutes an employment contract, unless a specific document to that effect is executed by Rauch, Inc. and myself in writing.
Authorization *

 

Human Resources Department can be reached at hroffice@rauchinc.org.