General Employment Application

Date:
Rate of Pay Desired
Frequency:
Name:
Type of Employment:
Preferred Shift:
Position Applying For:
Can you work overtime?
Time of Day Available:
Date Available:
CONTACT INFORMATION
Address:
E-mail:
Phone:
-

Bristol Seafood only hires individuals authorized to work in the U.S.A. Upon hire you will be required to complete an I-9 form showing proof of work authorization status. Bristol Seafood validates all I-9 forms using the E-Verify System. (http://www.dhs.gov/e-verify)


Have you ever worked for Bristol Seafood?
Do you have any relatives working at Bristol Seafood?
Are you under 18?
If yes, please list their names:
How did you hear about this position?
EDUCATION
List below your highest education level as well as any relevant training.
1. School:
1. City:
1. Level Attained:
1. State:

2. School:
2. City:
2. Level Attained:
2. State:

Other:

REFERENCES
Please list three professional references.

1. Full Name:
1. Company:
1. Relationship
1. Phone:
-

2. Full Name:
2. Company:
2. Relationship
2. Phone:
-

3. Full Name:
3. Company:
3. Relationship
3. Phone:
-
EMPLOYMENT HISTORY
(Including any Military Service) Please begin with most recent.
May we contact your current employer for a reference?

1. Company Name:
1. Supervisor:
1. Starting Salary:
1. Start Date:
1. Responsibilities:
1. Company Address:
1. Job Title:
1. Ending Salary:
1. End Date
1. Reason for Leaving:
1. Phone Number:
-

2. Company Name:
2. Supervisor:
2. Starting Salary:
2. Start Date:
2. Responsibilities:
2. Company Address:
2. Job Title:
2. Ending Salary:
2. End Date:
2. Reason for Leaving:
2. Phone Number:
-

3. Company Name:
3. Supervisor:
3. Starting Salary:
2. Start Date:(1)
3. Responsibilities:
3. Company Address:
3. Job Title:
3. Ending Salary:
3. End Date:
3. Reason for Leaving:
3. Phone Number:
-

CERTIFICATION AND AUTHORIZATION

If you are to be hired by Bristol Seafood, the Immigration Reform and Control Act of 1986 requires you to attest, on INS Form I-9, "Employment Eligibility Verification," to your identity and employment eligibility and to present to us for our examination certain documents establishing your identity and employment eligibility, such as a U.S. passport, or both a driver's license and a social security card. You cannot be hired if you cannot comply with these requirements. We will notify you when to present such documents in the event you are hired by us.

I certify that all of the statements contained in this application or accompanying forms are true and complete. I understand that any offer of employment may be conditioned on a background check. I hereby authorize the Company to investigate all statements contained in my application or accompanying forms, and to contact my former employers. I understand that any false statements, omissions or misrepresentations will constitute sufficient cause and reason for either refusal to hire or termination from employment.

I understand, acknowledge and agree that unless otherwise expressly agreed to in writing signed by a duly authorized official of the Company, if employed by the Company, my employment will be at-will and without fixed term, and that either of us may terminate the employment at any time with or without prior notice and with or without cause. I also understand that this at-will employment relationship may not be changed, altered or amended, except with regard to changes in compensation.

[I consent, if employed, to permit the Company at any time to examine my briefcase, desk, lock, packages or parcels, or those in my possession or control. I agree to abide by all rules, regulations and policies of the Company as may be in effect from time to time.]

Signature:*
Today's Date: