Career Application

Contact Information

Name *

Street Address *

City *

State *

Zip Code *

Home Phone

Mobile Phone *

Work Phone

Email Address *

Preferred Contact *

Home Phone

Mobile Phone

Work Phone

College or University

Name of School

Address of School

Type of Degree, Diploma or Certificate

Major/Minor Field of Study

Graduated?

Yes

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Other Education, Training, & Achievements/Activities

Name of School

Address of School

Date Attended

Type of Degree, Diploma or Certificate

Major/Minor Field of Study

Graduated?

Yes

Please list academic honors, scholarships, or fellowships, memberships in academic honorary societies or participation in any office held in extracurricular activities you consider significant. Please omit any organization which reflects your race, color, sex, religion, national origin, ancestry, age, disability, marital status, sexual orientation, veteran status or any other protected status.

Professional Information

License Description

Effective Dates

License Number

Certification Description

Effective Dates

License Number

Other

Employment Experience

Company *

Address *

Phone Number *

Supervisor *

Job Title *

Responsibilites *

Starting Salary *

Ending Salary *

From *

To *

Reason for Leaving *

May we contact a previous supervisor for a reference? *

Yes

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Dismissal/Resignation

Ever been dismissed or forced to resign from employment?

Yes

If Yes, please explain.

Personal References

Name *

Years Known *

Occupation *

Email Address *

Phone Number *

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Authorization & Release

Paragraph Text

The information that I have provided is accurate to the best of my knowledge and subject to validation by The McConnell Group. I understand and agree that any misrepresentation or omission of a fact in my application may be justification for not being hired or, if hired, termination of any employment with The McConnell Group. I understand that an offer of employment and my continued employment with The McConnell Group are contingent upon satisfactory proof of my authorization to work in the United States. I understand that nothing contained in this employment application or in the granting of an interview is intended to create an employment contract between myself and The McConnell Group for either employment or for the providing of any benefit. No promises regarding continued employment have been made to me, and I understand that no such promise or guarantee is binding upon The McConnell Group unless made in writing. I understand that my employment is terminable at-will, and that either I or my employer may terminate my employment at any time, with or without cause, for any or no reason, and that I am not being employed for any specific term. I authorize a thorough investigation of my educational background, past employment and activities that may relate in any way to my potential fitness for employment with The McConnell Group. I authorize schools and prior employers to provide any information they have concerning me to The McConnell Group, and I hereby hold harmless The McConnell Group and all those providing information from any liability that may arise out of or result from the provision or sue of such information. I understand that I may be required to take and pass a drug test as a condition of being hired at or transferred to a The McConnell Group location.

Checkboxes *

I have read and understand the above statement.

Signed, *

Please enter your full name.

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Application for Employment

Contact Information

Position Application

Applicant Profile

Applicant High School

College or University

Other Education, Training, & Achievements/Activities

Professional Information

Employment Experience

Dismissal/Resignation

Personal References

Applicant Voluntary Self-Identification

Authorization & Release