Step 1 of 5 20% What is the position you are applying for?* Date* MM slash DD slash YYYY Name* First Middle Last Maiden Name Physical Address* Street Address City State / Province / Region ZIP / Postal Code Mailing Address (if different) Email Telephone (Home/Mobile)Are you at least 18 years old?* Yes No (If under 18, employment is subject to the required verification of your eligibility to work)Have you ever been employed with us before?* Yes No If yes, give date Do any of your friends or relatives work for IMACA?* Yes No If yes, state name, relationship and location Are you currently employed?* Yes No If hired, can you present evidence of your U.S. citizenship or proof of your legal right to live and work in the U.S.?* Yes No Proof of Citizen or immigration status will be required upon employment)Are you available to work* Full time Part time Temporary Are you currently on "lay-off" status and subject to recall?* Yes No Can you travel, if the job requires it?* Yes No EducationHigh School* Address (City, State)* Course of Study* Years completed* Untitled* Undergraduate College Address (City, State) Course of Study Years completed Untitled Graduate/Professional Address (City, State) Course of Study Years completed Untitled Other (Specify) Address (City, State) Course of Study Years completed Untitled Work ExperienceStart with current or most recent job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities, or other protected status.1 Address Street Address City State / Province / Region ZIP / Postal Code Telephone NumberJob title Supervisor Reason for leaving Dates employed (from/to) May we contact? Yes No Work performed2 Address Street Address City State / Province / Region ZIP / Postal Code Telephone NumberJob title Supervisor Reason for leaving Dates employed (from/to) May we contact? Yes No Work performed3 Address Street Address City State / Province / Region ZIP / Postal Code Telephone NumberJob title Supervisor Reason for leaving Dates employed (from/to) May we contact? Yes No Work performed Comments: Include explanations of any gaps of employment.Describe any specialized training, education, apprenticeship, skills and extra-curricular activities.(Include both formal and non-formal)Describe any job-related training received in the United States military.List professional, trade, business or civic activities and office held.(You may exclude membership which would reveal gender, race, national origin, age, ancestry, disability or other protected status.)Additional Information/Qualifications/Permits.(Summarize special job-related skills and qualifications or permits acquired from employment or other experience.)Do you have a valid driver license now?* Yes No If yes, what class? C (reg) Commercial Operators SPECIALIZED SKILLS (Skills/Equipment operated) Spreadsheets Word Processing Typewriter WPM Copier FAX Forklift Chainsaw Paintsprayer Other specialized skills (list)Production/Mobile Machinery (list)Many of our clients do not speak English. Please identify other languages you speak, write, or understand. What language(s)? NOTE TO APPLICANT:PLEASE ANSWER THIS QUESTION AFTER YOU HAVE SEEN THE POSITION DESCRIPTION OF THE JOB FOR WHICH YOU ARE APPLYING.Are you capable of performing in a reasonable manner, with or without a reasonable accommodation, the activities involved in the job or occupation for which you have applied? A review of the activities involved will be found in the Position Description.* Yes No AUTHORIZATION TO CHECK REFERENCESAPPLICANT, PLEASE READ CAREFULLY AND CONSENT BELOW:InitialI hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment with IMACA shall be grounds for rejection of my application or for immediate discharge if I am already employed with IMACA, regardless of the elapsed time before discovery.InitialI hereby authorize IMACA to thoroughly investigate my references, work record, education and other matters related to my suitability for employment and, further, authorize the references I have listed to disclose to IMACA any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release IMACA, my former employers and all other persons, or corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.InitialI hereby submit to binding arbitration all disputes and claims arising out of the submission of application for employment with IMACA. I further agree, in the event that I am hired by IMACA, that all disputes that cannot be resolved by informal internal resolutions which might arise out of my employment with IMACA, whether during or after that employment, will be submitted to binding arbitration. I agree that such arbitration shall be conducted under the rules of the American Arbitration Association. This application contains the entire agreement between the parties with regards to dispute resolution, either oral or written.InitialI understand that nothing contained in my application, or conveyed during any interview which may be granted or during my employment, if hired by IMACA, is intended to create an employment contract between IMACA and myself. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or IMACA, and that no promises or representations contrary to the foregoing are binding on IMACA unless made in writing and signed by myself and an authorized executive of IMACA.* I certify that answers given herein are true and complete and I authorize investigation of all statements contained in this application for employment as may be necessary at an employment decision.* I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the Employee may resign at any time and the Employer may discharge at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.Upload Documents Drop files here or Select files Max. file size: 512 MB. Please upload your resume and other required documents as listed in the job description (professional references, letter of interest, etc.). Δ
