Employment Application

Hiring Employees

Even if you are a small business, there are still certain Equal Employment Opportunity laws that you must comply with depending upon the number of employees including full-time, part-time, and seasonal employees:

1. Title VII of the Civil Rights Act of 1964 prohibits employment discrimination based on race, color, religion, sex, and national origin if your businesses that has 15 or more employees.

2. The Age Discrimination in Employment Act of 1967 (ADEA) prohibits age discrimination against employees who are forty years old or older if the business has 20 or more employees.

3. Title I of the Americans with Disabilities Act of 1990 (ADA) prohibits employment discrimination against qualified individuals with disabilities if the business has 15 or more employees.

4. The Equal Pay Act of 1963 (EPA) prohibits wage discrimination between men and women in substantially equal jobs in any business.

The Equal Employment Opportunity Commission will provide representatives free of charge to train employers about complying with these laws. The Equal Employment Opportunity Commission provides other services for a fee. They also provide free publications with information about the laws and enforcement. All of this information is available on the website at http://www.eeoc.gov/

Most Equal Opportunity Employers will state the following on their employment application.  XXXXX is an Equal Opportunity Employer (EOE) and does not discriminate on the basis of religion, color, national origin, disability, pregnancy, marital status, age, gender, sexual orientation or participation in any protected class activity. Employment is contingent upon a pre-employment screening process which includes a physical examination, drug/alcohol test and background investigation. Candidates must also be able to provide documentation authorizing their legal right to work in the United States, per the Immigration Reform and Control Act of 1986.

Employers nowadays do not rush when hiring employees. They prefer to play it safe than to be sorry after hiring the wrong person for the position. That is why most companies these days rely on different employment screening services to ensure that they hire only the best employees. However, the costs for these services greatly vary and so it is important to find affordable employment screening.

Employment Screening Companies

There are now lots of employment screening companies that offer affordable employment screening. Their services are affordable because there is stiff competition between companies. Most organizations and companies would not want to spend too much on these services that is why employment screening companies also make their costs more competitive.

But even if the rates are affordable, they make sure to it that they provide only reliable employment screening services. They do background checks of applicants and they see to it that they are very thorough in doing this so that they can achieve positive results and finish the task on time. They verify if the information stated in the applicant's resume are true and correct. If the applicant falsified the document, they can easily determine this by looking into some important facts about the applicant like criminal record, driving record, and credit history.

Affordable Employment Screening Online

So, if your company is also on the lookout for inexpensive employment screening, then you should begin your search online. Lots of employment screening companies can now be found on the Internet because they want to provide easy access and convenience to their clients. By searching through the different search engines, you can find many screening companies that offer affordable rates. You just have to take your time when doing your research in order to find highly-reliable company that provides affordable employment screening and helps you achieve positive background check results.

Federal employment screening laws are designed to protect the welfare of the applicants to some extent when the employer or the private agency hired conducts background investigation. That is why, companies should be aware of these laws as well as the different employment screening companies that provide pre-employment screening services.

The Americans with Disabilities Act of 1990

The Americans with Disabilities Act or ADA is one of the federal employment screening laws administered by the Employment Standards Administration. Under ADA, no employer, employment or recruitment agency, or any labor organization shall discriminate a qualified applicant with disability. When screening the disabled applicant during job interview, questions pertaining to his or her disability should not be asked especially if it has nothing to do with his or her job application. However, information like academic records, personal references, credit cards, and social security number can be accessed during the background check.

Employee Polygraph Protection Act

Aside from ADA, companies and private agencies should also follow the regulations under the EPPA or Employee Polygraph Protection Act. This act prohibits most employers from using lie-detector tests during the pre-employment screening process. They should not request or require any applicant to undergo a lie-detector test. But, when hiring employees in security service firms, EPPA permits polygraph tests for security reasons.

The ADA and the EPPA are just two of the existing federal employment screening laws that companies and private agencies should comply with. Rules and regulations stated in these laws should be strictly followed.

Sample Employment Application

Company Name

Employment Application

An Equal Opportunity Employer
Company 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. Applicants requiring reasonable accommodation in the application and/or interview process should notify a representative of the organization.

Please print and fill out all sections

Applicant Information

Applicant Name
Home Phone
Other
Email Address

Current Address:
Number and street
City
State & Zip 

How were you referred to Company?:

Employment Positions

Position(s) applying for:

Are you applying for:

• Temporary work – such as summer or holiday work? [ ] Y or [ ] N
• Regular part-time work? [ ] Y or [ ] N
• Regular full-time work? [ ] Y or [ ] N

What days and hours are you available for work?

If applying for temporary work, when will you be available?

If hired, on what date can you start working? _ / _ / _

Can you work on the weekends? [ ] Y or [ ] N

Can you work evenings? [ ] Y or [ ] N

Are you available to work overtime? [ ] Y or [ ] N

Salary desired: $

Personal Information:

Have you ever applied to / worked for Company before? [ ] Y or [ ] N
If yes, please explain (include date): 

Do you have any friends, relatives, or acquaintances working for Company? [ ] Y or [ ] N
If yes, state name & relationship:

If hired, would you have transportation to/from work? [ ] Y or [ ] N

Are you over the age of 18? (If under 18, hire is subject to verification of minimum legal age.) [ ] Y or [ ] N

If hired, would you be able to present evidence of your U.S. citizenship or proof of your legal right to work in the United States? [ ] Y or [ ] N

If hired, are you willing to submit to and pass a controlled substance test? [ ] Y or [ ] N

Are you able to perform the essential functions of the job for which you are applying, either with / without reasonable accommodation? [ ] Y or [ ] N

If no, describe the functions that cannot be performed

(Note: Company complies with the ADA and consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. It is possible that a hire may be tested on skill/agility and may be subject to a medical examination conducted by a medical professional.)

Have you ever been convicted of a criminal offense (felony or misdemeanor)? [ ] Y or [ ] N

If yes, please describe the crime - state nature of the crime(s), when and where convicted and disposition of the case.

(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)

Education, Training and Experience

High School:
School name: 
School address:
School city, state, zip:

Number of years completed:
Did you graduate? [ ] Y or [ ] N
Degree / diploma earned:

College / University:
School name: 
School address:
School city, state, zip:

Number of years completed:
Did you graduate? [ ] Y or [ ] N
Degree / diploma earned:

Vocational School:
Name: 
Address:
City, state, zip:

Number of years completed:
Did you graduate? [ ] Y or [ ] N
Degree / diploma? :

Military:
Branch: 
Rank in Military:
Total Years of Service:
Skills/duties:
Related details:

Additional Information

Do you speak, write or understand any foreign languages? [ ] Y or [ ] N

If yes, describe which languages(s) and how fluent of a speaker you consider yourself to be. 

Do you have any other experience, training, qualifications, or skills which you feel should be brought to our attention, in the case that they make you especially suited for working with us?
[ ] Y or [ ] N

If yes, please explain

Employment History

Are you currently employed? [ ] Y or [ ] N

If you are currently employed, may we contact your current employer? [ ] Y or [ ] N

Below, please describe past and present employment positions, dating back five years. Please account for all periods of unemployment. Even if you have attached a resume, this section must be completed.

Name of Employer:
Name of Supervisor:
Telephone Number:
Business Type:
Address:
City, state, zip:

Length of Employment (Include Dates):
Position & Duties:
Reason for Leaving:
May we contact this employer for references? [ ] Y or [ ] N

Name of Employer:
Name of Supervisor:
Telephone Number:
Business Type:
Address:
City, state, zip:

Length of Employment (Include Dates):
Position & Duties:
Reason for Leaving: 
May we contact this employer for references? [ ] Y or [ ] N

Name of Employer:
Name of Supervisor:
Telephone Number:
Business Type:
Address:
City, state, zip:

Length of Employment (Include Dates):
Position & Duties:
Reason for Leaving: _
May we contact this employer for references? [ ] Y or [ ] N

References

List below three persons who have knowledge of your work performance within the last four years.  Please include professional references only.

Name - First, Last:
Telephone Number:
Address:
City, state, zip:
Occupation:
Number of Years Acquainted:

Name - First, Last:
Telephone Number:
Address:
City, state, zip:
Occupation:
Number of Years Acquainted:

Name - First, Last:
Telephone Number:
Address:
City, state, zip:
Occupation:
Number of Years Acquainted:

Please Read and Initial Each Paragraph, then Sign Below

I certify that I have not purposely withheld any information that might adversely affect my chances for hiring. I attest to the fact that the answers given by me are true & correct to the best of my knowledge and ability. I understand that any omission (including any misstatement) of material fact on this application or on any document used to secure can be grounds for rejection of application or, if I am employed by this company, terms for my immediate expulsion from the company.

I understand that if I am employed, my employment is not definite and can be terminated at any time either with or without prior notice, and by either me or the company.

I permit the company to examine my references, record of employment, education record, and any other information I have provided. I authorize the references I have listed to disclose any information related to my work record and my professional experiences with them, without giving me prior notice of such disclosure. In addition, I release the company, my former employers & all other persons, corporations, partnerships & associations from any & all claims, demands or liabilities arising out of or in any way related to such examination or revelation.

Applicant's Signature:

Date:

Please Note: This sample is provided for guidance only. The provided information, including samples and examples, is not guaranteed for accuracy or legality. Letters and other correspondence should be edited to fit your personal situation.