Apply for Employment

Address

2323 Grand Ave, Suite 215, Des Moines, IA 50312

Email adress

[email protected]

Phone Number

515-217-4485

Employment Application

Name *

First

Last

Phone Number

Email *

House Number and Street

City

State

Zip

Are you Over 18? *

Do you have a valid drivers license? *

Have you filled out an application with us before? *

Have you ever been employed with us? *

Are you currently employed? *

Are you currently on layoff status subject to a recall? *

Are you prevented from lawfully becoming employed in this country because of visa or immigration status? *

Can you travel if your job requires? *

I am able to work... *

Have you been convicted of a felony within the last seven years? (Conviction will not necessarily disqualify you from employment.) *

START WITH YOUR PRESENT OR LAST JOB. INCLUDE ANY JOB-RELATED MILITARY SERVICE ASSIGNEMENT AND VOLUNTEER ACTIVITIES. For each job please list: - Employer Name, Address, Phone - Supervisor's Name - Dates Employed (From and To) - Job Title - Work Performed - Hourly Rate (Starting and Final) - Reason For Leaving (at least 3) *

Select the highest level of education you have completed *

If other is selected for education, please list other notes here:

Describe specialized skills, training and qualifications you have

Please provide any additional information that you feel will benefit your application

Summarize special job related skills and qualifications acquired from employment or other experience. If applying for equipment operator please list equipment operated.

Government agencies at this time require periodic reports on the gender, ethnicity, handicap, veteran, and other protected status of employees. This data is for statistical analysis with respect to the success of the Affirmative Action program. Submission of this information is voluntary.

Please select your gender

Please select your ethic origin

If other, please list other

Please give the name, address, and telephone number of up to three references who are not related to you and are not previous employers. *

Applicant's Statement: I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in the application for employment as may be necessary in arriving at an employment decision. This application for employment shall be considered active for a period of time not to exceed three weeks. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not application is being accepted at that time. 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 employer may discharge the employee 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 an authorized executive of this organization specifically acknowledges such change in writing. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also that I am required to abide by all rules and regulations of the employer. I acknowledge the information I provided in this form is true to the best of my knowledge and I agree to the above terms and conditions.(Required) *

I agree

515-217-4485

[email protected]

2323 Grand Ave, Suite 215, Des Moines, IA 50312

Office Hours

Monday - Friday: 8am - 5pm

Saturday - Sunday: Closed