Employment Application | Apply with Swaggerty’s

What Type of Position are you applying for today?

Action

I need to fill out an application

I need to upload a resume

step 1 of 2

Resume Upload

Resume

Personal Information

Name (Last name first)

Click here if your permanent address differs from your present address

Present Address

City

State

Zip Code

Permanent Address

City

State

Zip Code

Phone No.

Secondary Phone No.

Referred By

Employment Desired

Position

Date you can start

Salary Desired

Are you employed now?

Yes

No

If so, may we enquire of your present employer?

Yes

No

Are you legally authorized to work in the U.S.?

Yes

No

Ever applied to this company before?

Yes

No

Where

When

Education History

	Name & Location of School	Years Attended	Did you graduate	Subjects Studied
High school	Name & Location of School	Years Attended	Did you graduate?	Subjects studied
College	Name & Location of School	Years Attended	Did you graduate?	Subjects studied
Trade, business or correspondence school	Name & Location of School	Years Attended	Did you graduate?	Subjects studied

General Information

Subject of special study/research work

Special Training

Special Skills

U.S. Military or Naval Service

Rank

Former Employers

List below last four employers, starting with last one first

Date Month and Year

Name & Address of Employer

Salary

Position

Reason for Leaving

Date Month And Year
From To

Date Month And Year
From To

Date Month And Year
From To

Date Month And Year
From To

References

Give below the name of three persons not related to you, whom you have known at least one year.

Name	Address	Business	Years Known
Name	Address	Business	Years Known
Name	Address	Business	Years Known
Name	Address	Business	Years Known

Authorization

"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be be grounds for dismissal.

I authorize of all statements contained herein and the references and employers listed above to give you and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.

I also understand and agree that no representative of the company has any authority to enter into agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws."

Date

Signature