Employment Application

Interested in working for SVI?
Please fill out the form bellow.

To be interviewed personally, call for an interview.

Shaw Ventures, Inc. Employment Application

Applications are considered without regard to race, color, religion, sex, national origin, age, marital or veteran status, or presence of a non-job-related medical condition or handicap.

Personal Information

Date:
Date you are available to start:
Full or Part Time:
Salary Desired:
Name:
Street Address:
City/State/Zip:
Phone #:
Social Security #:
Do you have a valid Driver’s License?
Have you ever been convicted of or charged with a felony or misdemeanor?
If yes, please explain details in full, including dates, details of offense(s) charged, jurisdiction, and disposition of case:

Education:

Schools/Colleges Attended:	# of years	year graduated/Degree

Employment/Work experience: Start with your present or most recent position. Include military service assignments and volunteer activities.

Employer:
Job Title:
Supervisor:
Street Address:
City/State/Zip:
Phone:
Describe duties/responsibilities/ accomplishments:
Reason for Leaving:
Dates of Employment Month/Year:
From__To__
Employer:
Job Title:
Supervisor:
Street Address:
City/State/Zip:
Phone:
Describe duties/responsibilities/ accomplishments:
Reason for Leaving:
Dates of Employment Month/Year:
From__To__
Employer:
Job Title:
Supervisor:
Street Address:
City/State/Zip:
Phone:
Describe duties/responsibilities/ accomplishments:
Reason for Leaving:
Dates of Employment Month/Year:
From__To__

Personal References: Please provide names, addresses, phone numbers, relationship, and how long known for 3 personal references.

Name:
Relationship:
Street Address:
City/State/Zip:
Phone #:
How long known:

Name:
Relationship:
Street Address:
City/State/Zip:
Phone #:
How long known:

Name:
Relationship:
Street Address:
City/State/Zip:
Phone #:
How long known:

Special Skills: Describe any special skills or qualifications for this work:

I CERTIFY that the above answers are true and complete to the best of my knowledge. I authorize Shaw Ventures, Inc. to investigate any statement contained in this application, and to obtain information to determine my qualifications. I understand that this application is not intended to be any kind of contract or agreement. In the event of employment, I understand that any false or misleading information given in my application, correspondence, discussions, or interview may result in immediate termination. I understand also, that I am required to abide by all rules, regulations, and policies of Shaw Ventures, Inc.

I understand that Shaw Ventures, Inc, is a drug free workplace. Applicant will be required to take a pre-employment drug test to be pre-paid by applicant if interviewed and hired. If the applicant passes the pre-employment drug screening, then he/she will be reimbursed on their first paycheck. If the applicant does not pass the drug screening he/she will not be hired or reimbursed for the drug screening.

Signed:
Date:

Verification Code: