Applicant Instructions:
If you need assistance in completing this application form or during any phase of the interview process, please alert the person who gave you this form and every effort will be made to accommodate your needs in a reasonable amount of time. Please answer all questions completely and accurately.
Employee Information
Last Name:
First Name:
MI:
Present Address:
Phone Number:
Email:
If you are under 18 years of age, can you furnish a work permit?
 Yes
No
Have you previously worked for Redstone?
 Yes
No
If so, when?
Employment desired:
Salary Desired:
Date you can start:
Are you currently employed?
 Yes
No
Availability
Please check off availability:
Full Time:
Days:
Open:
Part Time:
Nights:
    
Please check off available shifts:
  Days Nights      
Monday:
      
Tuesday:
      
Wednesday:
      
Thursday:
      
Friday:
      
Saturday:
      
Sunday:
      
Education
  School Name/Location Highest Grade Completed Subject
High School:
College:
Trade School:
Employment History
1.
Name & Location of Employer:
Position:
Salary:
Dates of Employment:
 to (MM/YY)
Reference Name:
Phone Number:
Reason for leaving:
2.
Name & Location of Employer:
Position:
Salary:
Dates of Employment:
 to (MM/YY)
Reference Name:
Phone Number:
Reason for leaving:
3.
Name & Location of Employer:
Position:
Salary:
Dates of Employment:
 to (MM/YY)
Reference Name:
Phone Number:
Reason for leaving:
Employment Information
Are you legally eligible for employment in this country?
(Proof of eligibility will be required if employed.)
 Yes
No
Have you ever been convicted of a felony in the last five years?
Yes
No
If yes, please explain:
What foreign languages can you fluently speak?
How were you referred to Redstone?
In case of emergency, contact:
 Name
  Phone
Verification:

I verify that the information on this application is true and complete and it is understood and agreed that any misrepresentation or falsification of these facts will be sufficient grounds for dismissal if I have been employed. Furthermore, I understand that just as I am free to resign at any time, the Employer reserves the right to terminate my employment at any time, with or without cause and without prior notice, and that no representative of the Employer has the authority to make any assurance to the contrary.

I authorize the Employer to investigate all references and secure additional job-related information. I release from liability the Employers and it's representative for seeking such information and all either persons, corporations, or organizations for furnishing such information.

The Employer is an equal opportunity employer. The Employer does not discriminate in employment and no question on this application is used for the purpose of limiting or excluding any applicant's decision for employment on a basis prohibited by local, state or federal law.

This application is current for only sixty days. At the conclusion of this time, if I have not been heard from the Employer and still wish to be considered for employment, it will be necessary for me to fill out a new application.
I Accept