A .PDF version of our employment application is available here. OI Employment ApplicationEqual Access to programs, services and employment opportunities is available to all persons without regard to race, color, religion, sex (including pregnancy), disability, marital status, national origin, age, genetic information or any other basis protected by federal, state, and/or local law.Personal InformationLast NameFirst NameMiddle NameAddressAddress Line 1Address Line 2CityStateZip CodePhone/Mobile NumberEmailDate AvailableSSNDesired SalaryPosition Applied ForAre you a citizen of the United States? Yes NoAre you authorized to work in the U.S.? Yes NoHave you ever worked for this company? Yes NoIf so, when?Start DatetoEnd DateHave you ever been convicted of a felony? Yes NoIf yes, please explain:DRIVING HISTORYDrivers License (List all your current driver's licenses)StateLicense #TypeExpiration DateStateLicense #TypeExpiration DateHave you ever been denied a driver's license, permit, or privilege to operate a motor vehicle? Yes NoHas your driver's license, permit, or privilege ever been suspended or revoked? Yes NoCRIMINAL BACKGROUNDHave you ever pleaded “guilty” or “no contest” to or been convicted of a crime? NOTE: Answering “yes” to this question does not constitute an automatic bar to employment. Yes NoMILITARY SERVICEBranchFromToRank at DischargeType of DischargeIf other than honorable, please explain:EDUCATIONHigh SchoolAddressFromToDid you graduate? Yes NoDiplomaCollegeAddressFromToDid you graduate? Yes NoDiplomaPREVIOUS EMPLOYMENTCompanyAddressAddress Line 1Address Line 2CityStateZip CodePhoneSupervisorJob TitleStarting SalaryEnding SalaryResponsibilitiesFromToReason for LeavingMay we contact your previous supervisor for a reference? Yes NoCompanyAddressAddress Line 1Address Line 2CityStateZip CodePhoneSupervisorJob TitleStarting SalaryEnding SalaryResponsibilitiesFromToReason for LeavingMay we contact your previous supervisor for a reference? Yes NoEEOC PRE-EMPLOYMENT INFORMATION FORMPlease complete this information to assist us in complying with Equal Employment Opportunity record keeping and reporting requirements. Providing this information is voluntary. Refusal to provide this information will not result in any adverse treatment. This pre-employment information form will be kept in a separate, confidential file and will be used for required government reporting purposes only. Qualified applicants are considered for employment, and associates are treated during employment, without regard to race, color, religion, sex, national origin, age, marital status, disability, or covered veteran status.NameDatePosition Applying For:Race/Ethnic Group American Indian Asian Black Hispanic White OtherReferral Source Newspaper Employment Agency Walk-In Internet OtherGender Male FemaleVietnam Era Veteran Yes NoDISCLAIMER AND SIGNATUREI certify that my application for employment is true and complete, and I understand that, if employed, false or omitted statements on this application or any other company documents will subject me to immediate dismissal. I understand that an investigative consumer report involving information concerning my character, employment history, general reputation, police record, and personal habits may be obtained prior to any offer of employment. It is understood that completion of this application does not mean a job opening exists and in no way obligates Office Innovations, LLC to employ me.I further authorize all contacted persons and current and former employers to provide information concerning this application, my previous employment, my background and suitability for employment, and I release such persons and former employers from liability for providing such information. I also release Office Innovations, LLC from all liability for any damage that may result from utilization of such information.Agree? Yes NoName of ApplicantDateSubmit Form
