VoCare Services Job Application Form
General Information
Position Applied for: Date of Application:09/08/2010
First Name: Last Name:
Address:
Telephone: Mobile Phone:
E-mail:
Date Available for Work: Desired Salary:
Type of Employment Desired: Full-Time Part-Time Temporary Seasonal Educational Co-Op
Employment History
Are You Currently Working? Yes No
Starting with your most recent employer, please provide the following information.
Employer: Dates Employed:
Job Title: Ending Compensation:
Hourly Salary
Employer: Dates Employed:
Job Title: Ending Compensation:
Hourly Salary
Employer: Dates Employed:
Job Title: Ending Compensation:
Hourly Salary
Skills and Qualifications
Certifications and Professional Affiliations:
Computer Skills
Include software titles and years of experience.
Word Processing: Years experience:
Spreadsheet: Years experience:
Presentation: Years experience:
E-mail: Years experience:
Internet: Years experience:
Other: Years experience:
Highest Level of Education Completed: School:
Area(s) of Study: Location:
Resume
You have two options for submitting your resume. You may either paste a "plain-text" version of your resume in the box below, or you may attach a Word document by clicking the Browse button, locating the file on your system, and clicking Open. When finished, click the Apply for this Position button to submit your application.
Text Resume
Attach Resume
Applicant Statement
I certify that all information I have provided in order to apply for and secure work with this employer is true, complete and correct.

I expressly authorize, without reservation, the employer, its representatives, employees, or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume, or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using truthful and non-defamatory information, in a lawful manner, in the employment process and all other persons, corporations or organizations for furnishing such information about me.

I understand that this employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or eliminating any applicant from consideration for employment on any basis prohibited by applicable local, state or federal law.

I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary for me to reapply and fill out a new application.

If I am hired, I understand that I am free to resign at any time, with or without cause and with or without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and with or without prior notice, except as may be required by law. This application does not constitute and agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employer's president.

I also understand that if I am hired, I will be required to provide proof of identity and legal authorization to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.

I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, (i) will be sufficient cause to eliminate me from further consideration for employment, or (ii) may result in my immediate discharge from the employer's service, whenever it is discovered.

By clicking on the button below, you certify that you have read, fully understand and accept all terms of the foregoing Applicant Statement.