UFS Online Employment Application

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PRESS TAB TO TOGGLE BETWEEN FIELDS.

UFS WILL NOT ASK YOU TO SUBMIT YOUR SOCIAL SECURITY NUMBER ELECTRONICALLY, HOWEVER ONE MUST BE PROVIDED DURING THE INTERVIEW PROCESS TO BE ELIGIBLE FOR EMPLOYMENT.

APPLICANT INFORMATION

Last Name

First Name

M.I.

Date

Street Address

Apt/Unit #

City

State

ZIP

Phone

E-Mail Address

Date Available

Are you a citizen of the United States?

If no, are you authorized to work in the U.S.?

Have you or any relative ever worked for this company?

If so, who & when?

Have you ever been convicted of a misdemeanor or a felony?

If yes, explain.

Position Applied For

Full Time or Part Time?

Are there any times you are unavailable to work? Please list below.

EDUCATION

Specialty Skills? Please list below.

High School

Address

From

Did you graduate?

Degree:

Other

Address

From

Did you graduate?

Degree:

REFERENCES

Please list three individuals who have known you for five years or more - prefer previous supervisors or managers if available.

Full Name

Relationship

Company

Phone

Address

Full Name

Relationship

Company

Phone

Address

Full Name

Relationship

Company

Phone

Address

PREVIOUS EMPLOYMENT

Company	Phone
Address	Supervisor

Job Title

Starting Salary $

Ending Salary $

Responsibilities

From

Reason for leaving

May we contact your previous employer for a reference?

Company	Phone
Address	Supervisor

Job Title

Starting Salary $

Ending Salary $

Responsibilities

From

Reason for leaving

May we contact your previous employer for a reference?

Company	Phone
Address	Supervisor

Job Title

Starting Salary $

Ending Salary $

Responsibilities

From

Reason for leaving

May we contact your previous employer for a reference?

MILITARY SERVICE

Branch

From

Rank at Discharge

Type of Discharge

If other than honorable, explain.

As a condition of employment would you be willing to take a drug test?

UFS IS AN EQUAL OPPORTUNITY EMPLOYER.

I understand that if this application leads to employment that any false or misleading information in my application or interview may result in my release.

By checking this box I certify that I agree to the terms stated and that my answers are true and complete to the best of my knowledge.