FRM Application For Employment

FRM is an Equal Opportunity Employer. Please read carefully and answer all questions. This application is valid for 90 days. Not all applicants will be interviewed and only interviewees will receive a response. If you require any accommodation(s) during your employment interview, please request such in advance of interview. *PLEASE NOTE FRM REQUIRES ALL EMPLOYEES TO HAVE AND MAINTAIN A CLEAN DRIVING RECORD.

Today's Date*

Last Name*

First Name*

Middle Name*

Address Number*

Address Street*

Address City*

State*

Zip Code*

Telephone Number*

Are you at least 18 years of age?*

Select or enter value

If under the age of 18, can you produce the necessary work certification at the time of employment?

For what position are you applying?*

Date available to start work*

Work Hours Desired?*

Select or enter value

Are you willing to work overtime?*

Select or enter value

Pay expected amount per hour*

Have you ever applied to this Company before?*

Select or enter value

If yes, when did you apply?

WORK EXPERIENCE:

Directions for section 1-8 of work experience: List your present or last employer first. Account for all occupied and unoccupied time over the the past ten years. It is unacceptable to put only "see resume" in any section. Use the attachment portal below to include references if additional space is needed.

File Attachments

Drag and drop files here or

Work Experience 1

Start Date

End Date

Employer Name and Address

Position Title

Reason for Leaving

Supervisor Name and Phone Number

Work Experience 2

Start Date

End Date

Position Title

Employer Name and Address

Reason for Leaving

Supervisor Name and Phone Number

Work Experience 3

Start Date

End Date

Employer Name and Address

Position Title

Reason for Leaving

Supervisor Name and Phone Number

Work Experience 4

Start Date

End Date

Employer Name Address

Position Title

Reason for Leaving

Supervisor Name and Phone Number

Work Experience 5

Start Date

End Date

Employer Name and Address

Position Title

Reason for Leaving

Supervisor Name and Phone Number

Work Experience 6

Start Date

End Date

Employer Name and Address

Position Title

Reason for Leaving

Supervisor Name and Phone Number

Work Experience 7

Start Date

End Date

Employer Name and Address

Position Title

Reason for Leaving

Supervisor Name and Phone Number

Work Experience 8

Start Date

End Date

Employer Name and Address

Position Title

Reason for Leaving

Supervisor Name and Phone Number

EDUCATION:

High School

School Name City and State

Course of Study

Number of Years Completed

Degree/Major

College

College Name City and State

Course of Study

Number of Years Completed

Degree/Major

Bus/Tech Trade School

School Name City and State

Course of Study

Number of Years Completed

Degree/Major

Graduate School

School Name City and State

Course of Study

Number of Years Completed

Degree/Major

Technical Skills

List special technical skills that you feel qualify you for the job for which you are applying (i.e., computer programming/language, software, equipment operation, special tools or machines, etc:)

List all professional licenses, numbers and status

Have you ever served in the U.S. Military?*

Select or enter value

Branch of Service

Rank at Discharge

PERSONAL:

If hired, can you submit proof of identity and legal right to work in the United States?*

Select or enter value

(In order to comply with the I-9 legal requirements, verification and completion of Form I-9 must be submitted no later than three business days after the date of hire.)

Do you have a valid California Motor Vehicle License?*

Select or enter value

If "yes" what Class(es)?

License Number

Expiration Date

Have you ever been denied a security clearance?*

Select or enter value

If yes, explain:

Have you ever used another name?*

Select or enter value

If yes, list all other names:

List names of any relatives or acquaintances ever employed by this organization:

List any professional organizations to which you belong:

REFERENCES:

For references 1-4 please list names of additional work-related references that we may call. Individuals with no prior work experience may list school or volunteer related references.

References 1

Name

Position

Company

Work Relationship (i.e. supervisor, co-worker)

Telephone Number

Reference 2

Name

Position

Company

Work Relationship (i.e. supervisor, co-worker)

Telephone Number

Reference 3

Name

Position

Company

Work Relationship (i.e. supervisor, co-worker)

Telephone Number

Reference 4

Name

Position

Company

Work Relationship

Telephone Number

Please list at least two references (who are not relatives or former employers) whom you have known for at least five years:

Reference 1

Name

Position

Company

Work Relationship (i.e. supervisor, co-worker)

Reference 2

Name

Position

Work Relationship (i.e. supervisor, co-worker)

Telephone Number

Reference 3

Name

Position

Company

Work Relationship (i.e. supervisor, co-worker)

Telephone Number

AGREEMENT

I attest under penalty of perjury that i am applying for employment in good faith with the intention of accepting a position offered. I also affirm that the information contained in this application is true, complete, and accurate. I authorize investigation of all statements contained in this application form if I am considered for employment. I also authorize previous employers, personal references named, or any other person to whom the company may refer, to give any and all information regarding employment or scholastic standing together with any other information, personal or otherwise, that may or may not be on their records. I understand and agree that if driving is a requirement of the job for which i am applying, my employment and/or continued employment is contingent on possessing a valid driver's license and automobile liability insurance in an amount equal to the minimum required by the state where i reside. I also understand and agree that i may be enrolled in the DMV Pull-Notice Program.

I understand that the Company may now have, or may establish, a drug-free workplace or drug and/or alcohol-testing program consistent with applicable federal, state, and local law. if the company has such a program and i am offered a conditional offer of employment, I understand that if a pre-employment (post-offer) drug and /or alcohol test is positive, the employment offer may be withdrawn. I agree to work under the conditions requiring a drug free workplace, consistent with applicable federal , state, and local law. I also understand that all employees of the location, pursuant to the Company's policy and federal, state, and local law may be subject to urinalysis and/or blood screening or other medically recognized tests designed to detach the presence of alcohol or controlled drugs. If employed, I understand that the taking of alcohol and/or drug tests is a condition of continued employment and I agree to undergo alcohol and drug testing consistent with the Company's policies and applicable federal, state, and local law. I understand the misrepresentation or omission of any facts called for herein, receipt of unsatisfactory references, or failure to pass a prescribed medical examination if required for the position, will be sufficient cause for disqualification from employment or for my dismissal from the company's service if I shall have been employed. I understand and agree that nothing contained in this application, or conveyed during any interview which may be granted or during my employment if hired, is intended to create an employment contract between me and the Company. In addition, I understand and agree that if hired, my employment will be at-will, for no definite or determinable period of time, and may be terminated at any time, for any reason or for no reason at all, with or without prior notice, at the option of the Company or me. I understand and agree that no promise or representation contrary to the "at-will" condition are binding on the Company, and that i have not relied and will not rely, on any oral or written statements to the extent that such might even suggest that my status is anything other that "at-will". I further understand and agree that my "at-will" status cannot be changed except by a written document specifically addressing my individual "at-will" status, and signed by both me and a specifically authorized officer of the Company. I agree that it is my responsibility to confirm the authorization of any person signing such a document , since I understand the company's intent is not to enter into any employment arrangement other than "at-will." I understand and agree that this is the entire agreement between me and the Company regarding the term of my employment and replaces any other oral or written agreement or understanding. I further agree that this entire paragraph regarding the "at-will" condition of employment is a part of any employment relationship I may have with the Company and is hereby merged and integrated into an agreement or understanding regarding my employment. If employed by the Company, I understand and agree that the Company, to the extent permitted by federal, state, and local law, may exercise its right, without prior warning or notice, to conduct inspections of any items (including my personal items brought onto company property), and including, but not limited to, files, lockers, desks, vehicles, tool boxes and computers.)

I understand and agree that as a condition of employment and to the extent permitted by federal, state and local law. I may be required to sign an Agreement Relating to Inventions and Confidentiality. I certify that all the information on this application, my resume, or any supporting documents is complete and accurate to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of any information may result in disqualification from consideration for employment or, disciplinary action, up to and including immediate dismissal.

Confirmation Signature*

By entering my name below I certify that I have read and agree to the Terms of the above Application for Employment

Confirmation Signature Date*

Send me a copy of my responses

Privacy Notice|Report Abuse