Application for Employment Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Phone *Are you eligible to work in the U.S.? *YesNoAre you at least 18 years or older? (If no, you may be required to provide authorization to work.) *YesNo Can you work overtime, including weekends? *YesNo Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation? *YesNoDate you can start * Hourly Rate/Salary desired * Position desired * Are you currently employed? *YesNo If so may we inquire of your present employer? *YesNo If yes, please provide company names and details Referral Source How did you hear about us? * Do you know anyone who works for our company? If yes, who? * Highest level of Education *Please give name and locations of school, years attended, degree received and subjects studied/majors.Employment HistoryInclude your last seven (7) years of employment history, including periods of unemployment, starting with the most recent and working backwards in time. Incomplete information could disqualify you from further consideration.Employment History 1FromTo Employer's NameJob TitleAddressImmediate Supervisor's NameSummarize the nature of the work and job responsibilities Reason for LeavingEmployment History 2FromTo Employer's NameJob TitleAddressImmediate Supervisor's NameSummarize the nature of the work and job responsibilities Reason for LeavingEmployment History 3FromTo Employer's NameJob TitleAddressImmediate Supervisor's NameSummarize the nature of the work and job responsibilities Reason for Leaving Do you have any special skills, experience and/or training that would enhance your ability to perform the position applied for? If yes, explain.VeteransPursuant to FAR 52.222-37, EverGlade is required to report annually by job category, the total number of veterans it employs. Please detail the following Are you a veteran? *YesNo If Yes, please select if any of the following protected statuses apply Active Duty Wartime VeteranCampaign Badge VeteranService Medal VeteranDisabled VeteranRecently Separated VeteranReferencesGive the names of three persons not related to you, whom you have known at least three (3) years.ReferencesGive the names of three persons not related to you, whom you have known at least three (3) years. Please read carefully before signing EverGlade Global, Inc. is an equal opportunity employer. EverGlade Global, Inc. does not discriminate in employment on account of race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service. I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for EverGlade Global, Inc. to hire me. If I am hired, I understand that either EverGlade Global, Inc. or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of EverGlade Global, Inc. has the authority to make any assurance to the contrary. I attest with my signature below that I have given to EverGlade Global, Inc. true and complete information on this application. No requested information has been concealed. I authorize EverGlade Global, Inc. to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal. THIS APPLICATION IS VALID ONLY FOR 60 DAYS FROM THE DATE SIGNED/DATED BELOW. Today's DateSignatureClear SignatureApply
