Employment Application

25 Jun, 2017
 
 

 





 
 

List your most recent employers, starting with your most recent first.
 
to
 
to
 
to
 
 
 
 
If yes, when:
 
  • I am a US citizen or national.
  • I am a lawful permanant resident in the US.
  • I have recieved political asylum in the US.
  • I have been granted refugee status in the US.
  • I have been granted temporary residence in the US under the 1986 legalization program.
...
*
 

Holaday Circuits, Inc. is committed to providing equal employment opportunity to all its employees and qualified applicants for employment. Various agencies of the government require employers to request employees and applicants to identify themselves as indicated below. The requested information will assist us in tracking employee statistics and evaluating our diversity recruiting efforts. This information is held in confidence and is used only in accordance with applicable Federal or State government reporting requirements.

COMPLETION OF THIS FORM IS VOLUNTARY AND IN NO WAY AFFECTS DECISIONS REGARDING YOUR APPLICATION.

Gender:

Race/Ethnic Origin:

A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.







I hereby affirm that the information provided on this application (and accompanying resume, if any) is true and complete to the best of my knowledge. I also agree that any falsified information or omissions in any detail may disqualify me from further consideration for employment and may be considered justification for discharge if discovered at any time.

I hereby agree to submit to any lawful testing that may be required as a condition of my employment or continued employment and understand that refusal to submit to such testing during the course of my employment may result in disciplinary action, up to and including discharge.

I further agree, that if employed, I will confirm my conduct to Holaday’s rules and regulations. I understand that, unless otherwise specifically agreed to in writing by Holaday Circuits, Inc, my employment is terminable-at-will and may be terminated with or without cause, and with or without notice, at any time, at either Holaday’s or my own option. This application is not intended to be and does not constitute a contract for continued employment.

I acknowledge all statements above to be true.
 
25 Jun, 2017