Employment Application | Nyberg's Ace

First Name(Required)

Middle Name

Last Name(Required)

Telephone(Required)

Email(Required)

Are you 18 years of age or older?(Required)

Yes

No

If hired, you may be required to provide proof of age.

Position of Interest(Required)

Are you legally authorized to work in the United States?(Required)

Yes

No

Proof of eligibility will be required upon employment.

Location Email Contacts

10th & Sycamore

12th & Kiwanis

41st & Minnesota

41st & Sertoma

Dakota Workwear

Downtown

Watertown

Have you been convicted of a felony within the last 7 years?(Required)

Yes

No

How did you learn about this position?

Upload Your Resume(Required)

Max. file size: 128 MB.

Education

Type

Name & Location

Years Completed

Type of Degree

Graduation Date

Please list 3 professional references (not related to you) with contact information

References

Name

Phone Number

Email

How do you know this person?

Years Acquainted?

Please provide the names and addresses of all previous employers. If you are now working, your present employer and reasons you want to leave must be included. Please give reason for any lapse of time between jobs.

May We Contact Your Present Employer:

Yes

No

Employer Name

Employer Phone

Supervisor Name

Start Date

End Date

Hourly Rate/Salary to Start:

Hourly Rate/Salary Final

Reason for Leaving

Work Performed

Add Additional Employer

Employer Name

Employer Phone

Supervisor Name

Start Date

End Date

Hourly Rate/Salary to Start:

Hourly Rate/Salary Final

Reason for Leaving

Work Performed

Add Additional Employer 2

Add Additional Employer

Employer Name

Employer Phone

Supervisor Name

Start Date

End Date

Hourly Rate/Salary to Start:

Hourly Rate/Salary Final

Reason for Leaving

Work Performed

THIS APPLICATION IS CONSIDERED CURRENT FOR 90 DAYS. IF YOU WANT TO BE CONSIDERED FOR EMPLOYMENT AFTER THIS TIME, YOU MUST RENEW YOUR APPLICATION IN WRITING.

I certify that all information provided in the employment application is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date. I authorize the investigation of any or all statements contained in this application. I also authorize, whether listed or not, any person, school, current employer, past employers and organizations to provide relevant information and opinions that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements. I understand I may be required to successfully pass a drug screening examination. I hereby consent to a pre-and/or post- employment drug screen as a condition of employment, if required. I understand that if I am extended an offer of employment it may be conditioned upon my successfully passing a complete pre-employment physical examination. I consent to the release of any or all medical information as may be deemed necessary to judge my capability to do the work for which I am applying. I understand that if I am hired, I am required to abide by all rules and regulations of the Company.

I UNDERSTAND THAT THIS APPLICATION, VERBAL STATEMENTS BY MANAGEMENT, OR SUBSEQUENT EMPLOYMENT DOES NOT CREATE AN EXPRESS OR IMPLIED CONTRACT OF EMPLOYMENT NOR GUARANTEE EMPLOYMENT FOR ANY DEFINITE PERIOD OF TIME. ONLY THE PRESIDENT OF THIS ORGANIZATION HAS THE AUTHORITY TO ENTER INTO AN AGREEMENT OF EMPLOYMENT FOR ANY SPECIFIED PERIOD AND SUCH AGREEMENT MUST BE IN WRITING, SIGNED BY THE PRESIDENT AND THE EMPLOYEE. IF EMPLOYED, I UNDERSTAND THAT I HAVE BEEN HIRED AT THE WILL OF THE EMPLOYER AND MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME, WITH OR WITHOUT REASON AND WITH OR WITHOUT NOTICE.

I have read, understand, and by my signature consent to these statements.

Signature(Required)