Employment Application

EMPLOYMENT HISTORY

Employer:

SKILLS AND CERTIFICATIONS

CLASSIFICATION EXPERIENCE

Select all that apply:

EDUCATION AND TRAINING

High School

College / Vocational School

ACKNOWLEDGEMENT

AT-WILL EMPLOYMENT. MY EMPLOYMENT WITH THIS COMPANY, BOTH DURING AND AFTER ANY PROBATIONARY OR TRAINING PERIOD, IS FOR AN INDEFINITE PERIOD, AND NOTHING IN THIS DOCUMENT OR ANY OTHER DOCUMENT SHALL CREATE ANY CONTRACT OF CONTINUED EMPLOYMENT, I FURTHER AGREE AND UNDERSTAND THAT MY EMPLOYMENT WITH THE COMPANY CAN BE TERMINATED AT WILL, AT ANY TIME, BY EITHER MYSELF OR THE COMPANY, FOR ANY OR NO CAUSE. I UNDERSTAND AND AGREE THAT EMPLOYMENT BEYOND ANY PROBATIONARY OR TRAINING PERIOD OR EXTENDED OF CONTINUED EMPLOYMENT WITH THE COMPANY ON MY PART. I FURTHER UNDERSTAND AND AGREE THAT ANY STATEMENTS BY THE COMPANY TO THE CONTRARY, WHETHER VERBAL OR WRITTEN, ARE EXPRESSLY REPRESENTATIVE OR AGENT OF THIS COMPANY HAS ANY AUTHORITY TO ENTER INTO ANY AGREEMENT FOR EMPLOYMENT FOR ANY SPECIFIED PERIOD OF TIME OR TO MAKE ANY AGREEMENT CONTRARY TO THE FOREGOING EXCEPT IN A WRITTEN DOCUMENT SIGNED BY THE PRESIDENT AND/OR CHIEF EXECUTIVE OFFICER OF THE COMPANY.

I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of all information listed on this application.

As an Equal Opportunity Employer, this Company considers applicants for all employment positions without regards to race, color, religion, sex, sexual orientation, transgender, national origin, age, marital, or veteran status or disability.

MILITARY SERVICE

BACKGROUND CHECK CONSENT

DISCLAIMERS (Applicant will agree to disclaimers below upon signature)

Applicant understands that LAS VEGAS STAFFING GROUP may require passing a medical examination and/or participating in post-conditional offer medical screening. If medical restrictions cannot be reasonably accommodated, I may not be eligible for employment, or that if hired, employment may be terminated.

Applicant understands that LAS VEGAS STAFFING GROUP reserves the right to investigate employment history, criminal background, and any other information necessary to make an employment decision. Applicant authorizes LAS VEGAS STAFFING GROUP to disclose this application along with any information obtained through reference checks, interview process and during the accreditation audit. Applicant also authorizes LAS VEGAS STAFFING GROUP to disclose any performance reviews, disciplinary records and skill test results for the same purpose as described above. Applicant releases LAS VEGAS STAFFING GROUP and any individual entity providing information to LAS VEGAS STAFFING GROUP from all liability for any damages from the disclosure of this information.

Applicant understands that subject to applicable laws, LAS VEGAS STAFFING GROUP reserves the right to conduct drug screening and testing for reasonable suspicion at any time during employment and as pre-employment requirement. Any violation of this policy shall result in an applicant not being hired or an adverse employment action up to and including immediate termination. LAS VEGAS STAFFING GROUP reserves the right to change this policy at will.

Applicant understands and agrees that nothing contained in this employment application, or an employment interview creates an employment contract between LAS VEGAS STAFFING GROUP and the applicant for either employment or providing any benefits. No promises regarding employment have been made to the applicant. If an employment relationship is established, the applicant understands that their employment will be considered “at will” and acknowledges that the employment with LAS VEGAS STAFFING GROUP is for an unspecified duration. Once employed, the employee further acknowledges that this employment relationship may be terminated at any time, with or without good cause or for any or no cause, at the option of either the company or the employee, with or without notice. The applicant understands that job assignments could end or change at any given time. The applicant reserves the right to stay at LAS VEGAS STAFFING GROUP as an available applicant for any future job assignments that become available.

Applicant understands that should they agree to become employed by LAS VEGAS STAFFING GROUP, their assignments at work, schedule and work locations are subject to change according to the needs of the business and clients of LAS VEGAS STAFFING GROUP. Applicant understands that LAS VEGAS STAFFING GROUP is an Equal Opportunity Employer and is committed to excellence through diversity. To ensure this application is acceptable, please print or type below with the application being fully completed for it to be considered.

I, the Applicant, certify that my answers are true and honest to the best of my knowledge. If this application leads to my eventual employment, I understand that any false or misleading information in my application or interview may result in my employment being terminated.

APPLICANT STATEMENT

I certify that the answers given therein are true and complete to the best of my knowledge.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

I understand that neither this document nor any offer of employment forms the employer constitutes an employment contract unless a specific document to that effect is executed by the employer and employee in writing.

In the event of employment. I understand that false or misleading information given in any application or interview (s) may result in discharge. I understand also that I am required to abide by all rules and regulations of the employer.

I understand that employment is “At-Will” of both employee and employer. Employment may be terminated by the employer at any time for any reason, with or without notice.

LAS VEGAS STAFFING GROUP is an equal opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, sex, religion, national origin, or marital status. We assure you that the opportunity for employment with this company depends solely upon your qualifications.

ACKNOWLEDGMENT OF RECEIPT OF EMPLOYEE HANDBOOK

I acknowledge that I have been provided a copy of LAS VEGAS STAFFING GROUP employee handbook.

I agree to read, review, and familiarize myself with all its content information. I agree that if I have any questions, I will contact my immediate staffing manager.

I agree and understand that the Company’s employee handbook is not a contract of employment and does not alter my at-will employment status. I further understand that the Company may revise the policies, programs and benefit plans described in this handbook at any time, without advance notice.