Lasco Services Employment Application

Our policy is to provide equal employment opportunity to all qualified persons without regard to race, color, religious belief, gender, age, national origin, disability, familial status or veteran status.

Your application for employment will be considered for the next 30 days. If you wish to be considered for employment by LASCO SERVICES after that time, you must submit a new application.

This information is used only to contact you and will not be sold or redistributed.


Personal Information
 Yes         No
(required)
You'll be asked to provide this in the office
(required)
 Yes         No
1. to
    

2. to
    
 Yes         No
 Yes         No
 Yes         No
Education

School Name, Location
# Years
Degree
Other Training
(examples: GED, trade school)
In addition to education and work history, are there any other skills, qualifications or experience you have that we should consider?
Employment History (Start with most recent employer)

May we contact?    Yes       No
Date Started
Starting Wage
Starting Position
Date Ended
Ending Wage
Ending Position
Responsibilites
Reason for Leaving

May we contact?    Yes       No
Date Started
Starting Wage
Starting Position
Date Ended
Ending Wage
Ending Position
Responsibilites
Reason for Leaving

May we contact?    Yes       No
Date Started
Starting Wage
Starting Position
Date Ended
Ending Wage
Ending Position
Responsibilites
Reason for Leaving
Personal References
Additional space for any other information you'd like considered

Certification

I certify that the facts set forth in this application for employment are true and complete to the best of my knowledge. LASCO SERVICES is hereby authorized to make any investigations to verify the accuracy of the information I have provided. I agree that LASCO SERVICES will not be held liable in any respect if a job offer is not extended, or is withdrawn, or employment terminated because of false statements or omissions made by me on this application. In the event of any employment with LASCO SERVICES I will comply with all rules and regulations as set by the company from time to time.

Under the Immigration Reform and Control Act of 1986, I understand that if LASCO SERVICES offers me employment, I will be required to provide approved documentation to the company that verifies my right to work in the United States. I have received from the company a list of the approved documents that are required.

I understand that employment at LASCO SERVICES is "at will" which means that either I or LASCO SERVICES can terminate the employment relationship at any time, with or without prior notice, and for any reason not prohibited by law.

By submitting below, I certify that this application was completed by me and that all entries on it and information in it, are true and complete to the best of my knowledge.

  (required)

(You will be asked to sign and date this at the office)

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