Travel Department
Application for Temporary Employment

Equal access to programs, services, and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the Human Resources Department.

* Indicates required fields.

 

Application for Temporary Employment

  
  *Position(s) applied for:  
  *Referral Source:    
 

Advertisement

Private Employment Agency

  
 

Employee

Relative

  
 

Government Employment Agency

SnagAJob.com

  
 

Other:

 
 

Name of source (if applicable):

  
       
  *Name:  
 

Social Security Number:

  
  *Address:  
  *City:  
  *State:  
  *Zip Code:  
  *Telephone (home):  
 

Telephone (work):

  
 

Telephone (other, mobile, beeper):

  
 

E-mail Address:

  
 

Best time to reach you at home:

am pm

  
 

May we contact you at work?

Yes No

  
 

If yes, best time to reach you at work:

am pm

  
       
 

If Under 18

    
 

Can you furnish a work permit?

Yes No

  
 

If no, please explain:

  
       
 

Prior Application

    
 

*Have you submitted an application here before?

Yes No

  
 

If yes, give date(s) and position(s):

 

  
 

Date:

Position:

 
 

Date:

Position:

 
 

Date:

Position:

 
 

*Have you been employed here before? 

Yes No

  
 

If yes, give dates:

 

  
 

From:

To:

 
 

From:

To:

 
 

From:

To:

 
       
 

Eligibility

    
  *Are you legally eligible for work in the United States?

Yes No

  
  *Date available for work:  
 

Desired salary range:

  
  *Will you relocate if the job requires it?

Yes No

  
  *Will you travel if the job requires it?

Yes No

  
  *Are you able to meet the attendance requirements of the position?

Yes No

  
       
  *Have you ever been bonded?

Yes No

  
  *Have you ever pled "guilty" or "no contest" to or been convicted of a crime?

Yes No

  
 

If yes, provide date and details:

    
 

Date:

Details:

 
 

Answering "yes" to these questions does not constitute an automatic bar to employment. Factors such as date of the offense, seriousness and nature of the violation, rehabilitation, and position applied for will be taken into account.

  
       
 

If Driving is an Essential Job Function

  
 

Driver's License Number:

  
 

State:

  
       
 

References
List name, address, telephone number, and number of years known of three references not related to you. These may be academic or professional references.
*Name *Address *Telephone *Years
Known

1.

2.

3.

 
       
 

Applicant Statement
I certify that all information I have provided in order to apply for and secure work with the employer is true, complete and correct.

I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) cancel further consideration of this application, or (ii) immediately discharge me from the employer's service.

I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references, employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me.

I understand that the employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by applicable local, state or federal law.

If I am hired, I understand that I am free to resign at any time, with or without cause and without prior written notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied oral or written
agreements contrary to the forgoing express language are valid unless they are in writing and signed by the employer's president.

I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.

*I certify that I have read, fully understand and accept all terms of the forgoing Applicant Statement. Yes No

 
       
 

*Signature of Applicant:
(enter Social Security Number)

 
       
 

*Paste a copy of your cover letter and resume in the following box:

 
       
 

Please press the submit button only once.  It may take a few moments for your request to be processed.

  
 

 

YFU USA is an Equal Opportunity Employer. We welcome all applicants regardless of race, color, national origin, religion, age, gender, disability, or sexual orientation.

Last Updated: Monday, November 17, 2003 02:55 PM