EMPLOYMENT APPLICATION

Thank you for applying for a position at Forensis. To be considered an applicant, you must complete this form. If your application is incomplete or does not clearly show the experience and/or training required, your application may not be accepted. If you have no information for a given section, please write N/A. If you have a resume that you would like to attach, please fill out the entire form and you can upload your resume at the end of this application. We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital, or veteran status, or any other legally protected status.

Document Imaging Assistant

Date *

Name *

First

Middle

Middle

Last *

Last

Email *

Home Phone

Mobile Phone *

Address

Address

Address

Address

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

How long at the above address? *

If under 18 please list age

Employment Desired *

Full-time

Part-time

When available for work? *

High School Education

Name of School, Location, Years Completed, Degree

College Education

Name of School, Location, Years Completed, Degree

Other Education

Name of School, Location, Years Completed, Degree

Do you have a drivers License? *

Drivers License Number

Drivers License Number / State of Issue / Expiration Date

Reference 1

Include Name, Position, Company, Address, and Phone Number

Reference 2

Include Name, Position, Company, Address, and Phone Number

An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying.

HAVE YOU EVER BEEN CONVICTED OF A FELONY OR A FIRST DEGREE MISDEMEANOR? *

If Yes

What Charges, Where, Date of Conviction

HAVE YOU EVER PLED NOLO CONTENDERE OR PLED GUILTY TO A CRIME WHICH IS A FELONY OR A FIRST DEGREE MISDEMEANOR? *

If Yes

What Charges, Where, Date of Conviction

HAVE YOU EVER HAD THE ADJUDICATION OF GUILT WITHHELD FOR A CRIME WHICH IS A FELONY OR A FIRST DEGREE MISDEMEANOR?

If Yes

What Charges, Where, Date of Conviction

NOTE: Forensis performs a criminal background check on all employees. Please note that a "YES" answer to these questions will not automatically bar you from employment. The nature, job-relatedness, severity and date of the offense in relation to the position for which you are applying are considered.

HAVE YOU EVER BEEN IN THE ARMED FORCES?

ARE YOU NOW A MEMBER OF THE NATIONAL GUARD?

ADDITIONAL SERVICE INFO

Specialty, Date Entered, Discharge Date

WORK EXPERIENCE 1 (Most Recent)

INCLUDE THE FOLLOWING: Name of Employer, Address, City, State, Zip, Phone Number, Name of Last Supervisor, Date Range, Start Rate, Final Rate, Last job title, Reason for leaving

WORK EXPERIENCE 1 NOTES

List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company.

WORK EXPERIENCE 2

INCLUDE THE FOLLOWING: Name of Employer, Address, City, State, Zip, Phone Number, Name of Last Supervisor, Date Range, Start Rate, Final Rate, Last job title, Reason for leaving

WORK EXPERIENCE 2 NOTES

List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company.

WORK EXPERIENCE 3

INCLUDE THE FOLLOWING: Name of Employer, Address, City, State, Zip, Phone Number, Name of Last Supervisor, Date Range, Start Rate, Final Rate, Last job title, Reason for leaving

This Company is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with this Company depends solely on your qualifications. Thank you for completing this application form and for your interest in our business.

WORK EXPERIENCE 3 NOTES

List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company.

WORK EXPERIENCE 4

INCLUDE THE FOLLOWING: Name of Employer, Address, City, State, Zip, Phone Number, Name of Last Supervisor, Date Range, Start Rate, Final Rate, Last job title, Reason for leaving

WORK EXPERIENCE 4 NOTES

List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company.

Additional Work Experience Notes

List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company.

May we contact your present employer?

Did you complete this application yourself?

Attach Resume

Maximum file size: 104.86MB

APPLICATION FORM WAIVER In exchange for the consideration of my job application by Forensis Technologies LLC (hereinafter called “the Company”), I agree that: Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of Forensis Technologies LLC, or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the President /General Manager of the Company. Both the undersigned and Forensis Technologies LLC may end the employment relationship at any time, without specified notice or reason. If employed, I understand that the Company may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits. I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contract. I also understand that (1) the Company has a drug and alcohol policy that provides for preemployment testing as well as testing after employment; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy. I further understand that continued employment may be based on the successful passing of job-related physical examinations. I understand that, in connection with the routine processing of your employment application, the Company may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics, and mode of living. Upon written request from me, the Company, will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act. I further understand that my employment with the Company shall be probationary for a period of ninety (90) days, and further that at any time during the probationary period or thereafter, my employment relation with the Company is terminable at will for any reason by either party. This Company is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with this Company depends solely on your qualifications. Thank you for completing this application form and for your interest in our business. *

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