Pre-Employment Application

RS EDEN is an equal opportunity employer. As such, we will not discriminate against any employee or applicant for employment because of race, color, creed, religion, national origin, ancestry, sex, sexual orientation, disability, marital status, public assistance status, age, or ex-offender status. This application will be given every consideration, but its receipt does not imply that the applicant will be employed. Each question should be answered in a complete and accurate manner as no action can be taken on this application until all questions have been answered.

Employment Application


Personal Information


Employment Desired

If you answered "Yes" to either of the questions above:


Education


Military


Capability / Reliability


Work History

List names of last three employers in consecutive order with present or last employer first. Account for all periods of time including military service and any periods of unemployment. If self-employed, give firm name and supply business references.

PLEASE GIVE MONTH AND YEAR. UNLESS INSTRUCTED OTHERWISE, DO NOT REFERENCE YOUR RESUME.

EMPLOYER 1

EMPLOYER 2

EMPLOYER 3


Supplemental Employment Information


Special Skills


References

Give three work references, not relatives or personal friends.

REFERENCE 1

REFERENCE 2

REFERENCE 3


Affidavit

I certify that my answers to the foregoing questions are true and correct without any consequential omissions of any kind whatsoever. I understand that if I am employed, any false, misleading or otherwise incorrect statements made on this application form or during any interviews may be grounds for my immediate discharge. I hereby authorize RS EDEN to contact any company or individual it deems appropriate to investigate my employment history, character and qualifications and I give my full and complete consent to their revealing any and all information they wish as a result of this investigation. In addition, I hereby waive any and all rights I may have in bringing any cause of action against these individuals for defamation, invasion of privacy or any other reason because of their statements. I agree that, if I am employed, I will abide by all the rules, policies and regulations of the company. I understand that the taking of drug and alcohol tests, when given pursuant to company policy, are a condition of continued employment and refusal to take such tests when asked will be grounds for my immediate termination. I also understand that as a condition for employment, I will be required to undergo and successfully pass a pre-employment drug screening as well as a criminal history background check and that refusal to do so will render my application void of consideration for employment. I further understand that nobody in the company is authorized to enter into any written or verbal employment contract with me for any definite period of time without the expressed written consent of the President of RS EDEN, the company. I also understand that should I become employed with RS EDEN that my employment is "at-will" and may be terminated by myself or by the company at any time for any reason or no reason at all, with or without prior notice.