<p> Application of Employment</p><p>Date of application _____/_____/_____</p><p>Name ______Last First Middle </p><p>Home Address ______Street Apt# City State Zip Code</p><p>Telephone Home ______/______Other _____ / ______Area Code Area Code</p><p>Work Authorization Are you presently legally authorized to work in the United States of America? Y___N___ If employed, proof of your right to work in the US must be provided within 3 days of hire</p><p>Position ______Please attach your most recent Resume/CV</p><p>Education – Only complete this section if you have not attached your Resume/CV</p><p>Name of school and location including city and # of years to Course of Did you Type of state comple Study gradu Dipl tion ate? om a/D egr ee</p><p>Trade, Business Program or Other Y___N___</p><p>Y___N___</p><p>Graduate Y___N___</p><p>Professional Licenses, Certifications, and Permits: Professional Membership: ______</p><p>Have you served in the Military? Y___N___</p><p>Military Service: Branch ______Dates: ______/______</p><p>Additional Questions: </p><p>1. Have you ever been discharged from a position for making threats, fighting or any other incidents involving violence? Y___N___ 2. Were you ever discharged from employment except for lack of work, funds, disability, or medical condition? Y___N___ 3. Did you ever resign from any employment rather than face discharge? Y___N___</p><p>If you answered “Yes” to any of the above questions, please explain </p><p>______</p><p>None of the above circumstances represents an automatic bar to employment. Each case is considered and evaluated on individual merits in relation to the duties and responsibilities of the position(s) for which you are applying.</p><p>Equal Opportunity Employer</p><p>The HRP Consulting Group, a division of BRANY provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, marital status, amnesty, or status as a covered veteran in accordance with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including, but not limited to: hiring, placement, promotion, termination, layoff, re-call, leave of absence, compensation, and training.</p><p>Applicant’s Certification: I understand that any offer of employment may be subject to completion of a satisfactory reference and background check. If accepted for employment I agree to abide by the rules and regulations of the HRP Consulting Group, a division of BRANY. I acknowledge that my employment is for an indefinite period of time and that I or HRP Consulting Group may terminate the employment relationship at any time for any reason. I understand that only the appropriate officials of the company have authority to enter into any agreement of employment with me for any specified period of time or to make any agreement contrary to the foregoing unless in writing. I understand that any oral statements to the contrary are hereby null and void. All information and answers provided on the application and during the interviews are true and accurate. Denial of employment (or if hired, termination of employment) may occur if the applicant provides false information. I also understand that information may be obtained from personal or phone interviews with associates, friends, and employers. The information that can be disclosed includes, but is not limited to: information concerning employment and performance, reasons for termination of past employment, earnings history, education history, credit or criminal history, military service, worker’s compensation, professional credentials and licenses.</p><p>______/______/______</p><p>Signature Date</p>