DDI VANTAGE, Inc. - Employment Application

Step 1 of 5

Personal Information

Do not fill in this field.

Position applying for*

Date

First Name*

Middle

Last Name*

Address Line 1*

Address Line 2

City*

State*

ZIP Code*

Phone 1*

Phone 2

Email*

How did you hear about us?

Have you previously applied to or worked for DDI VANTAGE, Inc.? Yes No

Step 2 of 5

Eligibility/Availability

**IMPORTANT**

A background check WILL be run on all newly-hired employees.

A motor vehicle report WILL be run for positions that require driving.

Driving violations or conviction of a crime do not necessarily bar you from consideration for employment. DDI VANTAGE will consider the nature, date, and relevance of the offense to the position for which you are applying.

Have you been charged with or convicted of a felony, misdemeanor or other offense, including child abuse or neglect, or a driving-related misdemeanor or felony, excluding any that have been lawfully removed from your record? No Yes

Availability

Type of employement desired: Part-time Full-time Temporary/Short-term

Date available to start work:

Hourly wage desired:

Step 4 of 5

Experience & Education

Language skills, including sign language

Summarize special training, skills, licenses, or certificates related to the position for which you are applying

Educational Background

Do you have a high school diploma or a GED?

No Yes

Additional Schooling

Institution Name

Duration

Did you graduate?

Year

Degree

Institution Name

Duration

Did you graduate?

Year

Degree

Institution Name

Duration

Did you graduate?

Year

Degree

Professional References IMPORTANT-Complete all 3 reference sections

**NOTE** List business or school references other than those previously listed on page 2. Please do not include personal references.

Name*

Phone*

Position*

Years Known*

Name*

Phone*

Position*

Years Known*

Name*

Phone*

Position*

Years Known*

Additional Information

Professional, trade, or business associations and any office held.

Organization

Offices Held

Organization

Offices Held

Organization

Offices Held

Special accomplishments, publications, awards, etc.

Other information you would like us to consider.

Step 5 of 5

Signature

I authorize the investigation of any or all statements contained in this application. I also authorize, whether listed or not, any person, school, current employer, past employers, and organizations to provide relevant information and opinions that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements.

I UNDERSTAND THAT THIS APPLICATION, VERBAL STATEMENTS BY MANAGEMENT, OR SUBSEQUENT EMPLOYMENT DOES NOT CREATE AN EXPRESS OR IMPLIED CONTRACT OF EMPLOYMENT NOR GUARANTEE EMPLOYMENT FOR ANY DEFINITE PERIOD OF TIME. ONLY THE PRESIDENT OF THE ORGANIZATION HAS THE AUTHORITY TO ENTER INTO AN AGREEMENT OF EMPLOYMENT FOR ANY SPECIFIED PERIOD AND SUCH AGREEMENT MUST BE IN WRITING, SIGNED BY THE PRESIDENT AND THE EMPLOYEE. IF EMPLOYED, I UNDERSTAND THAT I HAVE BEEN HIRED AT THE WILL OF THE EMPLOYER AND MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME, WITH OR WITHOUT REASON AND WITH OR WITHOUT NOTICE.

I agree to take a job related physical examination test when requested as a condition of employment.

Signature of Applicant*

Date

Employment Application

Personal Information

Eligibility/Availability

Availability

Employment History

Most recent employer

Second most recent employer

Third most recent employer

Fourth most recent employer

Experience & Education

Educational Background

Professional References IMPORTANT-Complete all 3 reference sections

Additional Information

Signature

Employment Application

Personal Information

Eligibility/Availability

Availability

Employment History

Most recent employer

Second most recent employer

Third most recent employer

Fourth most recent employer

Experience & Education

Educational Background

Professional References **IMPORTANT-Complete all 3 reference sections**

Additional Information

Signature

Professional References IMPORTANT-Complete all 3 reference sections