Application for Employment

Morgan-Keller is an equal opportunity employer and does not discriminate on the basis of race, religion, color, national origin, age, sex, gender, disability or any other characteristic protected by law.

Introductory Information

Name*

Email Address*

Phone*

Address*

City*

State*

(* indicates a required field)

Zip*

Applicant Questions

Type of work desired*

Salary Desired

Date Available

If hired, can you provide documents required to establish your eligibility to work in the U.S.?*

Yes

Are you 18 years of age or older?*

Yes

How were you referred to Morgan-Keller?

Have you ever been convicted of, or pled guilty or no contest to, a crime other than a minor traffic violation?*

Yes

If yes, please explain in detail below and include the date of final disposition of the case and the nature of the offense.

This information will not necessarily disqualify you from employment but false or misleading information will. Factors such as age and time of the offense, seriousness and nature of the violation, and rehabilitation will be taken into account.

Education

High School or last grade completed

Name & Address of School

Course of Study

Number of years completed

Degree/Diploma

College or Technical School

Name & Address of School

Course of Study

Number of years completed

Degree/Diploma

Other Schooling or Training

Name & Address of School

Course of Study

Number of years completed

Degree/Diploma

Military Experience

Branch of Service

From

Rank/Type of Service

Special Training/Experience

Record of Employment

List positions starting with most recent.

Last Employer

Employer

Telephone

Address

Position Title

Supervisor

Start Date

Date Left

Beginning Salary

Ending Salary

Duties

Reason for Leaving

Previous Employer

Employer

Telephone

Address

Position Title

Supervisor

Start Date

Date Left

Beginning Salary

Ending Salary

Duties

Reason for Leaving

Previous Employer

Employer

Telephone

Address

Position Title

Supervisor

Start Date

Date Left

Beginning Salary

Ending Salary

Duties

Reason for Leaving

Professional Licenses and Memberships

First License/Membership

Name of Organization

Type of License Held

Expiration Date

Additional License/Membership

Name of Organization

Type of License Held

Expiration Date

Additional License/Membership

Name of Organization

Type of License Held

Expiration Date

Resume

Accepted types are .pdf, .doc, .docx, .rtf, .odf or .txt files.

STATEMENT (Please read this statement carefully before signing this application):

I understand that employment with Morgan-Keller (the Company) is at-will, meaning that I or the Company may terminate my employment at any time, or for any reason consistent with applicable state or federal law.

I authorize the Company to conduct a thorough background investigation of my work and personal history, and verify all data given on this application and during interviews. I hereby release the Company, and its representatives or agents, from any liability that might result from such an investigation. I authorize all individuals, schools, and firms named to provide any requested information and release them from all liability for providing the requested information.

I consent to take any physical examinations, including but not limited to tests for alcohol or drugs, that may be requested by Morgan-Keller, Inc., (1) following an offer of employment and prior to commencement of work; and (2) during the course of my employment, consistent with applicable law, including but not limited to the American with Disabilities Act. I further authorize any health care professional who performs such an examination or who has other information concerning my physical, mental or other medical status to release such information to Morgan-Keller, Inc.

I understand this application will be active for a period of 90 days; after that time, if I wish to be considered for employment, I must submit a new application. I certify that all the statements in this completed application are true and understand that any falsification or willful omission shall be sufficient cause for dismissal or refusal to hire.

Signature of Applicant*

Date Signed*

Para informacion en espanol, visite www.ftc.gov/credit o escribe a la FTC Consumer Response Center, Room 130-A 600 Pennsylvania Ave. N.W., Washington, D.C. 20580.

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