Employment Application

Position Applied For *
Name * First Last
Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Email *
Copy and Paste Resume Here
Primary Phone * - (###) - ### ####
Mobile / Other Phone - (###) - ### ####
Refered By
Are you below the age of 18 *
If Yes can you provide a work permit?
Are you 19 years of age or older *
Are you 21 years of age or older *
Do you have any friends or family employed by LHM
If Yes, Who?
Are you currently employed
Date available to start / MM / DD YYYY
Desired Salary $ . Dollars Cents
Have you ever worked for LHM before? *
If Yes, When/Where
Are you a Citizen of the United States *
If NO, Are you authorized to work in the United States
Type of Employment seeking
Have you ever been convicted of a felony? *
If Yes please explain
Previous Employment (Start with most recent)
Firm / Company
Job title
From / MM / DD YYYY
To / MM / DD YYYY
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone - (###) - ### ####
Supervisor
Responsibilities
Starting Salary $ . Dollars Cents
Ending Salary $ . Dollars Cents
Reason for leaving
May we contact the employer for a reference
Firm / Company
Job title
From / MM / DD YYYY
To / MM / DD YYYY
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone - (###) - ### ####
Supervisor
Responsibilities
Starting Salary $ . Dollars Cents
Ending Salary $ . Dollars Cents
Reason for leaving
May we contact the employer for a reference
Firm / Company
Job title
From / MM / DD YYYY
To / MM / DD YYYY
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone - (###) - ### ####
Supervisor
Responsibilities
Starting Salary $ . Dollars Cents
Ending Salary $ . Dollars Cents
Reason for leaving
May we contact the employer for a reference
Education
High School
From / MM / DD YYYY
To / MM / DD YYYY
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Did you Graduate
Degree
College
From / MM / DD YYYY
To / MM / DD YYYY
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Did you Graduate
Degree
Other
From / MM / DD YYYY
To / MM / DD YYYY
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Did you Graduate
Degree
Reference
Full Name
Company
Relationship
Phone - (###) - ### ####
Full Name
Company
Relationship
Phone - (###) - ### ####
Full Name
Company
Relationship
Phone - (###) - ### ####
Terms and Conditions of Employment Please Read Very Carefully Before Signing Below
I AGREE TO AND UNDERSTAND THE FOLLOWING:
1. By signing this application, I authorize LegendsHM to conduct investigations, including verification of my prior employment and education. I authorize all schools I have attended and employers I have worked for to release all relevant information about me. I agree to hold any party, including LegendsHM harmless for any Claims of Liability resulting from these investigations related to the information herein provided.
2. If an offer of employment is made to me, it is conditioned on, among other things: a. My ability to produce documentation establishing both my identity and employment authorization as required by law, and my completion of the employment verification form designated by the Immigration and Naturalization Service; b. My meeting the minimum age requirements of applicable law. (This applies to applicants under the age 18); c. My passing a drug test conducted by an independent laboratory selected by Legends. I understand that a negative drug test is a requirement of this offer of employment and hereby agree to waive any and all claims arising from the taking of or results of the drug test.
3. This application, any handbooks, policies, practices, procedures or an offer of employment do not individually or collectively constitute a contract of employment or guarantee of employment for any specific term. Employment with Legends is at-will, which means that my employment can be terminated at anytime by LegendsHM or by me, without cause or notice.
4. I further understand that no Human Resources recruiter, interviewer, or any other representative of LegendsHM, other than the CEO, has any authority to enter in any agreement of employment for any specific duration or period of time.
5. I represent and agree that no obligation owed to another party would prevent me from accepting employment with LegendsHM. I further represent that no business or technical information which I know to be confidential, proprietary or private has been submitted in connection with my employment.
If I make false statements, fail to disclose information, or fail to provide all of the information required, I may be disqualified from being employed or I may be dismissed if I become employed.
I agree to the AUTHORIZATION * Yes
An Equal Opportunity Employer Legends is an equal opportunity employer. The Company does not discriminate in hiring or employment on the basis of race,color, religion or creed, sex, sexual orientation, marital status, age, national origin, ancestry or citizenship, veteran status, or physical or mental disability, as these terms are defined under applicable law, or any other basis prohibited by applicable anti-discrimination laws

Employment Application

Employment Application

Previous Employment (Start with most recent)

Education

Reference

Terms and Conditions of Employment Please Read Very Carefully Before Signing Below

I AGREE TO AND UNDERSTAND THE FOLLOWING:

4. I further understand that no Human Resources recruiter, interviewer, or any other representative of LegendsHM, other than the CEO, has any authority to enter in any agreement of employment for any specific duration or period of time.

5. I represent and agree that no obligation owed to another party would prevent me from accepting employment with LegendsHM. I further represent that no business or technical information which I know to be confidential, proprietary or private has been submitted in connection with my employment.

If I make false statements, fail to disclose information, or fail to provide all of the information required, I may be disqualified from being employed or I may be dismissed if I become employed.