bcas application

Best Connections Employment Application

Today's Date

Available Start Date

Personal Information

First Name

Middle

Last Name

Address

City

State

ZIP Code

Email

Mobile Phone

Home Phone

Desired Position

Desired Hourly Pay Range

Are you 18 years old or older?

Yes No

Do you have a valid driver's license?

Yes No

Are you eligible to work in the United States?

Yes No

Give 3 reasons why you want to work for Best Connections

Explain why you think you would be good at this type of work, include relevant skills.

How did you hear about this position?

Are you looking for a position that is:

Full time is considered 30+ hours per week.

Shift Preference:

We are a 24 x 7 x 365 business.
No employees work only Monday-Friday or only 9-5.

Are there times or days that you are NOT available to work in any given week?

Yes No

If yes, which days or shifts:

What was the last school you attended?

School Location

Date

Employment History

#1 Company Name

Job Title

Supervisor Name

Phone Number

Start Date

End Date

Salary

Job duties or tasks performed:

Reason for leaving:

#2 Company Name

Job Title

Supervisor Name

Phone Number

Start Date

End Date

Salary

Job duties or tasks performed:

Reason for leaving:

#3 Company Name

Job Title

Supervisor Name

Phone Number

Start Date

End Date

Salary

Job duties or tasks performed:

Reason for leaving:

I certify that the facts given in this application are true & complete to the best of my knowledge. I understand that, if employed, falsified information on this form shall be grounds for dismissal.

Select an option

Yes No

I authorize investigation of all statements contained herein and the employers listed above to give you any and all information concerning my previous employment.

Select an option

Yes No

Signature - Enter your full name below.

An electronic signature — also known as an 'e-signature' — is a simple and legally recognized way to indicate consent or approval on a digital document or form.