Axxis Employment Application

Axxis is an equal opportunity employer and will not discriminate against on the basis of any characteristics that is protected by state or federal law.

Please note that this application will only remain active for 6 months, after which the applicant will need to re-apply.

Education:

Name And Address Of the School / No. Of Years Attended / Did you Graduate? / Subject / Major
Name And Address Of the School / No. Of Years Attended / Did you Graduate? / Subject / Major
Name And Address Of the School / No. Of Years Attended / Did you Graduate? / Subject / Major
Name And Address Of the School / No. Of Years Attended / Did you Graduate? / Subject / Major
Conviction will not necessarily disqualify you from employment.

References:

Three Individuals Not Related To You, Whom You have Known For At Least One Year:

Emergency Contact:

Current And Former Employers:

(Most Recent One First)

Employer 1

(Pick Date)
(Pick Date)

Employer 2

(Pick Date)
(Pick Date)

Employer 3

(Pick Date)
(Pick Date)

Employer 4

(Pick Date)
(Pick Date)

Please read the following statement carefully before signing to indicate your understanding:

I understand that, if I receive a conditional job offer and prior to beginning employment, I may be requested to undergo a pre-employment medical examination. I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application may result in termination.

Agreement:

I understand and agree that, if hired, my employment is AT-WILL. THIS MEANS THAT, IF HIRED, EITHER THE COMPANY OR I CAN END THE EMPLOYMENT RELATIONSHIP AT ANY TIME AND FOR ANY OR NO REASON. I authorize investigation of all statements contained in this application for any employment related purpose. I release the listed references and all employers to provide you with any and all applicable information they may have. I hereby release these references and former employers from all liability for any information they may give to you, including but not limited to any defamation claims I may now have or will have against them.