Employment Application

- Step 1 of 5

Personal

Name

First

Last

Email

Address

City

State

ZIP

Date of Application

Phone Number

Social Security Number

Position Applying For *

How did you learn about us?

• Friend/Relative
• Walk-in
• Advertisement
• Other

Please describe:

If under 18 years of age, can you provide proof of your eligibility to work?

• Yes
• No

Have you filed an application with us before?

• Yes
• No

When?

Have you been employed with us before?

• Yes
• No

When?

Do you have any friends/relatives working at Unison Solutions?

• Yes
• No

Name(s)

Are you a veteran of the armed forces?

• Yes
• No

Are you legally eligible for employment in this country? (Proof of citizenship or the right to work in the U.S. will be required upon employment)

• Yes
• No

Do you have a valid driver's license?

• Yes
• No

When would you be available to start work?

What is your desired pay range?

Have you ever been convicted of a crime? Do not include arrests or non-convictions. Conviction will not necessarily disqualify an applicant from employment.

• Yes
• No

If yes, please list all convictions, including misdemeanors and/or felonies:

Next

Education

High School Name

High School Location (City, State)

Number of Years Attended

Did you graduate?

• Yes
• No

College/University Name

College/University Location (City, State)

Number of Years Attended

Did you graduate?

• Yes
• No

Program of Study

Describe any specialized training, apprenticeship, skills and/or extra-curricular activities, including workshops, short courses, and/or certificates:

Next

Employment

Employer

Address

City

State

ZIP

Phone

Supervisor

First

Last

Job Title

Work Performed

Start of Employment

End of Employment

Starting Hourly Rate/Salary

Final Hourly Rate/Salary

Reason For Leaving

May we contact for reference?

• Yes
• No

If no, please explain reason:

Next

Employer

Address

City

State

ZIP

Phone

Supervisor

First

Last

Job Title

Work Performed

Start of Employment

End of Employment

Starting Hourly Rate/Salary

Final Hourly Rate/Salary

Reason For Leaving

May we contact for reference?

• Yes
• No

If no, please explain reason:

Next

Employer

Address

City

State

ZIP

Phone

Supervisor

First

Last

Job Title

Work Performed

Start of Employment

End of Employment

Reason For Leaving

May we contact for reference?

• Yes
• No

If no, please explain reason:

Name

Submit