EMPLOYMENT

Bartimaeus by Design

Application for Employment

Personal Information

Name

Current Address

Are you 18 years or older?
Are you able to perform the essential functions of the job you are applying for, with or without reasonable accomodation?
Do you have any shift or overtime restrictions?
Can you work weekends?
Can you work nights?
If hired, do you have reliable means of transportation to work?
Do you have a valid driver's license? (For positions in which driving is required.)
Has your license ever been suspended, revoked, denied, or canceled?
Do you currently have any convenant agreement, including any non-compete or non-solicitation agreement, with any company that would prohibit or limit your employment with Bartimaeus by Design?
Do you have any relatives working for Bartimaeus by Design?
Have you ever been convicted of a felony?
Are there any felony charges pending against you?

Any conviction will not automatically prohibit the possibility of employment.  All relevant facts of the conviction will be considered as for the position(s) the applicant is applying for.

Have you ever been employed by BBD?
If employed, can you submit verification of your legal right to work in the United States?
Will you require any sponsorship in the future?

Employment Information

What position(s) are you applying for?
Are you currently employed?
If so, may we contact your present employer?
Have you ever applied to this company?
How did you hear about this position?

Skills & Qualifications

Education

High School

Did you graduate?

College

Did you graduate?

Trade, Business or Correspondence School

Did you graduate?

General

List any pertinent skills and any relevant equipment that you can operate.

List any trade or professional organizations that you are affiliated with.  Do not include organizations that indicate the race, creed, sex, age, marital status, color, or nation of origin of its members.

List any past or present service in the military - branch, rank, and your current status in the national guard or reserves.

Employment History

Please include ALL prior employers, beginning with your most recent employer.  Please upload additional information to this application if necessary.  Complete all requested information in full.  DO NOT include overtime, bonus, commissions, etc. in the base salary information.  Please include any verified work performed on a volunteer basis and/or worked performed while in the military as part of your employment history.

May we contact this Employer?

Employer 2

May we contact this Employer?

Employer 3

May we contact this Employer?

References

Please use professional references, not personal references.

Reference 1

Reference 2

Reference 3

Uploads

Upload Resume
Upload file (pdf, doc, or docx. Max 15MB)
Upload Cover Letter
Upload file (pdf, doc, or docx. Max 15MB)

Bartimaeus by Design offers equal employment opportunity to all persons without regard to race, color, age, religion, gender, national origin, ancestry, disability, or any other category protected by federal, state, or local law.  No question on this application is intended to secure information to be used for discriminatory purposes.

In the event of my employment to a position in this Company, I will comply with all rules and regulations of this Company.  I understand that any offer of employment may be contingent upon the passing of a test for the presence of drugs and/or alcohol in my system prior to employment and that the company reserves the right to require me to submit to an alcohol and drug test at any time during my employment, to the extend permitted by law.  I consent to the disclosure of the results of any physical examination and related tests to the Company.  In the event that I have a disability which will affect my ability to take the test or perform the essential responsibilities of the job, I will so inform the Company so that a reasonable accommodation can be made.  Failure to properly notify the Company may preclude any claim that the employer failed to accommodate the disabled individual.  The company reserves the right to require medical documentation concerning the need of accommodation.  I also understand that I may be required to take other tests such as personality tests and honesty tests, prior to and during my employment.  I understand that should I decline to sign this consent or take any of the above tests, my application for employment may be rejected or my employment may be terminated.

If hired, I agree as follows:  My employment and compensation is terminable at-will, is for no definite period, and my employment and compensation may be terminated by either the Company or me at any time for any reason whatsoever, with or without good cause, with or without prior notice.  I understand that nothing contained in this application of in the interview process us intended to create a contract between the Company and myself for either employment or for the providing of any benefits.  I agree that my employment is at-will and the terms of employment may be changed with or without cause, with or without notice, including but not limited to termination, demotion, promotion, transfer, compensation, benefits, duties, and location or work.  This constitutes my entire agreement with the company with regard to the length of my employment.  I understand that no manager, supervisor, or employee of the Company has any authority to enter into an agreement for employment for a specific period of time or make an agreement for employment other than at-will.   

 

I hereby authorize the Company to thoroughly investigate my references, work record, education, and other matters related to my suitability for employment and, further authorize the references I have listed to disclose to the company any and all letters, reports, and other information related to my work records, without giving me prior notice of such disclosure.  In addition, I hereby release the Company, my former employers, and all other persons, corporations, partnerships, and associations from any and all claims, demands, or liabilities arising out of or in any way related to such investigation or disclosure.  I authorize any person, school, current employer (except as expressly noted), past employer(s), and organizations named in this application form (and accompanying resume or other documentation, if any) to provide the Company with relevant information and opinion, personal or otherwise, that may be useful in making a hiring decision.  I release all parties from all liability for any damage that may result from furnishing information and opinion to the Company.

I understand that should a search of public records (including records documenting an arrest, indictment, conviction, civil judicial action, tax lien, or outstanding judgement) be conducted it will be by an outside investigative service.  All information obtained in the review will be kept as confidential as possible and communicated only to designated representatives of the Company and to the employee who is the subject of the revise (if so requested).  Should a consumer credit be processed, I am entitled to a copy.

I understand that all offers of employment are conditioned upon my providing satisfactory documentary proof of my identity and legal right to live and work in the United States.

I declare under penalty of perjury that the facts I have provided on this application or any other documents completed in commendation with my employment, and in any interview, are complete, true, and accurate to the best of my knowledge.  I have withheld nothing that would, if disclosed, affect this application unfavorably.  I understand that any misrepresentations or omissions will disqualify me from further consideration for employment and will be justification for rejection of this application.  I understand that if I am employed and any information provided to the Company is found to be false or incomplete in any respect, I may be immediately dismissed, regardless of the time elapsed before discovery.  I certify that I, the undersigned applicant, have personally completed this application.

I confirm that I am not currently bound by a non-competition, no-solicitation, or confidentiality agreement that would preclude me from working for the Company and that any relevant agreement, including by not limited to those addressing non-competition, confidentiality, or non-solicitation, will be presented by me for review prior to any offer of employment.  At all times during my employment with the Company, I understand that I am not to breach any obligation of non-competition, confidentiality, or non-solicitation that I have from any former employer or to any other person, firm, or entity, nor disclose to the Company or use any trade secrets or other proprietary information of third parties.

I agree that any action (excluding governmental, statutory administrative proceedings) or suit against the Company arising out of or related to my application for employment, employment, or termination of employment, including but not limited to claims arising under Tate or Federal civil rights statutes, must be brought, if at all, within  the shorter of 180 days of the event giving rise to the claim or the applicable statue of limitations, or be forever barred.  I waive any limitation periods to the contrary,with the exception being that this agreed to limitations period does not supersede the Federal Equal Employment Opportunity Commission or other applicable statutes or regulations that may extend this period as provided by law.  I acknowledge that this 180 day limitation on actions form and Agreement between myself and the Company.

If you have any questions regarding these statements, please ask a company representative before signing.  Do not sign until you have read the above statement and agreement. 

Signature

Date

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© 2020 Bartimaeus by Design  

1010 Randolph Street

Thomasville, NC 27360

Phone:  (336) 475 - 4346

Fax:       (336) 475 - 6460

Email:   csr@bartbydesign.com

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