Application for employment - Innovative Learning Professionals

Application for Employment

ILEARN EMPLOYMENT APPLICATION
2130 Grand Ave.Suite B Des Moines, IA 50312 Phone: 515-270-0280
PERSONAL INFORMATION
Name
First Last
Social Security Number
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
List all cities in which you have lived during the last 5 years
Email
Phone
Cell/Work Phone
Have you ever worked under another name?
- Yes
- No
If yes, what was the name?
Are you over 21 years old?
- Yes
- No
Drivers license #
POSITION DESIRED
Type of position desired.
Salary desired.
Type of employment desired
- Full Time
- Part Time
- Internship
- Temporary
Who or what prompted you to apply to our company?
Have you ever worked for our company? If yes, please give date in the "other" field.
- Yes
- No
Have you ever contracted for our company? If yes, please give date in the "other" field.
- Yes
- No
If hired and after employment begins, can you submit verification of your identity and legal right to work in the United States?
- Yes
- No
Have you been convicted of a misdemeanor or felony within the past seven years? (Do not include convictions that have been sealed, expunged, or statutorily eradicated.)
- Yes
- No
If yes, give date, place, offense and outcome.
EDUCATION- Name, location, years completed, and major if applicable.
High School
College/University
College/University
Other training (trade schools, Military, etc.)
Name under which your degree was obtained.
REFERENCES. Please list 3 individuals who are technical or business references.
Name
Title
Phone
Name
Title
Phone
Name
Title
Phone
EMPLOYMENT HISTORY
You may attach your resume in place of completing the work history below. However, we request that you complete those sections below that are not included in your resume such as your salary history and reasons for leaving. Thank you.
Present of most recent employer
Phone
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Supervisors name and title
Supervisors phone
Your last job title
Dates of Employment (mo./yr.) - from and to
Job description
Last or current base salary:
Target Bonus
Target Commission
Reason for leaving
EMPLOYER
Phone
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Supervisors name and title
Supervisors phone
Job title
Dates of Employment (mo./yr.) - from and to
Job description
Last or current base salary:
Target Bonus
Target Commission
Reason for leaving
EMPLOYER
Phone
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Supervisors name and title
Supervisors phone
Job title
Dates of Employment (mo./yr.) - from and to
Job description
Last or current base salary:
Target Bonus
Target Commission
Reason for leaving
Please list specific computer hardware and software experience/skills.
Upload your cover letter here
VITA Upload
Letter of Recommendation (two required)
Letter of Recommendation
I hereby certify that the preceding information, the information on any resume I have submitted, and the information supplied during the interview process is true, correct, and complete to the best of my knowledge. I understand that false or misleading information or omissions on the application, resume and/or during the interview process may disqualify me from further consideration for employment or be grounds for immediate termination of employment. I authorize ILEARN or its designees to conduct a thorough investigation of the statements made on the application, resume, or during the interview process. Including but not limited to my prior employment history, conviction history, and educational background, and agree to cooperate in such investigation. Also, I hereby release from all liability and responsibility all persons or corporations requesting or supplying such information. I further understand that, if I am hired by ILEARN, my employment is "at will" and that either ILEARN or I can terminate the employment relationship at any time, with or without notice, and with our without cause.
Your Name*
Agreement
- Yes
- No
By signing my name, I agree to the above statement.

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