Home  About Maverick  Affiliates Colleagues  Employment  Contact Us EMPLOYMENT APPLICATION COMPLETE ALL SECTIONS  (Incomplete applications will not be accepted). NAME   ADDRESS:                                            (Street)                                                 (City)                 (State)   (Zip Code) TELEPHONE NUMBER:      Best time to call: If you have ever been known by another name, please give name(s) Are you legally eligible for work in this country? Yes:   No: If employed and less than 18 years of age, can you furnish a work permit? Yes:   No: POSITION APPLYING FOR    Branch Location: Have you ever applied here before? Yes: No:    If YES, give dates Have you ever worked here before? Yes: No:    If YES, give dates Do you desire: Full-Time   Part-time    If employed, date you can start work Specify days and hours available for work Have you been convicted of a felony within the past seven years? Yes: No: If yes, when and please explain: Are you willing to relocate if job requires? Yes: No: Are you willing to travel if job requires? Yes: No: Will you work overtime if required? Yes: No: Describe your interest in Maverick and the position available. Summarize skills and abilities you feel qualify you for this position. Employment/Experience List your last four employers, assignments, or volunteer activities starting with the most recent, including military experience. Explain any gaps in employment in comments section below. ______________________________________________________________________________________________ Company                Telephone Number Job Title           Address Reason for leaving Dates Employed Hourly rate/salary $ Supervisor and Title    May we contact for reference: Yes:    No: Describe your job responsibilities: Describe likes and dislikes about your job: ______________________________________________________________________________________________ Company                Telephone Number Job Title           Address Reason for leaving Dates Employed Hourly rate/salary $ Supervisor and Title    May we contact for reference: Yes:    No: Describe your job responsibilities: Describe likes and dislikes about your job: ______________________________________________________________________________________________ Company                Telephone Number Job Title           Address Reason for leaving Dates Employed Hourly rate/salary $ Supervisor and Title    May we contact for reference: Yes:    No: Describe your job responsibilities: Describe likes and dislikes about your job: ______________________________________________________________________________________________ ***Please explain any employment gaps in the comments section*** Comments: Education SCHOOL YEARS COMPLETED GPA/CLASS RANK MAJOR STUDIES High School 1 2 3 4 Business College: 1 2 3 4 College/University: 1 2 3 4 Other: 1 2 3 4 References List names and phone numbers of personal references not related to you. (Do not list former employers, relatives, or minors) NAME TELEPHONE YEARS KNOWN List organizations, offices held, special accomplishments, publications, awards, etc. (You may exclude memberships which would reveal sex, race, religion, national origin, age, color, disability, or other protected class.) AGREEMENTS AND ACKNOWLEDGMENTS I certify the information provided by me on this application is true and I understand that any misrepresentation or falsification is sufficient reason for cancellation of this application; or, if employed, dismissal from employment upon discovery of the misrepresentation or falsification. In accordance, I authorize the employer to obtain an investigative consumer report and acknowledge receipt of the disclosure explaining that a consumer report may be obtained. I authorize the employer to investigate personal references and prior employers listed on this application in order to obtain pertinent job-related information. I release the employer and all other parties providing information from all liability for providing such information. I understand the employer is an Equal Opportunity Employer and does not discriminate in employment or its recruiting, hiring and promotions practices. All applicants are considered without regard to race, color, religion, sex, national origin, age, disability, and/or need for reasonable accommodation, veteran status or any other legally protected class. In addition, I understand the employer is an employer "at will". I may resign at any time, and the employer may terminate my employment at any time with or without cause and without prior notice. I understand that no representative of Maverick International has the authority to make contradictory agreements. In accordance with the Immigration Reform and Control Act of 1986, if offered employment, all applicants are required to complete the I-9 form (government form) and provide documents to prove identity and authorization for employment in the United States. These must be produced within three days after the start of employment. Failure to do so may result in legally forced termination. By Clicking the Check box below you agree that you have read and understand the above acknowledgments and agreements. Applicant Acknowledgments   Date: This application is only valid for 60 days. If you wish to maintain its active status beyond 60 days, you will need to complete a new application. Voluntary Affirmative Action Questionnaire In accordance with Maverick International Personnel policies and practices and in an effort to comply with government Affirmative Action regulations, we ask for your cooperation in completing the questionnaire. This is voluntary and is not a required condition of employment. All applicants are considered without regards to race, color, religion, sex, national origin, age, disability (and/or need for reasonable accommodation), veteran status or any other legally protected class. Name   Position applied for                      Referred By: Walk In    Government Employment Agency    Advertisement--list source    School        Employment Agency Employee--Please list name Other-Please explain: Sex: Male   Female Race: White   Black (not of Hispanic origin) Hispanic           American Indian   Asian/Pacific Islander Alaskan Native Maverick's Site Map

Retail & Financial Equipment 1500 Industry Street Suite 200 - Everett, WA 98203 - TEL: 425.355.7474 - FAX: 425.347.4634