We're your Advocates in the
legal marketplace, representing
you and the way you want to work.

The Advocates, Inc. Application for Employment

The Advocates (“the Company”) is an equal opportunity employer and does not discriminate on the basis of age, gende, race, religion, color, national origin, marital status, disability or service in the uniformed services, as defined by law, or in any other protected category under applicable law. No question on this application is used for the purpose of limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Equal access to employment, services, and programs is available to all persons.

Applicants who are in need of any reasonable accommodation in the application process are encouraged to inform the Company of such need.

Personal History

Applicant Name:

Date:

What has prompted you to seek employment with us at this time?

Address:

Primary Phone:

Secondary Phone:

Social Security #:

What type of employment are you looking for?

Full-Time
Part-Time
Temporary-Time

Date you will be available to start work:

Can you travel if required by this position?

Yes
No

If you are under 18, can you furnish a work permit if it is required?

Yes
No
I'm Over 18

How were you referred to us?

Employment Desired

Position(s) applied for or type of work desired:

Date Available:

Salary Desired:

Are you currently employed?

Yes
No

If yes, last full year wages:

Have you ever been previously employed by, or applied to our organization?

Yes
No

Are you authorized to work in the United States?

Yes
No

If accepted for employment you must provide documentary proof of identity and authorization to work in the United States within 72 hours of hire.

Have you signed any agreement with a former employer by which you agreed not to work in any specified industry or geographic area for any specified period of time, or have you signed any other form of non-competition, non-solicitation or confidentiality agreement?

Yes
No

Eductional History

Name of High School:

Diploma/
Degree?

Yes
No

Name of College:

Diploma/
Degree?

Yes
No

Name of Graduate School:

Diploma/
Degree?

Yes
No

Technical Training:

Summarize any job-related training, skills, licenses, certificates, and/or other qualifications:

Honors/Awards or any other info you feel may be helpful to us in considering your employment application:

Employment History

Please provide all employment information for your past four employers starting with the most recent.

Position #1

Employer:

Position Held:

Address:

Telephone:

Immediate supervisor and title:

Dates employed:

from to

Salary:

Job Summary:

Reason for Leaving:

Position #2

Employer:

Position Held:

Address:

Telephone:

Immediate supervisor and title:

Dates employed:

from to

Salary:

Job Summary:

Reason for Leaving:

Position #3

Employer:

Position Held:

Address:

Telephone:

Immediate supervisor and title:

Dates employed:

from to

Salary:

Job Summary:

Reason for Leaving:

Position #4

Employer:

Position Held:

Address:

Telephone:

Immediate supervisor and title:

Dates employed:

from to

Salary:

Job Summary:

Reason for Leaving:

Please fully explain any gaps in employment history:

References

Reference #1

Name:

Phone:

Years Known:

Reference #2

Name:

Phone:

Years Known:

Reference #3

Name:

Phone:

Years Known:

Legal Record

This section does not apply to applicants in Hawaii, Massachusetts, New Hampshire, Washington or Washington D.C.

Have you ever been convicted of a felony which has not been expunged or sealed by a court?

Yes
No

If yes, please explain (a conviction will not automatically bar employment):

Authorization and Signature

I hereby affirm that the information provided on this application (and any resume submitted) is true and complete and that I have withheld nothing that would, if disclosed, affect this application unfavorably. I understand that any false or misleading representations or omissions may disqualify me from further consideration for employment and may result in dismissal if discovered at a later date.

I understand that completion of this application does not assure me of a position with the Company. I also understand that neither this application nor any other document constitutes a contract of employment for a specific term and that any employment relationship that may be established will be "at will" and may be terminated at any time, for any reason or no reason, by me or the Company. I understand that no representative of the Company has any authority to enter into any agreement for employment with me contrary to the foregoing.

I hereby authorize the Company to investigate all information pertinent to my application, including contacting current and former employers in order to determine my qualifications for employment. I hereby authorize all persons and organizations having information relevant to my application, including but not limited to colleges, universities, trade schools, former employers, etc., to provide that information to the Company and I hereby agree to hold harmless the Company and all those providing information to it from any liability arising out of or as a result of the request for, the provision of or use of such information. Without limiting the generality of the preceding paragraph, I understand that any offer of employment may be rescinded or my employment terminated if my references are inadequate or unacceptable to the Company, or if I violate any of the provisions of this Certification.

I further understand that if hired by the Company, I must abide by all of the Company's rules and regulations as set forth in the Orientation Packet, which, other than the "at will" employment policy, may be changed without notice at the discretion of the Company. I understand that: (1) the Company may require me to submit to a drug and alcohol test prior to employment and a drug and alcohol test and/or medical examination at any time during my employment, to the extent permitted by applicable law; and (2) the Company may require me to disclose to or authorize the disclosure of my criminal record and/or consumer credit report prior to employment and at any time during my employment, to the extent permitted by applicable law.

I certify that I have read, understand and agree with the above,

Applicant Signature: Date:

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The Advocates, Inc. Application for Employment