employment application- co linx, l l c（就业应用程序- co linx l l c）.doc

Employment Application Please use black ink or type. Print clearly and sign this application on the last page. Last Name First Name Middle Name U.S. Social Security No. Street Address City and State Zip Home Telephone Cell Phone Best time to contact you Email Address DO YOU HAVE A LEGAL RIGHT TO WORK IN THE U.S.? ( YES ( NO If no, stop the application process here. Note: If you are offered employment you will be required to furnish proof of U.S. Citizenship or your authorization to work in the U.S. as specified by the E-Verify Program of the U.S. Have you ever been convicted of a felony (including a plea of “no contest”) under your current name or any other name? (Note: CoLinx does not employ convicted felons) Please insert the word YES or NO___________________if yes, stop here. Have you been convicted within the past seven years of a misdemeanor resulting in incarceration? (Note: Misdemeanor conviction does not necessarily prevent employment.) Please insert the word YES or NO___________________ If yes to 2 above, fill in the following: Date Name Court Nature of Offense Disposition Describe the type of employment you desire. _____________________________________________________________________ ( Full Time ( Part Time _____________________________________________________________________ ( Co-Op Are you 18 years of age or older? ( Yes ( No ( Summer Intern Please indicate source of referral to CoLinx Please Specify Source: ( Contacted CoLinx on Own ( CoLinx Employee ( State Employment Agency ( Career Fair ( Print Advertising ( Search Firm ( University Recruiting ( Internet Site ( Other If referred by a CoLinx employee, please indicate your relationship to the employee: ________________________________________________________________________________ Printed Name of CoLinx Employee __