Employment Application Form

  • * Indicates required fields Application Date: 06/22/2024
  • Address:          
  • Alternate Address:
  • (Home Telephone) (Mobile Telephone)
  • * Indicates required fields Application Date: 06/22/2024
  • How did you learn about our company?
  • Are you prevented from lawful employment because of your visa or immigration status? Yes No
    Please Indicate Visa Type or other Immigration Status, If applicable
    Visa Type:                      Other:  
  • *  Were you ever convicted of a Felony?    Yes    No
    If yes, Explain (Max 500 characters)           
    Applicants are not obligated to disclose sealed or expunged records of convictions or arrests.
    * Have you served in the U.S. Armed Services?    Yes    No
  • * Position Sought: * Available Start Date:
    * Salary Desired : * Are you currently employed ?
    Yes No
  •   Application Date: 06/22/2024
  • Education Name And Location Graduate-Degree Major/Subjects
    Please list your areas of highest proficiency, special skills or other items if applicable that may contribute to your
    abilities in performing the above mentioned position
     Max 500 characters.
  •   Application Date: 06/22/2024
  • Summarize if applicable, any special training skills, licenses and certificates that may assist you in performing the
    position for which you are applying:
     Max 500 characters.
    Computer Skills     Include software titles and years of experience.
    Software Name Yrs of Exp
  •   Application Date: 06/22/2024
  • List name and telephone number of three business/work references that are not related to you and are not previous
    supervisors. If not applicable, list three school or personal references that are not related to you.
    Name Title Co.Name/Address Phone Relationship
  • Application Date: 06/22/2024
  • I certify that all information I have provided in order to apply for and secure work with RMIC is true, complete and correct.

    I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview.

    I hereby waive any and all rights and claims I may have regarding RMIC, its agents, employees or representatives, for seeking, gathering and using truthful and non-defamatory information, in a lawful manner, in the employment process and all other persons, corporations or organizations for furnishing such information about me.

    I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary for me to reapply and fill out a new application.

    I also understand that if I am hired, I will be required to provide proof if identity and legal authorization to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.

    RMIC does not tolerate unlawful discrimination in its employment practices. No question on this application is used for the purposes of limiting or excluding an applicant from consideration for employment on the basis of his or her sex, race, color, religion, national origin, citizenship, age disability, or any protected status under applicable federal, state or local law. RMIC likewise does not tolerate harassment based on sex, race, color, religion, national origin, citizenship, age, disability, or any other protected status. Examples of prohibited harassment include, but not limited to, unwelcome physical contact, offensive gestures, unwelcome comments, jokes, epithets, threats, insults, name-calling, negative stereotyping, possession or display of derogatory pictures or other graphic materials, and any other words or conduct that demeans, stigmatize, intimidate, or single out a person because of his/her membership in a protected category. Harassment of our employees is strictly prohibited, whether it is committed by a manager, coworker, subordinate, or non-employee (such as a vendor or customer). The Company takes all complaints of harassment seriously and all complaints will be investigated promptly and thoroughly.

    I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to eliminate me from further consideration for employment, or may result in my immediate discharge from the employer’s service, whenever it is discovered.

I agree to the application statements. I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement.
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