Employment Application

Tell Us What You Are Looking For:
Position desired:*
Type of Employment:*
- Full Time
- Part Time
- Temporary / Seasonal
When can you start?*
Date Format: MM slash DD slash YYYY
How many days out of each week can you work?*
How many hours can you work weekly?*
Please advise if you see any area where you would not be able to fulfill the requirements of the role:*
The hours for the role are M-T 8:00 am - 4:30 Friday 8:00am - 2:30 pm (Potential for Overtime) do you have any concerns or restrictions that would prevent you with complying with these work hours?*
Please advise your salary expectation range:*

Tell Us More About Yourself:
Tell us something that you think is unique about you:*
Why do you want to work for Simson Maxwell?*
How would you describe great customer service?*
What are the things you liked about your previous jobs?*
What are some of the things you did not like about your previous jobs?*

Tell Us About Your Past Experience:
Start with your most recent employer. You may include as part of your employment history any work performed on a volunteer basis, but please do not include specific information concerning membership in organizations which are identified by religion, ethnic background or any other prohibited grounds of discrimination.
Position 1:
Name of Employer:
Phone
Start Date:
Date Format: MM slash DD slash YYYY
End Date:
Date Format: MM slash DD slash YYYY
What was your title?
Salary:
What were your responsibilities?
Why did you leave?
Who was your supervisor?
May we contact them?
- Yes
- No
Position 2:
Name of Employer:
Phone
Start Date:
Date Format: MM slash DD slash YYYY
End Date:
Date Format: MM slash DD slash YYYY
What was your title?
Salary:
What were your responsibilities?
Why did you leave?
Who was your supervisor?
May we contact them?
- Yes
- No
Position 3:
Name of Employer:
Phone
Start Date:
Date Format: MM slash DD slash YYYY
End Date:
Date Format: MM slash DD slash YYYY
What was your title?
Salary:
What were your responsibilities?
Why did you leave?
Who was your supervisor?
May we contact them?
- Yes
- No

Education:
Type of School:
Course of Study or Major:
Year Completed:
Type of School:
Course of Study or Major:
Year Completed:
Type of School:
Course of Study or Major:
Year Completed:
List any related certifications or licenses you currently possess:

References:
Who may we contact as a reference?
Name:
Phone
Name:
Phone
Consent*
PLEASE READ CAREFULLY BEFORE SUBMITTING:
PLEASE READ CAREFULLY BEFORE SUBMITTING:
I agree to provide proof of work eligibility on or before my date of hire. All of the information contained in this application is true and complete. If I have falsified any of this information or if I have omitted information which a reasonable person would consider material to my suitability for the position for which I am applying, my application will be rejected or if I am hired, my employment will be terminated without notice or pay in lieu of such notice regardless of the time lapse before discovery. Simson Maxwell may inquire of such persons, employers, education institutions, investigative consumer reporting agencies, or other entities as it deems appropriate concerning my background and qualifications. I authorize and request all such persons and entities to disclose to Simson Maxwell such knowledge of or records concerning me as they may possess and release information and forever discharge all such persons and institutions from any liability of any kind from such disclosure.
In the event that I am employed by Simson Maxwell, I understand that I must comply with all company polices and rules whenever adopted or modified.
I understand that depending on the position I have applied for, Simson Maxwell or its agent(s) may require that my candidacy undergo further analysis with regard to my experience, background and qualifications and any employment may be may conditional thereto.
My submitting is evidence that I have read and agree with the above statement.

Employment Application

Employment Application

Step 1 of 6

Job Application Form

Tell Us What You Are Looking For:

Tell Us More About Yourself:

Tell Us About Your Past Experience:

Position 1:

Position 2:

Position 3:

Education:

References: