CREATE WITH US

EMPLOYMENT APPLICATION

First Name

Last Name

Email Address

Phone

Street Address

City

State

Zip code

Date Available

Are you a citizen of the United States?

YES

Desired Salary: $

If no, are you authorized to work in the United States

YES

Have you worked for this company before?

YES

If yes, when?

Have you ever been convicted of a felony?

YES

If yes, explain:

EDUCATION

High School:

Did you graduate?

YES

If yes, date:

College:

Did you graduate?

YES

From

Degree:

Adittional Training, Vo-Tech, Skills:

REFERENCES

Full Name:

Company:

Relationship:

Phone:

Address

Full Name:

Company:

Relationship:

Phone:

Address

PREVIOUS EMPLOYMENT

Company:

Address

From

Job Title:

Phone:

Supervisor:

Reason for leaving:

Responsibilities:

Company:

Address

From

Job Title:

Phone:

Supervisor:

Reason for leaving:

Responsibilities:

I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

I understand that BlueArc Innovations, LLC is an at will employer. This means your employment is subject to termination by you or BlueArc Innovations, LLC with or without cause, with or without notice, and at any time. Nothing in this shall be interpreted to be in conflict with or to eliminate or modify in any way, the at-will employment status of BlueArc Innovations, LLC employees. Nothing in this application is intended to constitute a contract of employment, express or implied.

Your Signature

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EMPLOYEE AFFIRMATION OF
DRUG AND ALCOHOL TESTING POLICY
As an employee, I understand that all positions for BlueArc Innovations, LLC are safety-sensitive positions. I am aware that I may be required to undergo a drug and/or alcohol screen at any time as outlined by BlueArc Innovations, LLC policy requirements and that I will be informed no earlier than the day of the drug/alcohol screen. I understand that I may be referred to an education and treatment program depending on the results of the drug/alcohol screen. I agree to abide by all provisions of the anti-drug Policy as a condition of my continued employment with the company. I am aware and agree that the Policy does not create any contractual rights in my favor or in any way alter the at-will nature of my employment or imply that discharge will occur only "for cause."
I have understand that all positions are safety-sensitive and do not allow for the use of marijuana.
I understand that if I use marijuana, medical or not, I have violated company policy and it is grounds for termination.
I affirm and understand that if the results of my drug screen are confirmed positive for any drug or alcohol while employed at BlueArc Innovations, LLC, I will be terminated immediately

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EMPLOYMENT APPLICATION

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PREVIOUS EMPLOYMENT

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