Employment Application

    Application

    TAX USA.

    Position applying for:

    EMPLOYEE INFORMATION

    Name:

    Telephone:

    Email:

    Alternate telephone:

    Address:

    Are you able to perform the essential functions of the position with or without accommodations?

    YesNo

    If necessary for the job are you older than:

    I am legally eligible for employment in the U.S.?

    yesNo

    I am seeking a permanent position:

    yesNo

    I will be able to report to workdays after being notified I am hired.

    If necessary for the job, I am able to:

    Work overtime?yesNo

    EMPLOYMENT HISTORY

    List most recent employment first. Include summer or temporary jobs. Be sure all your experience or employers related to this job are listed here, in the summary following this section or on an extra sheet of paper if necessary. No more than 10 years history recommended.

    EDUCATION

    High school

    College/university

    Business/technical

    Additional

    MILITARY

    Are you a veteran?yesNo

    Duty/specialized training:

    SKILLS & QUALIFICATIONS

    Q. Have you done taxes before?

    Ans:

    Q. How many years if yes:

    Ans:

    Q. What software did you make use of ?

    Ans:

    Q. Other qualifications such as special skills, abilities or honors that should be considered:

    Ans:

    Q. Types of computers, software, and other equipment you are qualified to operate or repair:

    Ans:

    Q. Professional licenses, certifications or registrations:

    Ans:

    Q. Additional skills, including supervision skills, other languages or information regarding the career/occupation you wish to bring to the employer’s attention:

    Ans:

    REFERENCES

    List two personal references who are not relatives or former supervisors.

    CONTACT

    In case of accident or illness, please contact:

    INFORMATION TO THE APPLICANT

    As part of our procedure for processing your employment application, your personal and employment references may be checked. If you have misrepresented or omitted any facts on this application, and are subsequently hired, you may be discharged from your job. You may make a written request for information derived from the checking of your references.
    If necessary for employment, you may be required to: supply your birth certificate or other proof of authorization to work in the United States, have a physical examination and/or a drug test, or to sign a conflict of interest agreement and abide by its terms. I understand and agree to the information shown above.

    Signature of Applicant

    [signature signature-242 color:black background:white]

    Date

    Equal Employment Opportunity: While many employers are required by federal law to have an Affirmative Action Program, all employers are required to provide equal employment opportunity and may ask your national origin, race and sex for planning and reporting purposes only. This information is optional and failure to provide it will have no affect on your application for employment.

    Developed at employer request by the Alaska Department of Labor & Workforce Development, Employment Security Division.

    The employment application form is best viewed on a computer device due to amount of fields and data to be collected. Please view this page on a computer and submit your application.
    Thanks

    Tax USA Team.

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