Employee Application - Venture Greatly Productions

Date*

Name*

First Last

Phone*

Email*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Position Applying For*

Salary / Hourly Wage Requested*

Available Start Date*

Days and Hours Available*

Emergency Contact Name*

First Last

Emergency Contact Phone*

Highest Level of Education*

Most Recent Employer*

Most Recent Employer Phone*

Most Recent Employer Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Please describe duties and responsibilities at Most Recent Employer*

Starting Salary*

Ending Salary*

Position*

Employment Dates*

Reason for leaving Most Recent Employer*

Can we contact this employer for a reference?*

Supervisor's Name

Supervisor's Phone

Additional Employer

Additional Employer Phone

Additional Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Please describe duties and responsibilities at Additional Employer

Starting Salary

Ending Salary

Position

Employment Dates

Reason for leaving Additional Employer

Can we contact this additional employer for a reference?

Hidden

Supervisor's Name

Hidden

Supervisor's Phone

Tell us about any special training, technical skills, computer programs, etc you can operate

Have you ever been convicted of a felony or misdemeanor?*

Please explain this conviction

Please list any personal references with their contact information and relationship

Please list any Professional references with their contact information and relationship

Unconditional Release: I understand that I may be subject to immediate termination in the event any statement in this application is discovered to be false. I agree to comply with all the rules of Venture Greatly, LLC (Company). I hereby affirm and declare that all statements are true and correct, and that I have not knowingly withheld any fact that would, if disclosed, affect my application unfavorably. I hereby authorize the Company to conduct any investigation it deems necessary of the information in this application. I also hereby authorize this Company to release such information, together with their opinions on these matters, without any liability for any damage whatsoever caused either directly or indirectly by giving such information or opinions. I authorize any former employer, present employer, school, college or university, railroad, common carrier, utility company, personal reference and/or any other person or persons to give any information they may have concerning my character and employment record. I hereby unconditionally release any named or unnamed informant from any and all liability resulting from the furnishing of this information. I understand that employment by the Company is conditioned on submission by me of verification of my legal right to work in the United States as required by Federal Law. I understand that periodic personnel interviews are administered to all employees by our Company management or an authorized representative. The interview will cover areas of morale, attitude toward the Company, suggested changes in policy and procedures, as well as input regarding the effectiveness of management. The Company encourages open, honest communication through participation in these interviews. I further understand that Company sometimes uses a polygraph procedure in connection with an ongoing investigation involving economic loss or injury to Company business, such as theft, embezzlement, misappropriation, or an act of unlawful industrial espionage or sabotage. I understand Company is an “at will” employer and Company or the employee can terminate employment at any time for any reason. I hereby authorize Company and/or any entity directed by Company to investigate my personal history academic/professional credentials, military service records, criminal, driving, financial and credit record through any investigative or credit bureau of Company’s choice. A “consumer credit report” includes any information regarding my credit worthiness, credit standing, credit capacity. I understand and agree that a consumer credit report may be obtained at any time, and any number of times, as Company in its sole discretion determines is necessary before, during or after my employment. I further understand and agree that Company may release information obtained in this investigation to any Client (i.e. hospital, daycare, etc.) with whom I may be working. I understand that as a condition of employment, I may be required to undergo and successfully pass a screening for alcohol and/or drugs. I also understand and agree that, if employed, I may be required to submit to an alcohol or drug screening at any time at the discretion of Sweet Seedlings. I hereby consent to having the results of any such alcohol or drug screening I may be required to undergo disclosed to Venture Greatly.

Signature