Employment Application

Zak Incorporated is an Equal Opportunity Employer. It is our policy to abide by all Federal, State and local laws concerning discrimination in employment. No question in this application is intended to elicit information in violation of any such law nor will any information be obtained in response to any question be used in violation of any such law.

* Indicates required fields.   * Last Name: * First Name: * Middle:   Street Address:   Home Phone: * Email:   City:    State:    Zip code: How long at present address?   Position applying for:   Wages   Expected: Were you previously employed by this organization?: Yes: Dates:    Department:        No: List any relatives or friends working for this organization: Name: Relationship: Name: Relationship: In case of accident notify:                                Phone: Have you been convicted of a crime in the past 10 years, excluding misdemeanors and summary offenses, which has not been anulled, expunged or sealed by a court? (A conviction record will not necessarily be a bar to employment.) If "yes" please describe in full detail: Yes: No:   Can you verify you legal rights to work in the U.S. by providing a birth certificate, proof of U.S. citizenship, or by some other means? Yes: No:    Are you able to perform the job(s) for which you are applying? Yes: No:   Upload a resume or continue filling out this application. Yes, Upload:     Attach file 1 here:    Attach file 2 here:   Education Name / Location of School Course of Study No. of Years Completed Did you Graduate? Diploma or Degree High School Yes: No:   Trade or Business School Yes: No:   College or University Yes: No:  Graduate School Yes: No:   Have you served an apprenticeship? Yes:  No:  Type of Trade   How long did you serve?              Where did you serve?    When did you serve?        Mechanical and/or Technical Experience (Describe any and all qualifications):        EXPERIENCE - List Present and former Employers for last 10 years beginning with most recent.   Name and Address of Company Supervisor Describe your work Last Wages Dates Reason for Leaving                                      May we contact the above employers?  Yes:   No:   If "No" indicate which one(s) you do not want us to contact.  Additional Remarks:     Applicant's Certification - Please read carefully before submitting. I certify to the best of my knowledge and belief, the answers given by me to the foregoing questions and the statements made by me in this application are correct and complete. I understand that misrepresentation or omission of facts in this application may result in discharge. If employed I understand that such employment may be terminated at any time, without prior notice, and that my employment will not be governed by any expressed or implied contract but is at-will. Name:      Date: