Application for employment
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Name:
Last First Middle Appendage (e.g. Jr/Sr/II)
Current Address:
Street City State Zip Code
Home Phone Cell Phone Business Phone E-mail address Referral Source
Position Applying For: Annual salary expected:
Available to start on: Office location preference:
EMPLOYMENT RECORD: Please include military service
SCHOOL NAMECOURSE AND/OR DEGREEGRADUATEDMAJOR
SUBJECT		DEGREE
RECEIVED		SCHOLASTIC
AVERAGE
REFERENCES:
NAMECOMPANYTELEPHONE
GENERAL INFORMATION
1. Will you be able to perform the functions associated with the job for which you have applied, with or without reasonable accomodations? Yes   No 
2. Are you legally eligible for employment in the US? Yes   No 
3. If you are not a US Citizen, US Permanent Resident, Temporary Resident, Refugee or Asylee, do you have the legal right to work in the US?
Please explain: 		Yes   No 
4. Have you ever been employed by BHWL?
If yes, Date Position Reason for leaving 		Yes   No 
5. Are you subject to a noncompetition or other agreement, or aware of other circumstances, that would preclude or restrict your employment with BHWL?
If yes, please describe: 		Yes   No 
6. Are there any other matters or information related to the position for which you have applied that should be known to BHWL as potential employer?
If yes, please explain: 		Yes   No 
FIRM POLICIES:

Berman Hopkins Wright & LaHam, CPAs and Associates LLP (BHWL) policies in effect at this time include, yet are not limited to:

  1. Travel outside the county in which I am employed with possible overnight stay.
  2. Smoking is not permitted in BHWL office facilities nor at BHWL sponsored meetings/functions.
  3. Harassment will not be tolerated, as it is a violation of BHWL policy and the law.
  4. Press releases with photographs will be distributed to newspapers and professional/community organizations/magazines on new employees and on newsworthy events.
  5. Independence is to be maintained in accordance with the Professional Code of Ethics.
  6. Compensation and benefits are confidential between you and BHWL partners.

The information contained in this application, my resume and any other document I provide to Berman Hopkins Wright & LaHam CPAs and Associates LLP (BHWL) in connection with my application for employment, and in my personal interviews, is accurate and complete. I understand that providing inaccurate information will result in rejection of this application or my dismissal after employment.

I understand that if I am hired, I will be requirement to provide proof of identity and legal authorization to work in the United States. You will be required to complete a federal government Form I-9 in this regard.

I also understand that employment is contingent upon satisfactory results of background investigation, which may include; college transcripts, driving record, federal and/or local criminal check and personal credit check. I also understand that I will be required to take and pass a drug test.

This application does not constitute, and may not be construed as, a commitment to employment for any specific duration. Employment with BHWL will be at will, which means that you may leave BHWL, or BHWL may require that you leave its employment for any reason, at any time. I acknowledge that I have not relied on any representations or statement, whether oral or written, regarding employment with BHWL, other than those contained in this paragraph.

 

 

Date:________________________ Signature: ____________________