Options Full Application

Position Applying for:*

City*

How did you discover Options?*

Tell us how you heard about Options

If you were referred by a current or former Options employee, please list their first and last name.

Please list first and last name of person who referred you

Have you worked for us before?*

Name*

First Middle Last

Phone*

Your phone number

Email*

Your email address

Home Address*

Street Address Address Line 2 City State ZIP Code

Your Home Address

Highest Level of Education you have completed*

High School Diploma/Equivalent
Some College
Associate's Degree
Bachelor's Degree
Master's Degree
Higher than Master's

Eligibility

Do you have a legal right & necessary documents to work in the US?*

Yes
No

Identity and employment eligibility of all new hires will be verified as required by the immigration reform and control act of 1986.

Employment History

Most Recent Employer*

Job Title*

Supervisor Name*

Dates Employed*

Employer Phone Number*

Employer Email*

Reason for leaving (or whether currently employed there)*

Summary of Responsibilities*

Previous Employer 2*

Job Title*

Supervisor Name*

Dates Employed*

Employer Phone Number*

Employer Email*

Reason for leaving (or whether currently employed there)*

Summary of Responsibilities*

Previous Employer 3*

Job Title*

Supervisor Name*

Dates Employed*

Employer Phone Number*

Employer Email*

Reason for leaving (or whether currently employed there)*

Summary of Responsibilities*

References

Please list the names of three persons not related to you whom you have known at least one year.

Reference 1*

Name, Phone, Relation, Years Known

Reference 2*

Name, Phone, Relation, Years Known

Reference 3*

Name, Phone, Relation, Years Known

Drug/Alcohol Screening Procedures

Drug/Alcohol Screen Procedures*

Options has adopted drug and/or alcohol screening procedures for all new hires. All candidates/participants who have received an offer of employment with Options will be tested. Employment will be contingent upon passing the drug and/or alcohol screen.

Authorization

Authorization*

I certify that the facts contained on this form are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for immediate termination. I authorize investigation of all statements contained here in and the references, schools, and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release Options for any damage that may result from utilization of such information. Furthermore, I understand that just as I am free to resign at any time, Options reserves the right to terminate my employment at any time, with or without cause and without prior notice. I understand that no representative of Options has the authority to make any assurances to the contrary.

I Accept Consent*

Electronic Signature Agreement. By selecting the "I Accept" button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement.

I Accept Consent*

I acknowledge the EEOC statement provided. Various Federal, State and Local Laws prohibit discrimination based on race, color, sex, religion, national origin, age, disability, or marital status. Options is an equal opportunity employer. Applicants for all job openings are welcome and will be considered without regard to race, color, sex, age, sex orientation, physical or mental disabilities, or any other basis protected by State, Federal or Local Law. Options will verify social security numbers. Employees will be subject to immediate termination if the social security administration is unable to conﬁrm the validity of the social security numbers.

Name

First Middle Last

Please print your name as your signature of consent.

Date of Application*

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Comments

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Options Full Application

Options Employment Application

Eligibility

Employment History

References

Drug/Alcohol Screening Procedures

Authorization