Courtland Job Application

Employment Application

This application is not an employment contract but merely intended to evaluate suitability for employment. It is the policy of Courtland Consulting to provide equal employment to all qualified persons without discrimination on the basis of sex, race, color, religion, age, national origin, citizenship, disability, veteran status, or any other status protected under local, state or federal law. It is also the policy Courtland Consulting to have the option of conducting pre-employment screening before a job offer is made. If a job offer is made, employment may be contingent upon the successful completion of a pre-employment drug screening and/or medical examination.
(*) indicates a required field
Personal Information
Name*
First Middle Last
Cell Phone*
Work Phone
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Address Since*
Month
Day
Year
Employment Information
Date you can start
MM slash DD slash YYYY
Are you willing to travel?
- Yes
- No
Are you willing to relocate?
- Yes
- No
If you are willing to relocate, please provide dates and locations
References
Name Address Telephone Relationship Years Acquainted

Please provide at least three references. Click the plus sign to add another reference.
Upload Your Résumé
Accepted file types: doc, docx, pdf, txt, Max. file size: 50 MB.
Attach your résumé to this application.
Applicant Certification Agreement
1. Courtland Consulting and other persons or employers are released from all liability brought forth by any investigation resulting from my submission of this electronic application and the data contained here in.
2. The information in this application is true and complete to the best of my knowledge. Any falsification, misrepresentation, or omission on this application can be cause for denial or termination of employment.
3. If hired, my employment is voluntary, meaning that either party can terminate employment at any time for any reason. Upon acceptance of employment if a position is offered, I agree to abide by all existing and future company rules and regulations. Courtland Consulting reserves the right to change any working agreement as deemed necessary.
4. Any employment offer is contingent upon my providing proof of identity and eligibility to work in the United States of America.
5. I have read and reviewed the information provided in this application and the above statements. I certify that I understand all parts of it and have answered all questions completely and fully.
6. I understand that by accepting and submitting this application electronically, this becomes a legal and binding contract.
Consent*
I accept and agree to the Applicant Certification Agreement.
Signature
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Courtland Job Application

Employment Application

Personal Information

Employment Information

Applicant Certification Agreement

Contact

Email Sign-Up

@Courtland Cares

Name	Address	Telephone	Relationship	Years Acquainted