RBI Online Employment Application

Application for Employment

PLEASE ANSWER ALL QUESTIONS COMPLETELY

Use TAB key to navigate - Do Not press Enter

Personal Information

Name

Email

Address

City

State

Zip Code

Telephone

INSERT AS 123-456-7890

Fax

INSERT AS 123-456-7890

Employment Desired

Position

Availability

Wage Desired

YES

Are you employed now?

If so, may we contact your current employer?

Have you ever applied to RBI Bearing before? If so, when?

Are you legally eligible for employment in the United States?

If you are under 18 years of age, can you provide required proof of your eligibility to work?

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?

Will you work overtime if asked?

EDUCATION			GRADUATE?
	NAME & LOCATION OF SCHOOL	YEARS ATTENDED	YES	NO
GRAMMAR SCHOOL
HIGH SCHOOL
COLLEGE
TRADE/BUSINESS


WORK HISTORY
Current Employer
Address
Telephone
Date Started
Date Left
Position
Salary/Hourly Rate
Supervisor
Reason for Leaving

Next Employer
Address
Telephone
Date Started
Date Left
Position
Salary/Hourly Rate
Supervisor
Reason for Leaving

Next Employer
Address
Telephone
Date Started
Date Left
Position
Salary/Hourly Rate
Supervisor
Reason for Leaving

Next Employer
Address
Telephone
Date Started
Date Left
Position
Salary/Hourly Rate
Supervisor
Reason for Leaving

	Equal Opportunity Employer RBI Bearing, Inc is an Equal Opportunity Employer. All individuals considered for employment are evaluated without regard to race, color, religion, gender, national origin, age, marital or veteran status, the presence of a non-job related handicap or any other legally protected status.

	I authorize investigation of all information contained in the application for employment. I affirm that all information contained in this document is complete and that any misrepresentation, falsification, or willful omission herein shall be sufficient reason for dismissal or refusal of employment. I understand that any employment with this organization is contingent on my satisfactory reference review, medical examination, criminal background check, and pre-employment drug screen, if applicable. In addition, I grant RBI Bearing, Inc permission to contact any previous employer(s) listed on this application for the purpose of reference checks, unless otherwise noted on this document. I also grant permission to any such previous employer to disclose any and all information concerning my previous employment. By submitting this application, I have read and understand the above terms. If selected for an interview, I understand that I may be required to provide additional information regarding my social security number and driver's license number for verification purposes. Please complete the following to indicate you have read and agree with the above declaration: Name and City of Birth
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