Employment Application
APPLICANT INFORMATION

Applicant Name

Date of Birth

EDUCATION
REFERENCES

Please list three references.

PREVIOUS EMPLOYMENT
MILITARY SERVICE
EMERGENCY CONTACT INFORMATION
DISCLAIMER AND SIGNATURE

Atlantic Coast Staffing is an equal opportunity employer. Atlantic Coast Staffing does not discriminate with regard to race, color, religion, creed, national origin, age, or sex.

If hired, I understand that Atlantic Coast Staffing may terminate my employment at any time and for any reason, with or without cause, and without prior notice. I understand that no representative of Atlantic Coast Staffing has the authority to make any assurance to the contrary.

I have given Atlantic Coast Staffing true and complete information on this application. No information has been concealed. I authorize Atlantic Coast Staffing to conduct reference checks, criminal background checks, DMV history and drug testing. Any information found to be false or concealed, will constitute cause for denial of employment or immediate dismissal.

I understand that should employment be offered and accepted by me, I will fully adhere to the policies, rules and regulations of the employer. I further understand that neither the policies, rules, regulation of employment nor anything discussed during the interview process shall be deemed to constitute the terms of implied employment.

I further understand that any employment offered is for an indefinite duration and at will and that either I or the Employer may terminate my employment at any time with or without notice or cause.