Application
for Employment –BioTour
Please attach your resume to this email
BioTour is an equal
opportunity employer and considers applications for all positions without
regard race, color, creed, religion, sex, national origin, age, veteran status,
sexual orientation, or any other legally protected status.
Date of
Application_______________ Position(s) Applied For: ___________________
How did you hear about
this position? ________________________________________
Name: ______________
__________________________________________________
Address:
________________________________________________________________
Primary Telephone:
(____)_____________________
Email Address:
(___)___________________________
Social networks:
Facebook _________________________
Myspace _________________________
CouchSurfing _________________________
Other _________________________
Social Security Number:
___________________________________________________
Type “Yes” or “No” Before each question asked:
_____ Are you legally eligible
for employment in
this country?
_____ Are you at least 21 years
of age?
_____ In the past seven years, have you been convicted
of any crimes other than minor
traffic violations? (a pre-employment background check will be conducted. A
conviction record will not necessarily be a bar to employment; type of offense
in relation to the job will been taken into account.)
Please
explain: _______________________________
_____ You have been provided with a copy of
the job
description. Can you, with
reasonable accommodation, perform the essential functions of this position?
_____ Do you have a valid driver’s license?
_____ Have you been convicted of any moving
violations
in the last five years?
Please
specify___________________________________
Employment / Volunteer History:
Employer__________________ Dates Employed____________ Job
Title____________
Contact person______________ Telephone / Email
______________________________
Type of work performed
___________________________________________________
Employer__________________ Dates Employed____________ Job
Title____________
Contact person______________ Telephone / Email
______________________________
Type of work performed
___________________________________________________
Education
Name and location Years Completed Course of Study
High School____________________________________________________________
College/University________________________________________________________
Graduate/Other___________________________________________________________
Other relevant experiences i.e.
travel, volunteer project, personal etc:
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
References
Name Occupation Relationship Contact info yrs known
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Special Skills and Qualifications
Please summarize any related
skills and experience
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Addition questions:
What do you hope to gain from this experience?
What in your opinion are the biggest challenges we face
in order to become a sustainable society and how we best address those
challenges?
What can you bring to BioTour that can help “enliven the
Sustainability Movement”?
Notification and Agreement
I certify that all answers given herein are true, accurate
and complete to the best of my knowledge. I authorize investigation of all
statements contained in this application for employment as may be necessary in
arriving at an employment decision. I release from all liability anyone
supplying such information; I also release the potential employer from all
liability that might result from making an investigation. I the event of
employment, I understand that false or misleading information given in this
application or interviews may result in discharge.
I understand that submission of an application does not
guarantee employment. I further acknowledge that should n offer of employment
be extended, that such employment is of an “at will” nature and may be
terminated by either party, at any time, with or without cause, and with or
without notice.
If hired, I agree to abide by al of the company rules,
regulations, and procedures and understand that failure to do so will result in
discharge. I agree to engage in no outside activity which would involve
material conflict of interest with, or which could reflect adversely on, the
organization.
I understand that, if offered a position, I will be required
to submit to a background check and/or driving record check as a condition of
employment. I further understand my employment is contingent on satisfactory results
form these checks; unsatisfactory results will result in withdrawal of any
employment offer or termination of employment if already employed.
By entering my initials below, I understand this will be
observed as my signature. I
acknowledge that I have read, understood, and agree to the above statements.
Initials/Date
________________________