Join the LHR family

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Where did you hear about LHR Inc.?

Media
Referral: Who Referred You

Other: Please Explain

We are an equal opportunity employer. Applicants are considered for positions without regard to race, religion, sex, national origin, age, disability, or any other consideration made unlawful by applicable, federal, state, or local laws.

Your Information

Position Applied For*
First Name*
Last Name*
Email Address*
Social Security Number
Desired Salary/Hourly pay*
Desired Start Date* - -

Present Address

Street*
City, State, Zip*
How long have you
lived there? * Years

Previous Address (if less than two years from above)

Street
City, State, Zip

Phone Numbers

↓ Please enter a valid 10-digit phone number. Ex. 888-123-4567| ↓
Phone*
Alternate Phone
ex: 123-123-1234

Have you previously applied at LHR Inc?*

No
Yes
If yes, when?

Instructions for answering the next two questions

New York applicants: An ex-offender who is denied employment may, upon written request, receive a statement of the reason(s) for denial within 30 days of the applicant's request for such information.
All applicants: Do not include convictions that were sealed, eradicated, erased, annulled or expunged by a court, or convictions that resulted in referral to a diversion program.

Have you ever plead guilty or no contest to, or been convicted of any criminal offense other than the applicable exceptions listed above?*

Have you ever been arrested for any matters for which you are out on bail or on your own recognizance pending trial?*

CRIMINAL OFFENSES ONLY: If you answered yes to either of the above two questions, please provide the date(s) and explain in accordance with the above instructions so that individual circumstances can be considered.

Criminal convictions or arrests will not automatically disqualify an applicant from a particular job. LHR Inc. will consider the nature of the crime, its seriousness, whether the conviction(s) substantially relates to the position’s functions and qualifications, the frequency of convictions, the applicant’s age at the time of conviction, the time elapsed since the date of conviction or completion of jail sentence, the applicant’s entire work and educational history, and employment references and recommendations.

Have you ever initiated an act of violence in the workplace?*

No
Yes
If yes, please provide date(s) and explain

Education

	Name & Location	Graduate?	Yrs.Att.	Degree
High School		No Yes
College		No Yes
Other		No Yes

Are you?

Bilingual Trilingual Neither
What other languages
can you speak?

ex: Spanish, French, Russian, etc.

Is any additional information relative to change of name, use of an assumed name, or nickname necessary to enable a check on your work and educational record?

Work experience

Employer (1)

Name of Company*
City, State, Zip*
Company Type*
↓ Please enter a valid 10-digit phone number. Ex. 888-123-4567 ↓
Telephone* ex: 123-123-1234
Years employed*
to
Job Title*
Duties*
Supervisor's Name*
May we contact?*
No
Yes
If no, why not?
Reason for Leaving*
How much notice did you
give before you left?*

Employer (2)

Name of Company
City, State, Zip
Company Type
↓ Please enter a valid 10-digit phone number. Ex. 888-123-4567 ↓
Telephone ex: 123-123-1234
Years employed
to
Job Title
Duties
Supervisor's Name
May we contact?
No
Yes
If no, why not?
Reason for Leaving
How much notice did you
give before you left?

Employer (3)

Name of Company
City, State, Zip
Company Type
↓ Please enter a valid 10-digit phone number. Ex. 888-123-4567 ↓
Telephone ex: 123-123-1234
Years employed
to
Job Title
Duties
Supervisor's Name
May we contact?
No
Yes
If no, why not?
Reason for Leaving
How much notice did you
give before you left?

Please explain fully all gaps in your employment history in excess of one month.

Have you ever been terminated or asked to resign from any job?*

Has your employment ever been terminated by mutual agreement?*

Have you ever been given the choice to resign rather than be terminated?*

If you answered yes to any of the above three questions, please explain the circumstances of each occasion.

REFERENCES

Please list the names of additional work-related references we may contact. Individuals with no prior work experience may list school or volunteer related references.

	Name	Company	Phone # ex: 123-123-1234
1.*
2.*

Please list the names of personal references (not previous employers or relatives) who know you well that we may contact.

	Name	Relation	Phone # ex: 123-123-1234
1.*
2.*

If you have a resume that you would also like to upload, please attatch it here

I understand that neither this application nor any communication by a management representative is intended to create or does create a contract of employment, offer, or promise of employment. I acknowledge that if hired by the company, employment is on an at-will basis. This means the company is free to terminate my employment at any time, with or without cause or advance notice, in accordance with state law, and acceptance of employment is not a contract of employment for any specified time. Similarly, I am free to terminate my employment with the company at any time for any reason. This at-will provision may be modified or waived only in written agreement signed by an authorized representative of the company and me. I agree to conform to the rules and regulations of the company, and I understand that the company has complete discretion to modify such rules and regulations at any time, except that it will not modify its policy of employment at-will.

This application will be considered active for a maximum of sixty (60) days; if you wish to be considered for employment after that time, you must reapply.

I CERTIFY THAT ALL OF THE INFORMATION THAT I HAVE PROVIDED ON THIS APPLICATION IS TRUE, ACCURATE, AND COMPLETE.