Online Job Application | Innovative Talent Solutions

- Last Name*
- First Name*
- Middle Initial*
- Today's Date*
  MM slash DD slash YYYY
- Present Address*
- City, State*
- ZIP*
- Permanent Address*
- City, State*
- ZIP*
- Email*
- Home Phone*
- Cell*
- Are you legally eligible for employment in the United States?*
  - Yes
  - No
- Are you over the age of 18?*
  - Yes
  - No
- Have you ever been convicted of a misdemeanor or felony? If yes, explain:*
Are you applying for:*
- Full-Time
- Temporary
- Temp to Hire
- Direct Hire
- Any
- Are you available to work evenings and or weekends if relevant to the job?*
  - Yes
  - No
- Are you willing to work overtime?*
  - Yes
  - No
- What date are you available to start work?*
  MM slash DD slash YYYY
- Are you currently employed?*
  - Yes
  - No
- May we contact your employer?*
  - Yes
  - No
- If not currently working, did you turn in a notice?*
  - Yes
  - No
- How much notice did you give?*

Your Current Search Activity
To avoid duplication, please list all companies with which you interviewed.
*
Date of Interview Company Position Location (City) Source of Interview
Emergency Contact Information
Please list a contact person with phone number, in case of an emergency.
Name*
Relationship*
Home Phone*
Cell*

Employment History
Describe your employment history in full, starting with present or most recent employer.
- Company*
- Start Date*
  MM slash DD slash YYYY
- Last date of employment or last day of notice*
  MM slash DD slash YYYY
- Your Title*
- Hourly Rate*
- Annual Salary*
- Telephone*
- May we contact?*
  - Yes
  - No
- Address*
- City, State, Zip*
- Hours Worked*
- Supervisor*
- Title*
- Telephone*
- Size of Department*
- Did you supervise? How Many?*
- Source of Position*
- Please list all duties that you are responsible for a typical day for you who you interact with, etc.*
- Please list software used*
- Reason for Leaving*
- Explain any gap in employment*
- Company*
- Start Date*
  MM slash DD slash YYYY
- Last date of employment or last day of notice*
  MM slash DD slash YYYY
- Your Title*
- Annual Salary*
- Hourly Rate*
Telephone*
May we contact?*
- Yes
- No
Address*
City, State, Zip*
Hours Worked*
Supervisor*
Title*
Telephone*
Size of Department*
Did you supervise? How Many?*
Source of Position*
Please list all duties that you are responsible for/ a typical day for you/ who you interact with, etc.*
Please list software used*
Reason for Leaving*
Explain any gap in employment*
- Company*
- Start Date*
  MM slash DD slash YYYY
- Last date of employment or last day of notice*
  MM slash DD slash YYYY
- Your Title*
- Annual Salary*
- Hourly Rate*
- Telephone*
- May we contact?*
  - Yes
  - No
- Address*
- City, State, Zip*
- Hours Worked*
- Supervisor*
- Title*
- Telephone*
- Size of Department*
- Did you supervise? How many?*
- Source of Position*
- Please list all duties that you are responsible for/ a typical day for you/ who you interact with, etc.*
- Please list software used*
Reason for Leaving*

Background Checks
Background Information - You authorize Innovative Talent Solutions to investigate your personal work history and any available criminal offender record information through any investigative agency of its choice. You understand that, if requested in writing, you are entitled to a copy of the report from the agency.

References - You authorize Innovative Talent Solutions to verify your work history and references. You understand that Innovative Talent Solutions may ask your listed references for additional references and agree that we may contact any additional references provided. You understand that any material misrepresentation on your resume, application or omission of facts regarding your job history will disqualify you for any position through Innovative Talent Solutions or be cause for termination. Further, you authorize Innovative Talent Solutions to forward the contents of these references to its Client Companies verbally or in writing.

Degrees and Certifications - You authorize Innovative Talent Solutions to verify your level of education, including degrees and certifications if applicable.

Other - You agree to indemnify and hold Innovative Talent Solutions harmless from any and all damages, claims, suites, demands or any other cause of action which may arise or be asserted against Innovative Talent Solutions in the process of verifying your work history, education, certification, and other background/reference information.

Reference Information
Please list 3 or more professional references( i.e. Supervisors, Managers).
*
Contact Name Title Supervisor/Manager Company Phone Number May We Contact? Dates Worked Under
Education
List your education experience, starting with high school and continuing through college and any graduate studies.*
List your education experience, starting with high school and continuing through college and any graduate studies.
Level (i.e. High School, College, etc.) Name of School City, State Did you Graduate? Degree In?
List any certifications you currently hold*
I CERTIFY THAT ALL INFORMATION GIVEN BY ME ON THIS APPLICATION IS CORRECT, TRUE AND COMPLETE. I UNDERSTAND THAT FALSIFICATION OF ANY INFORMATION ON THIS APPLICATION MAY BE CONSIDERED SUFFICIENT CAUSE TO CANCEL FURTHER CONSIDERATION OF THIS APPLICATION, OR IMMEDIATE DISCHARGE FROM THE EMPLOYER'S SERVICE. I UNDERSTAND THAT IF I AM HIRED, I AM FREE TO END THE EMPLOYMENT RELATIONSHIP AT ANY TIME FOR ANY REASON. HOWEVER, INNOVATIVE TALENT SOLUTIONS ALSO RESERVES THE RIGHT TO TERMINATE THE EMPLOYMENT RELATIONSHIP AT ANY TIME, FOR ANY LAWFUL REASON. I UNDERSTAND THAT IF I AM HIRED, I WILL BE REQUIRED TO PROVIDE PROOF OF IDENTITY AND LEGAL AUTHORITY TO WORK IN THE USA.

I CERTIFIED THAT I HAVE READ, FULLY UNDERSTAND AND ACCEPT ALL THE TERMS OF THE EMPLOYMENT APPLICATION
Type your signature*
Consent*
By checking the box, I consent to electronically signing this application and affirm the above information is correct.

Online Application

Online Application

Step 1 of 5

Your Current Search Activity

Emergency Contact Information

Employment History

Background Checks

Reference Information

Education

Date of Interview	Company	Position	Location (City)	Source of Interview

Contact Name	Title	Supervisor/Manager	Company	Phone Number	May We Contact?	Dates Worked Under

Level (i.e. High School, College, etc.)	Name of School	City, State	Did you Graduate?	Degree In?