Rockstar Application Form

Application Form - Rockstars ONLY

Learn more about us at www.newagainservices.ca
Full Name*

First NameMiddle NameLast Name
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address*
Phone Number*

Area CodePhone Number
What position are you applying for?

Field TeamCustomer Service RepSales
When can you start?*

MonthDayYear
Check the box if you are available to:

Work EveningsWork WeekendsWork overtime if required
As part of our company policy, it is standard procedure to perform a criminal background check on someone we are considering for employment. Would you object to such a procedure?

YesNo
Type of Employment Desired

Full TimePart TimeTemporarySeasonal
Tell Us a Little About YOU! What makes YOU a ROCKSTAR?
What was the best job you eve had? Why did you like it so much?*
What was your least favourite job? What did you NOT like about it?*
Who was the best supervisor or manager you've had? What characteristics made that person a good manager?*
Think of the WORST supervisor you've had. What characteristics made that person a poor manager?*
What are your greatest strengths?*
What traits or characteristics do you admire most in co workers?*
If you won five million dollars in the lottery, would you choose to work? What would you do with your time?*
Some more stuff about you.
Do you have a valid Drivers License?*

YesYes I have an 'N"Yes I have an 'L"No
Are you Currently Employed?*

YesNo
If No, Please explain.
Have you ever been fired or asked to resign?*

NoYes
If Yes please explain.

How would your previous Employer Rate you on the following?

	Average	Good	Great	Rockstar
Positive Attitude
Quality of Work
Ability to Work on a Team
Friendliness
Hardworking
Reliability and Punctuality

Resume
On your resume, list names of employers in consecutive order with present or last employer first. Account for all periods of time including military service as well as any periods of unemployment. If self-employed, give firm name and supply business references.
Upload Resume

Upload a File

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References: List the name, relationship, number of years acquainted, and phone # of 3 references

	Name	Relationship	Years Aquainted	Phone Number
Reference 1
Reference 2
Reference 3

AFFIDAVIT, CONSENT AND RELEASE

PLEASE READ EACH STATEMENT CAREFULLY BEFORE SIGNING

I certify that all information provided in this employment application is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date.

I authorize the investigation of any or all statements contained in this application. I also authorize, whether listed or not, any person, school, current employer, past employers, and organizations to provide relevant information and opinions that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements.

I understand I may be required to successfully pass a drug screening examination. I hereby consent to a pre- and/or post employment drug screen as a condition of employment, if required.

I have read, understand, and by my signature (scribbling my name below) consent to these statements.
Date*

MonthDayYear
Date
Signature

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Application Form - Rockstars ONLY