EMPLOYMENT APPLICATION

Arnet Pharmaceutical Corp. is an equal opportunity employer and will consider all applicants for all positions equally without regard to their race, sex, age, color, religion, national origin, veteran status, or disability as defined in the Americans with Disabilities Act, or for any other reason protected by State or Federal law.
This application will be given every consideration, but its receipt does not imply that the applicant will be employed.
Each question should be answered in a complete and accurate manner as no action can be taken on this application
until all questions have been answered.

PERSONAL INFORMATION:





(NOTE: A conviction will not necessarily disqualify you from employment)
If Yes, state the offense, location, date and disposition:


If no, please explain:

EMPLOYMENT DESIRED:


Position applied for: Salary Desired:
Date Available to start:Have you ever worked for our company before?
If your answer is Yes, state when and where you applied and/or worked.
How did you learn of our company and/or position?
Do you have any relatives working in our company?
Are you now, or do you expect to be, working in any other business or job?
Are there any days or hours you would be unable or unwilling to work?
If Yes, please specify those days or hours you would be unable or unwilling to work:
Is there any type of work that you cannot perform?
If Yes, please explain:

EDUCATION:

Name Address and LocationGraduate?Courses Studied
High SchoolCircle highest Grade completed
Diploma?
CollegeCircle number of Years completed
Major:
Minor:
Degrees(s):
Trade SchoolNumber of Months attendedDiploma Certificate:

If you did not graduate, why did you leave high school or college?
Are you planning to pursue further studies?
If, so when, where and what courses?
List any scholastic honors, offices held and activities involved in during high school and college, (Please exclude those which reflect race, sex, color, religion, national origin, disability, sexual orientation or other protected status)
Please describe any other special courses, seminars or training which would enable you to perform the position for which you are applying

MILITARY:

Have you ever served in the military?
Service BranchFinal Rank
What duties, training or experience did you have while in the military that may be job related?

CAPABILITY / RELIABILITY:

Would you be willing and able to perform all of the tasks required by the job you are applying for?
If no, indicate which task
Have you filed any type of fraudulent claim against any of your present or past employers?
If yes, please explain
Will you abide by the safety rules of this company?
Have you ever been disciplined for violating company safety rules or regulations?
If yes, please explain
How many days of work (or school) have you missed in the last two years?
How may times have you been late for work (or school) in the last two years?
Consistent attendance and punctuality are essential requirements of every job in our company. Would you be willing and able to report to work on a regular and consistent basis?
If No, please explain:
Have you ever been disciplined or received verbal and /or written warnings for absenteeism or tardiness?
If yes, please explain:
Have you ever been fired, or asked to resign from a job
If yes, please explain:

WORK HISTORY:

List names of employers in consecutive order with present or last employer listed first. Account for all periods of times including military service and any periods of unemployment. If self-employed, give firm name and supply business reference.

PLEASE GIVE MONTH AND YEARDO NOT REFERENCE YOUR RESUME
Name of Employee
Address
City,State,Zip Code
Name and Title of
Last Supervisor
Dates EmployedPay
from
mo:
year:
to
mo:
year:
starting
$
Ending
$
Telephone
Area Code
Nature of Business
Reason for leaving
title

Describe duties performed, skill used/learned, advancements/promotions earned:

PLEASE GIVE MONTH AND YEARDO NOT REFERENCE YOUR RESUME
Name of Employee
Address
City,State,Zip Code
Name and Title of
Last Supervisor
Dates EmployedPay
from
mo:
year:
to
mo:
year:
starting
$
Ending
$
Telephone
Area Code
Nature of Business
Reason for leaving
title

Describe duties performed, skill used/learned, advancements/promotions earned:

PLEASE GIVE MONTH AND YEARDO NOT REFERENCE YOUR RESUME
Name of Employee
Address
City,State,Zip Code
Name and Title of
Last Supervisor
Dates EmployedPay
from
mo:
year:
to
mo:
year:
starting
$
Ending
$
Telephone
Area Code
Nature of Business
Reason for leaving
title

Describe duties performed, skill used/learned, advancements/promotions earned:

SUPPLEMENTAL EMPLOYMENT INFORMATION:

If you worked in any of your previous positions under another name, please give that name(s) below: (for reference checking purposes)
Name:Name of Company:

Name:Name of Company:

Are you presently employed?
if yes, may we contact your present employer?
Please list all periods of time since high school or college during which you were not employed:
How did you spend this time?

ADDITIONAL SKILLS:

What languages do you speak fluently?

Do you type? Words per minute
Please list all software programs you have worked with, indicating how many years of experience you have with each you:
List other computer skills, programming languages, or computer training you have had:
List any other technical training, skills or work experience which may qualify you for a job with us:

Use this space below to describe why you are interested in working for our company and list those skills and abilities that you feel particularly qualify you for a position with us. If you need more space, please continue on a separate sheet.

REFERENCES

- Give three references, no relatives or former employers.

NAMEADDRESSPHONEOCCUPATION

I certify that my answers to the foregoing questions are true and correct without any consequential omissions of any kind whatsoever. I understand that if I am employed, any false, misleading or otherwise incorrect statements made on this application form or during any interviews may be grounds for my immediate discharge.

I hereby authorize the Company to contact any company or individual it deems appropriate, including a consumer credit report from a consumer-reporting agency or other entities, with the purpose of investigating my employment history, character and qualifications and give my full and complete consent to their revealing any and all information they wish as a result on this investigation. In addition, I hereby waive any right to bring any cause of action against these individuals for defamation, invasion of privacy or any other reason because of their statements.

I agree that, if I am employed I will abide by all the rules and regulations of the Company. I understand that taking drug and alcohol tests administered by an independent agency, when given pursuant to company policy, are a condition of continued employment and failure to pass the drug screen or refusal to take it will result in the withdrawal of the employment offer or constitute grounds for immediate termination.

I further understand that no one in the Company is authorized to enter into any written or verbal employment contracts with me for any definite period of time without the express written consent of the President of the Company. I also understand that my employment is “at-will” and may be terminated by myself or by the company at any time for any reason or no reason at all, with or without prior notice.

I agree and understand that an offer of employment will be made contingent on the successful completion of any or all the above background check information or drug test results.

For more information regarding your rights under the Federal Fair Credit Reporting Act go to
https://www.consumer.ftc.gov/articles/pdf-0096-fair-credit-reporting-act.pdf

I have read and understand fully all of the above.

Signature Date