Employment Form

Position Applying for*
Date
Trott Law, P.C. considers all applicants for employment without regard to race, color, religion, sex, national origin, age, or disability, or as a Vietnam-era or special disabled veteran in accordance with federal law. In addition, Trott Law, P.C. complies with applicable state and local laws prohibiting discrimination in employment in every jurisdiction in which it maintains facilities. Trott Law, P.C. also provides “reasonable accommodations” to qualified individuals with disabilities, in accordance with the Americans with Disabilities Act and applicable state and local laws. In order to process your application, complete the entire form and answer all questions.
Name*
First Last
Present Address*
Street Address Address Line 2 City State ZIP Code
Previous Address
Street Address Address Line 2 City State ZIP Code
Phone*
Referred By
Date you can start*
Desired Annual Salary*
Do you want to work*
- Full-Time
- Part-Time
Are you willing to work overtime as necessary*
- Yes
- No
Ever applied to this company before*
- Yes
- No
When? Where?
Have you ever been employed by us*
- Yes
- No

Education
High School
Name and Location of School
Highest Grade Completed
Major Area of Study
College or University
Name and Location of School
Degree(s)
Major Area of Study
Trade, Business or Graduate School
Name and Location of School
Degree(s) or Certificates
Major area of study
Skills
Typing
Yes
No
WPM
List software proficiency
List other business machines you operate
Other skills

Prior Work History
List in order, last or current employer first
Employer
Job Title
Start Date
End Date
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone
Hourly Rate/Salary Starting
Hourly Rate Ending
Immediate Supervisor
Phone
May we contact this employer?
Yes
No
Work Performed

Reason for Leaving

Employer
Job Title
Start Date
End Date
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone
Hourly Rate/Salary Starting
Hourly Rate Ending
Immediate Supervisor
Phone
May we contact this employer?
Yes
No
Work Performed

Reason for Leaving

Employer
Job Title
Start Date
End Date
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone
Hourly Rate/Salary Starting
Hourly Rate Ending
Immediate Supervisor
Phone
May we contact this employer?
Yes
No
Work Performed

Reason for Leaving

Employer
Job Title
Start Date
End Date
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone
Hourly Rate/Salary Starting
Hourly Rate Ending
Immediate Supervisor
Phone
May we contact this employer?
Yes
No
Work Performed

Reason for Leaving

Account for any gaps in employment

References
Give the names of three professional references.
Reference 1
Name & Occupation Employer Phone Years Known
Reference 2
Name & Occupation Employer Phone Years Known
Reference 3
Name & Occupation Employer Phone Years Known
Cover Letter & Résumé
Upload your cover letter & résumé
Upload Files

Drop files here or

Pre-employment Statement
I understand and agree that:

1. The information that I have provided on this application is true and complete to the best of my knowledge. Any misrepresentation or omission of any fact in my application, resume, or any other materials, or during any interviews, can be justification of refusal of employment, or if employed, termination from employment.

2. Any offer of employment I may receive from Trott Law, P.C. is contingent upon my successful completion of the Corporation’s total pre-employment screening process, including the Corporation’s receiving references that it considers satisfactory, and my satisfactory completion of any post-offer pre-employment medical examination that the Corporation may require. I hereby consent to having the results of any post-offer pre-employment or post-employment medical exams I may be required to take disclosed to Trott Law, P.C..

3. I understand that as a condition of employment, I may be required to undergo and successfully pass a screening for alcohol and/or drugs. I also understand and agree that, if employed, I may be required to submit to an alcohol or drug screening at any time at the discretion of Trott Law, P.C..

4. I authorize and request that all of my present and former employers and those individuals I have listed as personal references furnish information about my employment record, including a statement of the reason for the termination of my employment, work performance, abilities, and other qualities pertinent to my qualifications for employment.

5. In consideration of my employment, I agree to comply with the policies, rules, regulations, and procedures of Trott Law, P.C. and understand that my employment and compensation is at will, which means it can be terminated with or without cause or notice, at any time, at the option of either the Corporation or myself. I further understand that no manager or representative of the Corporation, other than the President of Trott Law, P.C. has any authority to enter into any agreement with me for employment for any specified period of time or to make any agreement different from or contrary to the foregoing. I further understand that any such agreement, if made, shall not be enforceable unless it is in writing and signed by me and the Corporation’s President.

6. I understand that this employment application is not a contract of employment.

7. I understand that this application will be considered active for a period of time not to exceed one (1) year.

IN ADDITION, I UNDERSTAND THAT MY EMPLOYMENT IS FOR NO FIXED PERIOD OF TIME AND MAY BE TERMINATED BY ME OR THE CORPORATION AT ANY TIME FOR ANY REASON OR FOR NO REASON. I ALSO UNDERSTAND AND AGREE THAT THE TERMS AND CONDITIONS OF EMPLOYMENT MAY BE CHANGED, WITH OR WITHOUT NOTICE, AT ANY TIME BY THE CORPORATION. NO ORAL REPRESENTATION TO THE CONTRARY HAS BEEN MADE TO ME AND I FURTHER UNDERSTAND THAT NO EMPLOYEE OF THE CORPORATION OR ANY OF ITS SUBSIDARIES IS AUTHORIZED TO MAKE ANY SUCH REPRESENTATION.
By checking this box, I agree to all of the above.*
I agree
Comments
This field is for validation purposes and should be left unchanged.

Employment Application

Step 1 of 6

Education

Skills

Prior Work History

References

Cover Letter & Résumé

Pre-employment Statement