Application For Employment
Application For Employment ARCH Resources Group is an Equal Opportunity Employer. Reasonable accommodation under the U.S. Americans with Disabilities Act, as amended, or California Fair Employment and Housing Act will be provided as required by applicable law.
Last Name First Name Middle Initial
Social Security Number Street Address
City/State Zip Code Phone Number
If hired, can you provide evidence of legal eligibility to work in the U.S.? YesNo
*Any offer of employment is conditioned upon background, credit and drug test results and are at the sole discretion of ARCH Resources Group.
Minimum Salary Expected Position Apply For?
Have you ever been convicted of a felony, or a misdemeanor involving any violent act, use or possession of a weapon, or any act of fraud, theft or dishonesty for which the record has not been sealed or expunged, or do you have such a case pending? YesNo (Convictions are evaluated on a case-by-case basis for each position and are not automatically disqualifying. Attach additional sheets as necessary.)
Have you ever been ever disciplined, terminated, or resigned because of sexual harassment in the workplace? YesNo Please explain any Yes answers on additional sheets with dates and details.
Date you can begin work? Start Date Are you 18 years of age or older? If under 18 years of age, you will be required to submit a birth certificate or work certificate as required by California or federal law. Over 18YesNo
Education Name of high school attended: City & State: Graduate? YesNo GED? YesNo
Name of college or technical school: City & State Graduate YesNo Degree: YesNo Major:
Additional Training or Education Are you presently enrolled in school? YesNo
If yes, give name & address of school and expected degree date: Date
List any job-related skills or accomplishments, including military service:
Monday: From: To:
Tuesday: From: To:
Wednesday: From: To:
Thursday: From: To:
Friday: From: To:
Saturday: From: To:
Sunday: From: To:
Total hours per week you are available to work:
Do you have any special requests or needs for a work schedule?
Provide Three References Who Are Not Family Members Who We May Contact
1) Name and Occupation?
How do you know them, and for how long?
2) Name and Occupation?
3) Name and Occupation?
May we contact current employers before you are offered a position?
Previous and Current EmployersYesNo
(List names of employers with present or last employer listed first.)
Name of Employer:
Address City/State Zip Code
Dates of Employment:
Hourly Pay or Salary:
Starting Pay: Ending Pay:
Reason for Leaving?
Address City/State Zip Code
CAREFULLY READ EACH STATEMENT BEFORE SIGNING AT THE BOTTOM I certify that all of the information provided in this employment application is true and complete to the best of my knowledge, and I authorize investigation of all statements contained in this application, including a criminal background and credit history check. I understand that any false or incomplete information may disqualify me from further consideration for employment and may result in my immediate discharge if discovered at a later date. I understand and acknowledge that unless otherwise defined by applicable law or written agreement with ARCH Resources Group, any employment relationship with ARCH Resources Group will be “employment at will.” This means that I may resign at any time and you, the Employer, may discharge me at any time, with or without cause, and with or without advance notice. I authorize the investigation of any or all statements contained in this application and also authorize any person, school, current employer, past employers, and other organizations to provide information concerning my previous employment and other relevant information that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements.
Today’s Date I have read, understand, and agree to the above statements.
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If you have questions about the contents of this document, you can email the document owner.
Document Name: Application For Employment
Agree & Sign