Application for Employment

PERSONAL INFORMATION

Are you eligible to work in the U.S? (Proof of identity and eligibility will be required upon employment.)
YesNo

Are you at least 18 years or older? (If no, you may be required to provide authorization to work.)
YesNo

Can you work overtime, including weekends?
YesNo

Do you have any limitations regarding travel?
YesNo

What percent of the time can you travel out-of-state?

Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation? If no, please add an additional page with the explanation. (If you have any questions as to what functions are applicable to the position for which you are applying, please ask the interviewer before you answer this question.)YesNo

EMPLOYEMENT DESIRED

Position Desired
—Please choose an option—Database AdministratorPosition not Listed

Date available to begin employment

Salary Desired

Are you currently employed?
YesNo
If yes, may we contact your present employer?
YesNo
If presently employed, why are you considering leaving?

REFERRAL SOURCE

How did you heard about us?

Have you ever worked for this company before?
YesNo
If yes, please explain

EDUCATION

High School

College or University

College or University (additional)

Trade, Business or Correspondence School

EMPLOYMENT HISTORY

Include your last seven (7) years of employment history, including periods of unemployment, starting with the most recent
and working backwards in time. Incomplete information could disqualify you from further consideration. “See Attached
Resume” is not acceptable.

Summarize the nature of work performance job responsibilities

Summarize the nature of work performance job responsibilities

Summarize the nature of work performance job responsibilities

Summarize the nature of work performance job responsibilities

If additional space is needed for Employment History, please use same format and attach file to this application.
Attach File for Additional Employment if needed

Do you have any special skills, experience and/or training that would enhance your ability to perform
the position applied for?
List any professional, trade, or civic organizations that relate to the position for which you are
applying:

REFERENCES

ADDITIONAL INFORMATION

List any additional information you feel may be helpful to us in considering your application

Please read carefully and check box prior to submitting
Please Read and Check UnderstandingInvidasys is an equal opportunity employer. Invidasys does not discriminate in employment on account of race, color, religion, national origin, citizenship status, ancestry, age, sex, sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service.

Please Read and Check UnderstandingI understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Invidasys to hire me. If I am hired, I understand that employment at Invidasys is at-will and as such, either Invidasys or I can terminate my employment at any time and for any reason, with or without cause and with or without notice. I understand that no company representative, other than the President or CEO has the authority to make any assurance to the contrary.

Please Read and Check UnderstandingI attest with my signature below that I have given to Invidasys true and complete information on this application. No requested information has been concealed. I authorize Invidasys to conduct a background investigation, as well as contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal, if discovered at a later date.