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CSL CONSULTING, LLC

An Equal Opportunity Employer — E/O/E

Step 1 of 5

APPLICATION FOR EMPLOYMENT
Applicants for employment at CSL Consulting, LLC (“CSL”) are considered without regard to race, color, religion, sex, sexual orientation, age, genetic information, gender identity and expression, national origin, veteran status, membership in or application to the uniformed services, physical or mental disability, or any other characteristic protected by applicable law.
Date
MM slash DD slash YYYY
Name
First Middle Last
Address
Street Address City State ZIP Code
Phone
Email
Position Applied For
Are you legally authorized to work in the United States
- No
- Yes
Are you willing to travel if a job requires it?
- Yes
- No
Are you under the age of 18?
- Yes
- No

RECORD OF EMPLOYMENT
List below all present and past employment, beginning with your PRESENT or MOST RECENT employment. You may include any verifiable work performed on a volunteer basis. If you need additional space, please continue on a separate sheet of paper. (If not already within your resume or reference list)
Employer
Company
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Supervisor
First Last
Phone
May we contact this employer?
- Yes
- No
Job Title
Employer
Company
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Supervisor
First Last
Phone
May we contact this employer?
- Yes
- No
Job Title
Employer
Company
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Supervisor
First Last
Phone
May we contact this employer?
- Yes
- No
Job Title
Comments
Comments
Include explanation of any gaps in employment

PROFESSIONAL LICENSES
List all professional licenses you hold. Please include the identity of the issuing authority and expiration date for each such license.
List of Professional Licenses
Professional License Issuing Authority Expiration Date
REFERENCES
Give the name, address and telephone number of three (3) professional references who are not related to you.
List of references
Name Address Telephone

SIGNATURE
Please read the following carefully and then sign below.
Consent*
I agree.
I hereby declare that the information provided by me in this Application for Employment is true, correct, and complete to the best of my knowledge. I authorize CSL to investigate my past and present employment, education and activities and verify all data provided by me on this application, on related papers, and in interviews. I authorize all individuals, schools and/or firms named herein (except my current employer, if so noted) to provide any information requested about me. I release from all liability any persons, companies, corporations or educational institutions supplying such information. I release CSL from any and all liability resulting from the verification or release of such information. I understand that any false statement or omission of fact on this application or on any supporting documents shall be grounds for non-hire or discharge, regardless of when discovered by CSL.

I understand that, if offered employment by CSL, my employment and continued employment will be conditioned upon my acceptance of any confidentiality, non-solicitation, inventions, non-competition or similar restrictive covenants CSL may require to protect its business interests.

I understand that, if I am hired by CSL, my status will be that of an employee-at-will, meaning that I will have no contractual right, express or implied, to remain in CSL’s employ. I further understand that, if I am hired by CSL, my employment and compensation can be terminated with or without cause and with or without notice at any time at the option of CSL or me. I understand that no representative of CSL has the authority to enter into any oral agreement for employment for a specified period of time or to make any agreement contrary to the foregoing.

I understand that, if I am extended an offer of employment by CSL, I will be required to provide evidence of my identity and authorization for employment in the United States prior to the commencement of my employment.

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

I understand that, if I am hired by CSL and my employment subsequently ends, CSL may provide information about my employment to persons in response to job reference requests, and I hereby consent to such disclosures.
Signature*
Date*
MM slash DD slash YYYY
Resume
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Apply Now

CSL CONSULTING, LLC

An Equal Opportunity Employer — E/O/E

Apply Now

Step 1 of 5

APPLICATION FOR EMPLOYMENT

RECORD OF EDUCATION

High School

College/University

Graduate/Professional

RECORD OF EMPLOYMENT

Employer

Employer

Employer

Comments

PROFESSIONAL LICENSES

REFERENCES

SIGNATURE

Professional License	Issuing Authority	Expiration Date

Name	Address	Telephone