EMPLOYMENT APPLICATION


WE ARE AN EQUAL OPPORTUNITY EMPLOYER
We consider applicants for all positions without regard to race, color, religion, creed, gender, age, national origin, disability, which can be reasonably accommodated without undue hardship, veteran status, or any other legally, protected classification.


This is an application for a position in our Rochester call center     (Click here if not correct)

 


Date of application: 9/2/2015


Email Address:
   

Please verify your email by re-entering it below
     

 
Last Name

 
First Name

Middle Name

( )            
Main Contact Telephone
( )      
Secondary Phone
 
Current Address
 
City
 
County
 
State
   
Zip Code

Were you referred by a DialAmerica Employee?
 
EDUCATION
Highest Level of Education Completed:    
Will you be attaching a resume?    

BACKGROUND

1
Have you ever been employed with us in the past?     
If Yes, give dates, position and location:
2
Are you at least 18 years of age?       

3
Are you a U.S. citizen or authorized to work in the United States?  

I certify that all the information furnished in this application (and accompanying documents, if any) is true, complete and correct. I understand and agree that any falsification, misrepresentation, misleading statement or omission of fact on either this application or during the pre-hire process will be sufficient reason for disqualification from further consideration or for termination of employment.

I authorize all persons, schools, companies, corporations and organizations named in this application (and accompanying documents, if any), to release any information concerning my background, and I hereby release them and DialAmerica from any and all claims of liability in law and in equity that may arise out of the release and attainment of such information.

I understand that if employed, I must produce proper documentation to verify my eligibility to work in the United States and that if proper documentation is not produced within three (3) days of employment, termination will occur until such time as proper documentation is supplied.

I understand that if hired, my employment at DialAmerica would be "at will" and that nothing in this application or any other DialAmerica document, or an offer or acceptance of employment, creates or is an employment contract between DialAmerica and me. I understand that my employment would be for no fixed duration, and could be terminated by me or DialAmerica at any time without cause, reason, notice or other procedural requirement. I understand that no oral or written statement to the contrary shall change this relationship, or should be relied upon by me.

I understand that DialAmerica may conduct, or have a third party conduct, a background investigation on me. I further understand that any offer of employment, or subsequent employment, is conditioned upon DialAmerica’s satisfaction with the results of any such investigation.

I understand that this application for employment will only be considered for 45 days from the date it is submitted. Should I wish to be considered for employment beyond this time period, I must submit a new application.

I understand and agree that DialAmerica has the right to unilaterally modify and / or terminate any policies, practices, procedures and standards it has adopted or implemented, to the extent not limited by law.