Application Form | Credo Services in Pittsburgh, PA

APPLICATION FOR EMPLOYMENT
FOR USE IN SPECIFIC JURISDICTIONS
(WITH SALARY HISTORY, NO CRIMINAL HISTORY)

Note: This application is not for use in California, Connecticut, Delaware, Hawaii, Massachusetts, New York City (NY), Albany and Westchester Counties, (NY), Oregon, Philadelphia (PA) and Vermont.

Name of Client Company (if applicable and known) What Position Are You Applying For?

How did you hear about the position for which you are applying?

EQUAL OPPORTUNITY EMPLOYER. It is our policy to abide by all federal, state and local laws prohibiting employmentdiscrimination based on a person’s race, color, religious creed, sex, national origin, ancestry, citizenship status,pregnancy, childbirth, physical disability, mental and/or intellectual disability, age, military status, veteran status(including protected veterans), marital status, registered domestic partner or civil union status, familial status, gender(including sex stereotyping and gender identity or expression), medical condition (including, but not limited to, cancerrelated or HIV/AIDS related), genetic information, sexual orientation, or any other protected status.

— PLEASE TYPE AND SUBMIT —

Today's Date

First Name

Last Name

Last 4 Digits of Social Security No.

Current Mailing Address

How long at current address?

City

County

State

Zip Code

Daytime Telephone

Home Telephone

Email Address

Position for which you are applying

Date available for work

What is your minimum salary requirement?

Select the following options you would consider.

If part-time, specify hours and days available.

Are you subject to any type of agreement with a current or former employer or entity that would restrict your ability to work at (e.g., non-compete, non-solicitation)?

If "Yes" to the above question: Please explain why

EDUCATION & TRAINING

Name of High School

City and State of High School

Degree/ Diploma Major Course of Study in High School

Degree Received in High School

High School Degree Received? YesNo

Name of School for a GED

City and State of GED

Degree/ Diploma Major Course of Study for a GED

Degree Received for GED

GED Degree Received? YesNo

Name of College

City and State of College

Degree/ Diploma Major Course of Study for College

Degree Received for College

College Degree Received? YesNo

Name of Graduate School

City and State of Graduate School

Degree/ Diploma Major Course of Study for Graduate School

Degree Received for Graduate School

Graduate School Degree Received? YesNo

Name of Trade School

City and State of Trade School

Degree/ Diploma Major Course of Study for Trade School

Degree Received for Trade School

Trade School Degree Received? YesNo

Indicate School and Last Name(s)Used at Time of Graduation

* Only list colleges or universities accredited by the Department of Education (DOE). The DOE maintains a database of accredited institutions at http://ope.ed.gov/accreditation. It is your responsibility to verify accreditation.

List coursework undertaken or degree/diploma received from an unaccredited college, as well as any other education, training, special skills or certificates/licenses that you possess related to the job.

Professional License/Certification #

Issuing Agency

State Issued

Expiration Date

Professional License/Certification #

Issuing Agency

State Issued

Expiration Date

EDUCATION & TRAINING (CONTINUED)

List any machines, equipment or software programs on which you are qualified and experienced in operating.

List any languages that you speak fluently.

List any languages that you read/write fluently.

If you are applying for a position which involves driving a motor vehicle in the course and scope of the employment duties, please indicate whether you have a valid driver’s license in this state. YesNo

If you are applying for a government contractor position, please specify whether you have a security clearance and what level the security clearance is:

Can you, after employment, submit verification of your legal right to work in the United States? YesNo

Are you 16 years old or over? (Select multiple if needed)

Within the past 7 years, have you been employed, or are you currently employed by Credo Security or a Faros Properties owned company? YesNo

If Yes, give dates:

Do you have any relatives currently working at Credo Security? YesNo

Do you have any relatives currently working at Faros Properties? YesNo

Do you have any relatives currently working at the client company to which you are applying? YesNo

If Yes to any of the 3 above questions, please list the relatives (Do not identify your marital status in your response):

EMPLOYMENT HISTORY

(List all work experience beginning with the present or most recent job. Credo will contact all previous employers to verify your employment. Please list your current or most recent employer first and indicate whether you are currently employed in the boxes provided. Credo will not contact your current employer without permission. You may also include any volunteer and/or military work. Use back of application, if necessary.)

CURRENT / MOST RECENT JOB

Name of Employer

Type of Business

Address

City

State

Zip Code

Title

Type of Employment

Part-TimeFull-Time

Supervisor Name

Supervisor's Phone Number

Human Resource/Payroll Phone Number

May We Contact?

YesNo

Employed From (month/year)

Employed To (month/year)

Last Salary

Brief Description of Duties

Reason for Leaving

PREVIOUS EMPLOYMENT

Name of Employer

Type of Business

Address

City

State

Zip Code

Title

Type of Employment

Part-TimeFull-Time

Supervisor Name

Supervisor's Phone Number

Human Resource/Payroll Phone Number

May We Contact?

YesNo

Employed From (month/year)

Employed To (month/year)

Last Salary

Brief Description of Duties

Reason for Leaving

PREVIOUS EMPLOYMENT

Name of Employer

Type of Business

Address

City

State

Zip Code

Title

Type of Employment

Part-TimeFull-Time

Supervisor Name

Supervisor's Phone Number

Human Resource/Payroll Phone Number

May We Contact?

YesNo

Employed From (month/year)

Employed To (month/year)

Last Salary

Brief Description of Duties

Reason for Leaving

BUSINESS REFERENCES (List three individuals, in addition to listed employment references, known to you for at least three years.)

1. Name

1. Occupation/ Association

1. Telephone

1. Email Address

2. Name

2. Occupation/ Association

2. Telephone

2. Email Address

3. Name

3. Occupation/ Association

3. Telephone

3. Email Address

Please include any other information you think would be helpful to us in considering you for employment, such as additional work experience, articles/books published, activities, honors received, etc. You may omit all information that would indicate age, sex, sexual orientation, race, religion, color, national origin or disability or any other protected class.

Thank you for applying to work at Credo! Your submission has been received and a member of our hiring team will be in touch if you are a fit!

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