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Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, protected disability or veteran status and any other protected characteristic.

THIS EMPLOYMENT APPLICATION IS NOT A CONTRACT FOR EMPLOYMENT EITHER EXPRESSED OR IMPLIED.

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Personal Information

Name*

First

Last

Home Phone*

Cell Phone*

Address

Street Address City State / Province / Region Postal / Zip Code

Email*

Emergency Contact/Phone Number*

Salary Required

Position Applying For

Date Available

Are you legally authorized to work in the United States?*

Yes

Are you 18 or older? Note: You must be over 18 to proceed with the application.

Yes

Have you ever been convicted of a crime(s) other than traffic violations?

Yes

During the past 7 years, have you been discharged, suspended, or asked to resign from any position?

Yes

How did you hear about us?

Social Media

Job Board

Employee of Provenance Recruitment and Staffing

Other

EMPLOYMENT HISTORY Start from most recent

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Current Employer

Type of Business

Current Employer Address

Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code

Position

Supervisor’s Name/Title:

Supervisor’s Phone Number

Start Date

End Date

Base Wage or Salary

Description of Duties

Reason for Leaving

Employer 2

Employer 2 Type of Business

Employer 2 Address

Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code

Employer 2 Position

Employer 2 Start Date

Employer 2 End Date

Employer 2 Supervisor's Phone Number

Employer 2 Base Wage or Salary

Employer 2 Description of Duties

Employer 2 Reason for Leaving

Employer 3

Employer 3 Type of Business

Employer 3 Address

Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code

Employer 3 Position

Employer 3 Start Date

Employer 3 End Date

Employer 3 Supervisor's Phone Number

Employer 3 Base Wage or Salary

Employer 3 Description of Duties

Employer 3 Reason for Leaving

AVAILABILITY

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AVAILABILITY (Please check all that apply)

Full Time

1st Shift

2nd Shift

3rd Shift

Part Time (include specific hours) Day

Part Time (include specific hours) Evening

Part Time (include specific hours) Weekend

Part Time (include specific hours) Summer

Can you work overtime if necessary?

Yes

Can you work weekends if necessary?

Yes

EDUCATION

________________________________________________________

Name of High School

High School Location

# of Years Attended High School

High School GPA

High School Fields of Study

High School Degree

College Education?

Yes

Grad School?

Yes

Please list any work-related certifications or licenses that you currently possess.

You can upload New Hire Packet, Resume/CV, or any other secure file (Driver's Lisence, Social Security, or banking information) here.

Please read the following thoroughly.

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·I hereby affirm that my answers to the foregoing questions are true and correct and that I have not knowingly withheld any fact or circumstance, which would, if disclosed, affect my application unfavorably.
I have disclosed all information that is relevant and should be considered applicable to my candidacy for employment.
I understand that any false statements, representations, or failure to disclose pertinent information will be considered enough cause for denial of employment or immediate discharge, regardless of the time lapse before discovery.
I understand that if hired, I will be required to review all rules and regulations of Provenance Recruitment and Staffing.
I authorize Provenance Recruitment and Staffing and its representatives to contact my previous employers and all others for verification of the information and release same from any liability from the information released.
I understand an offer of employment is conditioned upon complying with all of Provenance Recruitment and Staffing’s requirements, including but not limited to, signing a requested consent for Provenance Recruitment and Staffing to investigate or obtain a report about my background.
I understand that no representation, whether oral or written, by a representative or agent of Provenance Recruitment and Staffing, at any time, can constitute an implied or expressed contract of employment.
I further understand no representative or agent of Provenance Recruitment and Staffing has the authority to enter into an agreement for employment for any specified period of time or to make any change in policy, procedure, benefit, or other terms or conditions of employment other than in a document signed by the owner of the company.
I expressly understand and agree that, if employed, my employment, having no specified term, is based upon mutual consent and may be terminated at will, with or without cause, without prior notice to the other by either party (the employer or me).
I understand that employment with Provenance Recruitment and Staffing is contingent on my providing sufficient documentation to establish my identity and eligibility to work in the United States.
I understand, where permissible under applicable state and local law, I may be subject to drug test after receiving a conditional offer of employment and must receive a negative result before being permitted to commence work with Provenance Recruitment and Staffing.

·I certify that my answers are true and complete to the best of my knowledge. I understand that nothing in this application is a contract or offer of employment. I will be an at-will employee as it relates to 41-1-11-110 of the SC Code. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. Please take a moment to review your application.

To complete this application, click on the Submit button below. By clicking submit, I certify that all this legalese is valid, and I consent to Provenance Recruitment and Staffing conducting a Criminal Background Check and Drug Screen.