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THE NZONETM EMPLOYMENT APPLICATION

The nZoneTM
14550 Lee Road Chantilly,
VA 20151
703-266-0118

It is the policy of The nZone to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, gender, national origin, age, disability or veteran status.

Personal Information

Your First Name (required):

Your Last Name (required):

Your Email (required):

Home Phone (required):

Mobile Phone (required):

Home Address (required):

Educational History

High School:
School name and location (city/state):
Years Attended:
Graduated:
Subjects Studied:

College/University:
School name and location (city/state):
Years Attended:
Degree Earned:
Subjects Studied:

College/University:
School name and location (city/state):
Years Attended:
Degree Earned:
Subjects Studied:

Employment History

List your current or most recent employment first

Employer 1:
Employer/Company Name:
Location (city/state):
Dates Employed (from/to):
Position:
Salary:
Reason for Leaving:

Employer 2:
Employer/Company Name:
Location (city/state):
Dates Employed (from/to):
Position:
Salary:
Reason for Leaving:

Employer 3:
Employer/Company Name:
Location (city/state):
Dates Employed (from/to):
Position:
Salary:
Reason for Leaving:

Skills & Certifications

What skills or certifications do you have that might be useful for the job you are applying? Enter the number of years’ experience you have, and, if applicable, select the number which corresponds to your ability level for each particular skill. One (1) represents poor ability and five (5) represents exceptional ability.
Examples include word-processing, food service, fitness or nutritional certifications.

Skill:
Years Experience:
Ability Level:

Skill:
Years Experience:
Ability Level:

Skill:
Years Experience:
Ability Level:

Skill:
Years Experience:
Ability Level:

Skill:
Years Experience:
Ability Level:

Desired Employment

Position:
Desired Start Date:
Desired Pay Rate:
Who referred you to The nZone?
Have you ever worked for or applied to the nZone before?
If so, when:
If so, in what position(s):

References

Name:
Address:
Phone:
Known Since? (years):
Relationship:

Name:
Address:
Phone:
Known Since? (years):
Relationship:

Additional Questions

Are you at least 18 years old (required)?
Do you have reliable transportation to and from work (required)?
Are you willing to work any shift, including nights and weekends (required)?
If no, please state any limitations:
Are you able to perform the essential functions of the job with either no accommodations or only reasonable accommodations?
If any, what reasonable accommodations would be required?
Have you ever been convicted of, pled guilty to, or pled no contest to a crime, excluding misdemeanors and traffic violations (required)?
If yes, please explain:

Are you now or have you ever been a sex offender registered with any federal, state or local government agency, including any listing on a public website (required)?
If yes, please explain:

Please provide any additional information that you believe should be considered:

I certify that the information I have provided on this application is truthful and accurate. I understand that, if employed, falsified statements of any kind or omissions of facts called for on this application shall be considered sufficient basis for immediate dismissal. I authorize The nZone to contact the employers, schools and organizations that I have listed on this application regarding my employment and education. I authorize the persons, employers, schools and organizations listed on this application to give you any information concerning my employment or other pertinent information they may have, personal or otherwise, and release all parties from all liability and damages that may result from furnishing such to you.

I acknowledge that The nZone reserves the right to amend or modify any of its handbooks or policies at any time without prior notice. I understand that should an employment offer be extended to me and accepted, that I will fully adhere to the policies, rules and regulations of The nZone. However, I further understand that neither the policies, rules, regulations of employment, nor anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand any employment with The nZone is at-will and that either I or The nZone may terminate my employment at any time with or without notice or cause. My employment at-will status cannot be modified unless such modification is set forth in writing in a document signed by both me and an officer of The nZone. Employee Handbooks, manuals, personnel policies and procedures of The nZone are not employment contracts and do not modify my status as an at-will employee.

BY SUBMITTING THIS FORM I CONFIRM THAT I HAVE CAREFULLY READ THE ABOVE CERTIFICATION, AND I UNDERSTAND AND AGREE TO ITS TERMS AND CONDITIONS.

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