Paul Russell and Company

Application for Employment

Paul Russell and Company is an Equal Opportunity / Affirmative Action Employer committed to excellence through diversity. Employment offers are made on the basis of qualifications and without regard to race, sex, religion, national or ethnic origin, disability, age, veteran status, or sexual orientation.

Complete the entire application. You must complete all questions or your application will be deemed incomplete and may not be considered. Please fill out each box. Do not indicate "See Resume". Applications with missing or invalid information will not be considered for any position.You must have Javascript enabled to use this form.

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Position you are applying for
Personal Information
Name Other names under which you have attended school or been employed
Address
City
State Are you eligible to work in the United States?
Zip Are you 18 years of age or older?
Social Security Number If NO, what is your current age?
Home Phone Do you have a valid driver's license?
Work Phone License number
Other Phone State of Issuance
Email Address Expiration Date
How did you learn about this employment opportunity? Check all that apply.
                       
Education
Name of SchoolCity/StateDid you graduate?If No, number of years left to graduateIf Yes, date of GraduationDegree receivedMajor
High School
GED
Other School
College
Other credentials, licenses, professional affiliations, etc., which are relevant to the job for which you are applying.
Work Experience

Please detail your entire work history. Begin with your current or most recent employer. If you held multiple positions with the same organization, detail each position separately. Omission of prior employment may be considered falsification of information. Please explain any gaps in employment. Include full-time military or volunteer commitments. DO NOT complete this section with the notation "See Resume."

PLEASE NOTE: Paul Russell and Company reserves the right to contact all current and former employers for reference information.

Most Recent Employment
From (mm/dd/yyyy)     To (mm/dd/yyyy) 		  : hrs/wk Title
Organization Name and Address
 Starting Salary
Final Salary
Supervisor's Name, Title, Phone number
 Other Reference Name, Title, Phone number
 Contact my current references
Primary duties
 Reason for Leaving
Prior Employment
From (mm/dd/yyyy)     To (mm/dd/yyyy) 		  : hrs/wk Title
Organization Name and Address
 Starting Salary
Final Salary
Supervisor's Name, Title, Phone number
 Other Reference Name, Title, Phone number
 Contact my current references
Primary duties
 Reason for Leaving
Skills
Please list technical skills, trade skills, etc., relevant to this position.
Include relevant special training or activities, as well as any foreign languages spoken.
PLEASE NOTE: Paul Russell and Company reserves the right to test applicant's relevant technical skills as necessary for the job to which they are applying.
PHYSICAL REQUIREMENTS
By checking this box I acknowledge that I have read the physical requirements outlined in the description of the job I am applying for, and and that I meet these requirements.
PLEASE READ CAREFULLY AND SIGN THAT YOU UNDERSTAND AND ACCEPT THIS INFORMATION.

I certify that the information on this application and its supporting documents is accurate and complete. I understand and agree that failure to fully complete the form, or misrepresentation or omission of facts, represents grounds for elimination from consideration for employment, or termination after employment if discovered at a later date. I authorize Paul Russell and Company to investigate, without liability, all statements contained in this application and supporting materials. I authorize references and former employers, without liability, to make full response to any inquiries in connection with this application for employment. If requested, I agree to submit to a physical exam, criminal and credit background investigation, and/or screening for illegal substances upon conditional offer of employment. I understand that this document is NOT an offer of employment, and that an offer of employment, if tendered, does NOT constitute a contract for continued guaranteed employment. I understand that staff employees of Paul Russell and Company serve at-will, and the employment relationship may be terminated at any time by either party, for any or no reason, other than a reason prohibited by law. If employed, I will be required to furnish proof of eligibility to work in the United States and to comply with company regulations. I understand that if employed on a temporary basis, I would be paid for hours worked only, and would be ineligible for benefits including paid time off. I understand that any benefits I receive may be subject to change at any time. I understand that the first 90 DAYS of regular employment represent a provisional period, during which I would not be benefits-eligible.

I understand and accept the above conditions.

A Copy of your application will be sent to you if you have supplied a valid Email address.