Employment at NOSAC

NOSAC is a equal opportunity employer.  To begin the process, please fill out the pre-employment questionnaire.  Our team will then be in contact with you to arrange an interview.

Today's Date *
Today's Date
Name *
Name
Address
Address
Phone *
Phone
Cell phone
Cell phone
Employment Desired
Date you can start
Date you can start
Are you currently employed? *
If so, may we contact your current employer? *
Have you ever applied to the NOSAC before? *
Education
Did your graduate High School or do you have your GED?
Did you gradutate with a degree?
Special Training or Certificates
Military
Where you in the military?
Where you honorably discharged?
Former Employers
From
From
To
To
From
From
To
To
From
From
To
To
References
Please provide the names and contact information for three people not related to you whom you have known for at least one year.
Reference 1 Name
Reference 1 Name
Reference 1 Phone
Reference 1 Phone
Reference 2 Name
Reference 2 Name
Reference 2 Phone
Reference 2 Phone
Reference 3 Name
Reference 3 Name
Reference 3 Phone
Reference 3 Phone
Authorization
I certify the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statement contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinenet information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into and agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release of use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws. I understand that a consumer credit report or criminal records check may be necessary prior to my employment. If such reports are required, I understand that, in compliance with federal law, the company will provide me with a written notice regarding the use of these reports and will also obtain a separate written authorization from me to consent to these reports. I also understand that a poor credit history or conviction will not automatically result in disqualification from employment In compliance with federal law, all persons hired will be required to verify identity and eligability to work in the United States and to complete the required employment eligibility verification document form upon hire.
eSignature *
eSignature
By typing your name below, you are agreeing to the above terms.
Signature Date
Signature Date