Premier Online application

Premier Technology Online Application

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  • Please do not use the 'BACK' button on your browser when navigating through the form. Each question should be fully and accurately answered. No action can be taken on this application until all questions have been answered. All information given will be available only to persons who have a “need to know” or as required by law. This company will make reasonable accommodation in the application process, if needed.

    This application is current only for thirty (30) days, at the conclusion of which time, if you have not heard from us and still wish to be considered for employment, it will be necessary for you to fill out a new application. If an application is received with no indication as to what position you are applying for it will not be considered.

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  • Your Name Goes Here

  • Your Address Goes Here

  • - -

    Your Phone Number Goes Here

  • Your Email Address


  • Desired Employment Page 3 of 12

  • This is the position that you are applying for at Premier

  • / / Pick a date.
  • Previous date that you applied at Premier


  • Education Page 4 of 12


  • High School


  • College


  • Other Schools

  • Any Special Training that you have received


  • Employers Page 5 of 12

  • List your last three employers, beginning with your most recent job first.

  • Present or Most Recent Employer

  • Your most recent employer.

  • / / Pick a date.
  • / / Pick a date.
  • $ Hourly Annually

    Per hour or your Salary pay at starting

  • $ Hourly Annually

    Per hour or your Salary pay at leaving

  • Your Supervisor's Title

  • - -

  • Employers Page 6 of 12

  • 2nd Most Recent Employer

    I have no additional employment history

  • / / Pick a date.
  • / / Pick a date.
  • $ Hourly Annually

    Per hour or your Salary pay at starting

  • $ Hourly Annually

    Per hour or your Salary pay at leaving

  • Your Supervisor's Title

  • - -

  • Employers Page 7 of 12

  • 3rd Most Recent Employer

    I have no additional employment history

  • / / Pick a date.
  • / / Pick a date.
  • $ Hourly Annually
  • $ Hourly Annually
  • Your Supervisor's Title

  • - -

  • References Page 8 of 12

  • Please list the names of three people that you are NOT related to and that you have known for at least ONE year.

  • 1st Reference

  • - -


  • 2nd Reference

  • - -


  • 3rd Reference

  • - -
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  • Authorization Page 10 of 12

  • This Employment Application is used to notify me that the nature and scope of an investigation, if one is conducted, could include such general identification information as residence verification, and, as applicable, information concerning my employment, education, general reputation, character, personal characteristics, and habits, and that such information may be developed through personal interviews with third parties such as family members, neighbors, friends, associates, former employers, educational institutions, custodians of official records or other sources. Only job-related information developed from such a report will be considered in evaluating my employment application or continued employment. I hereby authorize these persons, companies, organizations or corporations to answer all questions or release any information regarding the items listed in this paragraph. I hereby release them from any liability and hold them, harmless from any claim for releasing any truthful information within their knowledge and/or records.

    I authorize the Company to release to any person, firm, entity or organization with which I may seek employment in the future, any truthful information within its knowledge and/or records.

    I understand that any job offer that may be extended to me will be contingent upon the successful completion of a drug and alcohol test.

    I certify that the answers given by me to the foregoing questions and during any interview are true and correct without consequential omissions, and understand that, if employed, omissions and/or false statements on this application or during any interviews may result in dismissal. I understand and acknowledge that, if hired, my employment is for no definite period and either the Employer or I may terminate our relationship at will at any time, without notice or any reason, and that this employment application does not constitute an employment contract. I have had an opportunity to have my questions about this statement's content and intent answered and I understand its terms.


    Please Read Completely and Sign Below


  • / / Pick a date.

  • Pre-employment Background Screening Notification and Release Authorization Page 11 of 12

  • Please be advised that Premier Technology, Inc. intends to use a consumer report as part of your application for employment and continued evaluation of employment during the course of your tenure with the company should you become employed. Your consent for the procurement and use of such a report is required. The consumer report will contain information from public records, which may include, but are not limited to, social security, motor vehicle operation history, education history, employment history, and criminal history to the extent permitted by law.

    I voluntarily and knowingly authorize any law enforcement, federal, state or local agency, credit bureau, prior employers, schools attended, and/or other persons to give records they may have concerning my social security number, credit worthiness, credit standing, credit capacity, motor vehicle, operation history, employment, education, criminal history, or other records to the extent permitted by law. I voluntarily, knowingly, and unconditionally release any named or unnamed informant from any and all liability resulting from the furnishing of this information.

    The report will be prepared by:

    Scherzer International
    6351 Owensmouth Ave., Suite 213
    Woodland Hills, CA 91367

    OR

    ACRAnet
    521 W. Maxwell
    Spokane, WA

    I understand that any consumer report prepared will be used strictly for employment purposes as defined in the Fair Credit Reporting Act, as report to be used for the purpose of evaluation for employment, promotion, reassignment or retention as an employee. I further understand that any offer of employment, promotion, or reassignment will be conditional upon the receipt of satisfactory information as required and that to be considered for employment, promotion, or reassignment; I must authorize the procurement of such Report(s). A photographic or faxed copy of this Notification and Release Authorization shall be valid as the original.

    The following information must be filled out completely and signed to be considered:


    Please Read Completely and Sign Below


  • / / Pick a date.
  • / / Pick a date.
  • Page 12 of 12

  • It is the policy of Premier Technology, Inc. to comply with the concepts and practices of affirmative action. It is the intent of Premier and its related policies to ensure equal employment opportunity to all qualified employees.

    Premier commits to provide employment opportunity to all qualified persons, and to continue to recruit, hire, train, promote, and compensate persons in all jobs without regard to race, color, religion, citizenship, gender, national origin, age, or disability in accordance with federal law, and without regard to any individual's status protected by applicable state or local law.

    Therefore, to keep our affirmative action plan updated we request that all employees and applicants complete this form. This information is collected only for the exclusive use of updating our affirmative action plan and will be maintained in a confidential file.


  • Your Full Name to agree to Premier Technology, Inc Policy's and Practices

  • Please indicate which of the following categories apply to you:

  • Optional to upload your resume