Philbrook & Associates

A Bookkeeping Service Centered on You

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Employment Application

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Position Applied for *

First Name

Last Name

Email Address

Phone Number

Date Available (Days/Time)

Address

City

State

Zip

From

Desired Salary (In $) *

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

Yes No Note: you will be required to furnish documents to verify your eligibility for employment in accordance with the Immigration Reform and Control Act and your employment is contingent upon furnishing such documents.

Have you ever worked for this Company? *

Yes No

Have you ever been convicted of a crime or are there pending charges against you? *

Yes No

Are you able to perform the essential duties of the position you are applying for, with or without reasonable accommodation? *

Yes No Please refer to the job description for a listing of essential duties, as well as physical requirements

Education

High school

Did you graduate?

Yes No

College

Did you graduate?

Yes No

Other

Did you graduate?

Yes No

References (please list three professional references)

Reference1

Full name

Relationship

Company

Phone

Address

Reference2

Full name

Relationship

Company

Email

Phone

Address

Reference3

Full name

Relationship

Company

Email

Phone

Address

Previous Employment

Company

Phone

Address

Job Title

Responsibilities

Company

Phone

Address

Job Title

Responsibilities

Company

Phone

Address

Job Title

Responsibilities

From

Reason for leaving

May we contact your previous supervisor for a reference
Yes No

Reason for leaving

May we contact your previous supervisor for a reference
Yes No

Reason for leaving

May we contact your previous supervisor for a reference
Yes No

Special Skills and Abilities

Please list any special skills, including computer skills, soft ware skills, etc:

Disclaimer

I certify that the answers given by me to the foregoing questio ns and statements are true and correct to the best of my knowle dge without consequential omissions of any kind. I agree that the Company shall not be held liable in any respect if my employme nt is rejected or subsequently terminat ed because of false statements , answers or omissions made by me in this application. I understand that any misleading or incorrect statements may rend er this application void, and if employed, may lead to employme nt termination. I also voluntarily and knowingly aut horize the or ganizations, schools or persons named above to give any informa tion requested regard ing my former employmen t, character and qualifi cations. I hereby voluntarily a nd knowingly fully release and discharge, absolve, indemnify, and hold harmless said companies , schools or persons from any and all liability for any damages for issuing this informa tion. In consideration of my employment, I agree to conform to the rules a nd regulations o f this organiza tion. If I am hired, I understand that my em ployment and compensation can be terminated with or without c ause and with or without notice, at any time, at the option of either my employer or me, unless pro hibited under written contract.
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Philbrook & Associates relies on our dedicated and experienced team of associates to fulfill its mission of providing extraordinary service and skill to each and every client. Our mid-coast Maine company continues to expand and we are looking for people with a positive, take-charge attitude who are ready to grow with us.

If you thrive in a fast-paced, deadline-driven environment where your professional growth will be nurtured and rewarded, we’d love to talk with you.

Free Initial Consultation

Getting started with us is easy. Complete the form below to learn how we can create a bookkeeping solution tailored just for you.

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