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4000 East Old Spring Hope Road Rocky Mount

office@freedomind.us

(252) 984-0007

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- Back to School Backpack & Supply Drive

About
Services
Portfolio
Careers
Community Impact
- Back to School Backpack & Supply Drive

EMPLOYEE LOGIN

EMPLOYEE OWNED, Purpose-driven

Application For Employment

Please complete this application fully. Incomplete or unsigned applications will not be considered.

Freedom Industries participates in E-Verify, NC State New Hire Reporting and other legally required programs.

Please complete this application by typing or printing in ink.
INCOMPLETE or UNSIGNED applications will not be considered.
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, sex, age, national origin,marital status, or disability.
All applicants may request a copy of the job description/essential functions of the job you are applying for below.

PERSONAL INFO

If you require accommodations to complete this application or participate in the interview process, please contact us directly at hr@freedomind.us or (252) 984-0007 before submitting.

Application Date

Position Applied For

Have a resume to upload?

Yes No

Resume:

First Name

Last Name

Email

Phone

Street Address

Apartment / Unit

City

State

ZIP

Are you able to perform the essential functions of the job with or without accommodation?

Yes No

Have you ever worked for this company?

Yes No

If yes, when?

How were you referred to us?

If referred by an employee, enter employee name

Education Info 1

Education Level

School Name

City / State

From Year

To Year

Degree / Certificate

Did you graduate?

Yes No

Education Info 2

Education Type 2

School Name 2

City / State 2

From Year 2

To Year 2

Degree / Certificate 2

Did you graduate? 2

Yes No

I certify that I am a U.S. citizen, permanent resident, or a foreign national with authorization to work in the United States.

Yes No

Have you ever been in the Armed Forces?

Yes No

Branch

General Information — Special training / skills / study / research

Employment History

Company 1

Phone 1

Job Title 1

Starting Salary 1

Ending Salary 1

Responsibilities 1

From Date 1

To Date 1

Reason for Leaving 1

Company 2

Phone 2

Job Title 2

Starting Salary 2

Ending Salary 2

Responsibilities 2

From Date 2

To Date 2

Reason for Leaving 2

Company 3

Phone 3

Job Title 3

Starting Salary 3

Ending Salary 3

Responsibilities 3

From Date 3

To Date 3

Reason for Leaving 3

Name

Position/Title

Company

Email

Name

Position/Title

Company

Email

Name

Position/Title

Company

Email

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

I authorize investigation of all statements contained herein and the references and employers listed above to give any and all information concerning my previous employment and any pertinent information they may have, and release the company from all liability for any damage that may result from utilization of such information.

I understand that no representative of the company has any authority to enter into any 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.

I understand that Freedom Industries, Inc. is a Drug Free workplace and conducts drug testing upon hire, randomly, and for other reasons related to the drug free workplace policy program.

I understand that Freedom Industries participates in E-Verify, NC State New Hire Reporting, and other legally required programs.

This Application does not permit the release or 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.

Full Legal Name

Signature Date

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4000 East Old Spring Hope Road Rocky Mount, NC 27804

office@freedomind.us

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