Employment Opportunities

We are currently hiring all positions. Please fill out the form below to be considered for employment

Courthouse on the Square (the "Company") is an equal opportunity/affirmative action employer. All qualified applicants will be considered without regard to age, race, color, sex, religion, nation origin, marital status, ancestry, citizenship, veteran status, sexual orientation, or physical or mental disability. Please e-mail any attachments separately to employment@courthouseonthesquare.com.

First Name:

Last Name:

Middle Initial:

Email Address:

Social Security #:

Home Phone:

Business/Cell Phone:

Date You Can Start Working:

Position Applied For:

Part-TimeFull-Time

Times When You Can Work:

DaysEveningsBoth

Specific Times You Can NOT Work:

Are You Currently Employed?

YesNo

If yes, why do you want to change your job?

Do you have any relatives employed by the Company or it's affiliates?

YesNo

If yes, list date(s), job title(s), & location(s)

Are you at least 18 years old?

YesNo

If under 18, do you have a work permit?

YesNo

Highest Grade Completed:

High School9101112

College, Trade or Business1234

Graduate Studies

School:

High School:

Name/Address:

Major Studies:

Degree, Diploma, License or Certificate:

College/University:

Name/Address:

Major Studies:

Degree, Diploma, License or Certificate:

Vocational, Business or Other:

Name/Address:

Major Studies:

Degree, Diploma, License or Certificate:

List any Professional Designations:

Other Special Knowledge, Skills or Qualifications

Computer Skills (Hardware/Software)

Employment History

List your last four employments, starting with the most recent position. All information must be completed. You may attach a resume, but not in place of completing the required information.

Job #1

Start Date:

End Date:

Job Title:

Employer Name:

Employer Address:

Supervisor Name:

Supervisor Phone:

Starting Salary:

Ending Salary:

Reason for Leaving:

Duties and Responsibilities:

Job #2

Start Date:

End Date:

Job Title:

Employer Name:

Employer Address:

Supervisor Name:

Supervisor Phone:

Starting Salary:

Ending Salary:

Reason for Leaving:

Duties and Responsibilities:

Job #3

Start Date:

End Date:

Job Title:

Employer Name:

Employer Address:

Supervisor Name:

Supervisor Phone:

Starting Salary:

Ending Salary:

Reason for Leaving:

Duties and Responsibilities:

Job #4

Start Date:

End Date:

Job Title:

Employer Name:

Employer Address:

Supervisor Name:

Supervisor Phone:

Starting Salary:

Ending Salary:

Reason for Leaving:

Duties and Responsibilities:

General:

Yes	No
		Have you ever worked for our company or any of its affiliates before?
		If hired, will you be able to work overtime?
		Will you be able to perform the essential job functions for the position you are applying for?
		Have you ever been convicted of a crime, excluding misdemeanors and summary offenses, which has not been annulled, expunged or seals by court? (A "yes" response does not automatically disqualify your application.)

Comments:

(Indicate anything else that would be relevant or useful for us to know about your application)

Certification & Authorization:

The information contained in this Employment Application is true and correct. I understand that, in the event of my employment by the Company, I shall be subject to dismissal if any information that I have given in this application is false or misleading or if I have failed to give any information herein requested, regardless of the time elapsed after discovery. I authorize the Company to inquire and obtain information from all referenced employers, public agencies, licensing authorities, and educational institutions and to otherwise verify the accuracy of all information provided by me on this application, resume, or job interview. I hereby waive any and all rights and claims I may have regarding the Company for seeking, gathering and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me. I further authorize the Company to investigate my criminal records and credit/consumer check. I understand that nothing in this Employment Application, the granting of an interview or my subsequent employment with the Company is intended to create an employment contract between myself and the Company. I understand and agree that, if hired, my employment will be considered "at-will" and may be terminated by me or the Company at any time and for any reason. If employed, I will be required to provide original documents that verify my identity and right to work in the United States under the Immigration Reform and Control Act (IRCA) of 1986. The document(s) provided will be used for completion of Form I-9.
I hereby acknowledge that I have read and agree to the above statements.

In case we need a hard-copy of this form...
PLEASE PRINT THIS APPLICATION BEFORE CLICKING THE SUBMIT BUTTON.

At some point, we will need the following information:

W-4 Form (IRS withholding information)
I-9 Form (INS employment eligibility)
Copy of your Driver's License or State ID
Copy of your checking account check (will be used to setup Direct Deposit payroll)