High School
Undergraduate College
Graduate/ Professional
Other (Specify)
WORK EXPERIENCE
Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may
exclude organizations which indicate race, color, sex, age, religion, national origin, sexual orientation, gender identity,
disability, veteran status, genetics or any other basis protected by applicable state and federal law.May We Contact?
WORK EXPERIENCE
Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may
exclude organizations which indicate race, color, sex, age, religion, national origin, sexual orientation, gender identity,
disability, veteran status, genetics or any other basis protected by applicable state and federal law.May We Contact? Please explain any gaps in employment.
Describe any specialized training, apprenticeship, skills and extra-curricular activities. You may exclude membership which would reveal race, color, sex, age, religion, national origin, sexual orientation, gender identity, disability, veteran status, genetics or any other basis protected by applicable state and federal law.
Describe any job-related training received in the United States Military.
List professional, trade, business or civic activities and offices held. You may exclude membership which would reveal race, color, sex, age, religion, national origin, sexual orientation, gender identity, disability, veteran status, genetics or any other basis protected by applicable state and federal law.
ADDITIONAL INFORMATION (Other Qualifications) Other Qualifications Please summarize any special job-related skills and additional qualifications that you feel are relevant and would like for us to consider.
State any additional information you feel may be helpful to us in considering your application.
Note to Applicants: DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN INFORMED ABOUT
THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING:
Are you capable of performing in a reasonable manner, with or without a reasonable accommodation, the activities involved in the job or occupation for which you have applied? PERSONAL/PROFESSIONAL REFERENCES ONE: (Do not include family members)
PERSONAL/PROFESSIONAL REFERENCES TWO: (Do not include family members)
PERSONAL/PROFESSIONAL REFERENCES THREE: (Do not include family members)
APPLICANT’S STATEMENT
I certify that the provided in this application (and accompanying resume, if any) is true and complete to the best of my
knowledge.
In this regard, I hereby authorize Hammond & Irving to investigate all of the statements and answers contained in this
employment application as may be necessary to make an employment determination. Specifically, I authorize former
employers, companies, schools and persons to give any information regarding my employment, together with any
information they may have regarding me whether or not it is in their records.
I hereby release and hold harmless Hammond & Irving and its agents, owners, representatives and affiliates, and any
individual or entity, including but not limited to, those described above, that shall provide information to Hammond &
Irving, from and against any and all claims, demands, suits or expenses from or related to the content, validity or
handling of the information and/or reports provided above.
I agree that falsified information or material omissions will disqualify me from employment, will result in the
withdrawal of any offer of employment, and will be considered cause for dismissal if discovered at a later date.
If employment is obtained under this application, I will comply with all rules and regulations of Hammond & Irving
and further agree to be responsible for company property and equipment issued to me until returned to Hammond &
Irving.
I hereby agree to submit to any lawful drug or alcohol testing that may be required as a condition of employment and
understand that refusal to submit to such testing may result in the withdrawal of any offer of employment.
I understand that according to federal law all individuals must, as a condition of employment, produce certain
documentation to verify their identity as a U.S. citizen/legal permanent resident or, if a foreign national, their legal
authorization to work in the United States. As a result, I understand that any offer of employment would be contingent
upon my ability to produce the required documentation within the time period required by law.
I hereby understand that if my application for employment with Hammond & Irving is successful, my employment
relationship with this company is “at-will,” meaning that I may resign at any time and Hammond & Irving may fire me
at any time, with or without cause and with or without notice. It is further understood that my employment relationship
is “at-will,” unless expressly changed by a written employment agreement or labor contract.
This application for employment shall be considered active for a period of time not to exceed 45 days. In order to be
considered for any available job openings that may exist after the 45-day period has expired, I must complete a new
application for employment with Hammond & Irving.
Consent* I agree to the policy.*
Hammond & Irving, Inc. is an equal opportunity/affirmative action employer. As such, it is the policy of Hammond & Irving not to discriminate against applicants or employees in any facet of employment on the basis of race, color, sex, age, religion, national origin, sexual orientation, gender identity, disability, veteran status, genetics or any other basis protected by applicable state and federal law. If an applicant requires a reasonable accommodation in connection with the application process, please notify [the Human Resources Department] as soon as possible.
DRUG TESTING REQUIREMENT
Applicants may be tested for illegal drugs according to the procedures permitted by applicable law and must pass any administered drug test(s) to be considered eligible for employment. Hammond & Irving will reject any application for employment submitted by an individual who refuses to take a lawful drug test or sign any related testing documentation permitted under law.