ADP TotalSource and its Clients fully subscribe to the principles of Equal Employment Opportunity. It is our policy to provide employment, compensation, and other benefits related to employment based on qualifications, without regard to race, color, religion, national origin, age, sex, veteran status, disability, or any other basis prohibited by federal, state or local law. In accordance with requirements of the Americans With Disabilities Act, it is our policy to provide reasonable accommodation upon request during the application process to eligible applicants in order that they may be given a full and fair opportunity to be considered for employment. As Equal Opportunity Employers, we intend to comply fully with applicable federal and State employment laws and the information requested on this application will only be used for purposes consistent with those laws. Applications are only accepted for positions currenty available and will
only be considered for thirty (30) days from today's date until the position applied for is filled, whichever first occurs.
We are accepting applications for positions in red.
* required fields
Employment Application
Personal Data
Please Select Position Applied For *
Date *
Social Security Number *
Salary Expectation *
Last Name *
First Name *
Middle Name *
Street Address *
City *
State/Zip Code *
Telephone Number *
Are you at least 18 years old? *
Yes
No
Age
if not, state your age for child labor law purposes only:
Are there any days, shifts or hours you will not work?*
Yes
No
If yes, please explain.
Are you available for out of town work? *
Will you work overtime, if required? *
Yes
No
Yes
No
When will you be able to start work? *
Have you taken any illegal Drugs in the last 30 days? *
How did you learn of our Company?
If referral, who were you referred by?
Have you ever applied or worked at ADP TotalSource before? *
Yes
No
If yes, provide date
Are you legally authorized to work in the United States? *
Yes
No
Will you now or in the future require for employment visa status
( e.g H - 8 visa status? ) *
Yes
No
Note: The Federal Irnmigration and Reform and Control Act of 1986 requires that an INS Employment Verification "Form 1-9" be completed for every new hire and that within 3 business days of beginning work very new hire must present to the employer documentation establishing his/her identity and authorization for work. This federal requirement must be satisfied as a condition of employment.
Have you been convicted of a felony within the last seven years? *
Yes
No
If yes, provide date
Note: Answering "yes" does not automatically exclude your from further consideration for the position. If yes, please explain on the additional comments sections, including the penalty imposed.
Have you been convicted within the last seven years of misappropriation of funds, embezzlement or other dishonest conduct, an offense involving the use of a weapon, physical assault or other violent crimes? *
Yes
No
If yes, please explain
Note: Answering "yes" does not automatically exclude your from further consideration for the position.
Have you ever been a defendant in a civil action for an intentional tort
(intentional commission of a wrongful act)? *
Yes
No
If yes, include nature of the intentional tort and the disposition of the action.
Note: Answering "yes" does not automatically exclude your from further consideration for the position.
