solution

An employer uses the following application form. Do you recommend that any question be removed from the application? Why? Rewrite the application so that it better meets legal requirements.

Name ________________________________________ Sex _________

Address ______________________________________ Date of Birth _________

City ____________________ State ____ Zip ______ Are you a U.S. citizen? ______

Place of birth __________________________________________________________

In case of emergency, who should be notified? ________________________________

Are you single? ____ married? ______ separated? _______ divorced? ________

Number of dependents ______ Do you hold a valid driver’s license? _________

Have you ever been employed by this company before? _______ When? _______

Are you a U.S. veteran?______ Years of service? _________

Type of discharge? __________________________________

Have you ever filed a workman’s compensation claim or been injured on the job? _____

Have you ever pled guilty to a crime? _______ If Yes, provide details. _____________

______________________________________________________________________

List all prior employment, including dates of employment, reason for leaving, address and
phone number of employer, and supervisor.

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

I understand that any misrepresentation or omission of material facts will result in non-hire or
termination of employment without notice or recourse.

Signature ___________________________________________ Date ___________

 
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