SRF
Employment Application
* = Required For help with this application form - contact jobs@srfconsulting.com
  Part 1: Position
*Position:  
Position Type/Area of Interest (optional):
*Referral Source:  
Referral Details:

  Part 2: Personal Information
*First Name:  
*Middle Initial:  
*Last Name:  
*Street Address:  
*City:  
*State:  
*Zip Code:    

*Phone (xxx-xxx-xxxx):

   
*Email Address:  

Part 3: Professional Information

Work Experience
List your last three positions held, starting with the most recent.

Employer #1
Present/Previous Employer:
City:
State:
Phone (xxx-xxx-xxxx):
Position Title:
Supervisor:
Responsibilities:
(500 character limit)
 
Employment Start Date:
Employment End Date:
Reason for Leaving:
Starting Yearly Salary:
Ending Yearly Salary:

Employer #2
Present/Previous Employer:
City:
State:
Phone (xxx-xxx-xxxx):
Position:
Supervisor:
Responsibilities:
(500 character limit)
 
Employment Start Date:
Employment End Date:
Reason for Leaving:
Starting Yearly Salary:
Ending Yearly Salary:

Employer #3
Present/Previous Employer:
City:
State:
Phone (xxx-xxx-xxxx):
Position:
Supervisor:
Responsibilities:
(500 character limit)
 
Employment Start Date:
Employment End Date:
Reason for Leaving:
Starting Yearly Salary:
Ending Yearly Salary:

Education / Training

High School:
Did You Graduate?
College #1:
What type of Degree?
Course of Study:
Did You Graduate?
College #2:
What type of Degree?
Course of Study:
Did You Graduate?
*If applicable, do you have the required license, registration and / or certification(s) for this position?  

List other additional skills, training, certifications, and education that qualifies you for the position of interest.

Additional Skills/Training: (500 character limit)  

Employment Questions

*May we contact your present employer?  
*Are you currently eligible to work in the United States?  
*Do you now or will you in the future require employer visa sponsorship?  

*Desired Wage or Salary Range:

*Employment Preference  
If part-time, are there any times or dates you cannot or will not work?
*On what date are you available for work:  
*Have you ever been Employed by SRF Consulting Group?  

If Yes, please provide the following information:

Employment Start Date:
Employment End Date:
*Are you on a lay-off
and subject to recall?
 
*Can you travel if a job requires it?  

Part 4: Equal Employment Opportunity Information

(Completion is voluntary)

We consider all applicants for positions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age,mental or physical disabilities, veteran/reserve/national guard or any other similarly protected status. We also comply with all applicable laws governing employment practices and do not discriminate on the basis of any unlawful criteria.

In an effort to comply with requirements regarding government record keeping,reporting, and other legal obligations which may apply, we invite you to complete this applicant data survey. Providing this information is STRICTLY VOLUNTARY ,and will not be a part of your official application for employment. This will not be used for interview purposes, and failure to provide this information will not subject you to any adverse personnel decision or action. The information will be used and kept confidential in accordance with applicable laws and regulations.

Gender:

Race: Select one of the following Equal Employment Opportunity Identification Groups:






Veteran Status: Check if any of the following are applicable:



Disability Status:
 
How Do I know if I have a Disability?

You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition.

Disabilities include, but are not limited to:
List of disabilities
Please check one of the boxes below:



Part 5: Resume
Use the following buttons to include electronic versions of your resume and cover letter.
Resume (Word/PDF):
Cover Letter (Word/PDF):
Other File (Word/PDF):



Paste text copy of resume:
(4000 character limit):
 
References name/phone:
(1000 character limit):
 

Part 6: Signature and Submit Application

By typing in your complete name, you are indicating that all of the information submitted by you is complete and true to your knowledge and that you have read and understand the information on this page.

I authorize investigation of all statements contained in this application for employment. I understand that this application is not and is not intended to be a contract of employment.In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Company.

SRF Consulting Group Inc., in considering my application for employment, may verify the information set forth on this application and obtain additional background check information relating to my background. I understand that an offer of employment with SRF will be contingent on the receipt and evaluation of the background check.

*Signature:   *Date:  

Please be patient after submitting application and only hit the submit button once.
It can take up to 60 seconds for the successful submission to be displayed.