1. Personal Information:
Please enter your legal first and last names. No nicknames or preferred names.
First Name:
M.I.:
Last Name:
SSN:
Phone: (Including Area Code)
Street Address:
Apartment #:
E-mail:
Confirm E-mail:

2. Resume Upload:
You may type in your resume or copy and paste your resume from another source (such as Word) into the box below. If you do not have a resume, please enter your most recent work history (up to 5 years) in the box below. THIS IS A REQUIRED FIELD.
 
3. Additional Information:
If desired, use this section to include a cover letter, to state your career objectives or provide any additional information.
 
Check here if you have worked at Harper Industries or a Harper Industries company before.
From dates: From Please select an item. to Please select an item.
Location:
Check here if presently employed.
Check here if you have been discharged from work.
Check here if you have any relatives working for Harper Industries.
  If yes, who?
Check here if you have served in the military.
  If so, what branch?
Served from: From Please select an item. to Please select an item.
  How many days have you missed in the last 12 months?
Check here if you are legally elible to work in the United States?
  Yes * No *
Will you now or in the future provide require sponsorship for employment visa status?
  Yes * No *
Have you ever been convicted of a crime including guilty and no contest plea?
 

Do not include traffic violations, sealed or expunged records. An answer of yes to this question will NOT automatically disqualify you from your consideration for employment. Factors such as the date and seriousness of the offense, and the relationship between the conviction and the duties/responsbilities of the applied for position, will be considered.

Yes * No *
Offense:
When: (Month) (Year)
Equal Employment Opportunity Employer (EEOE)
Please enter your Equal Employment Opportunity Employee (EEOE) information. Completion of this form is voluntary and your reponses will not be viewed by the Harper Industries personnel when making employment decisions.
Gender: Female * Male * Not Specified *
Race: Are you Hispanic or Latino? Yes No
If you answered NO to question, please select one of the following
Asian
Black or African American
American Indian or Alaska Native
Native Hawaiian or Other Pacific Islander
White
Two or More Races
Not Specified
SOURCE
Please select one option that best represents how you heard about career opportunities at Harper Industries.
Media or Advertisement
Newspaper
Magazine
Radio
TV Coverage
Career Fair
National Black MBA Association
National Society of Hispanic MBA's
NAACP
Women for Hire

University Career Fair
Community Local Career Fair
Other Career Fair
Online Job Board
Monster.com
America's Job Bank
Yahoo! Hotjobs
Career Builder
Dice
Other
Referral
Employee Referral
Family/Friend Referral
HireVelocity
In-Store
Comany Hiring Sign/Banner
Company Public Announcement
On-Hold Phone Message
School or University
High School
University
Graduate Program
Trade School (Art, Design, Technical)
The Art Institutes
Employment Test
Harper Industries requires that each applicant complete the Harper Industries Employment Test to be considered for employment. Please answer each question.
Yes * No * Are you currently 18 years of age or older?
Yes * No * Are you willing to complete a background check?
Yes * No * Are you willing to take a drug test?
Yes * No * Based on the job description, do you have the required amount of directly relevant job experience?
Yes * No * Based on physical requirements described in the job description, do you feel you can perform the tasks described with or without reasonable accommodations?
Yes * No * Do you meet the educational requirement as specified in the job description?
Yes * No * Do you now have personal and substantial responsibility on behalf of a U.S. Government federal agency for a matter (e.g., contract, application, audit, "end user", procurement, etc.) relating or involving Harper Industries or any of its related entities, parent, affiliates, or subsidiaries?

N/A *

Yes *

No *		 If you answered "no" to the above question, select "N/A". If you answered "yes" to the above question, have you notified your government supervisor and other required agency personnel that you are contemplating employment with Harper Industries or any of its related entities, parent, affiliates, or subsidiaries?
Applicant Confirmation
  Applicant herby certifies that the answers to the foregoing questions are true and correct. I agree that if the information is found to be false in any respect, including omission of information, I will be subject to dismissal without notice. I authorize you to investigate all information in this application. I hereby authorize my former employers to release information pertaining to my work record, habits and performance. I understand that additional background investigation may be necessary for certain positions. Should I become and employee of Harper Industries, I understand that my employment will be for no definite term, and that I will have the right to terminate my employment at any time, at my convenience, with or without cause or reason. I further understand that Harper Industries will have the same right. I understand that I am expected to comply with all company rules and regulations, but that such rules do not create a contract between me and Harper Industries. I understand that any handbook I receive will not constitute an employee contract, but will be a statement of Harper Industries' current policies. I understand that before any offer of employment is finalized, I will be required to submit to a urine drug screen and a background check. The drug screen will be conducted at Harper Industries selected facility at Harper Industries' expense. If the test results domenstrate a presence of illegal drugs or non-prescribed controlled substances, I understand that I will not be permitted to commence for work for Harper Industries, or I will be terminated if I have already commenced work.
INITIALS: