Author: Flip
Last saved by: Microsoft Office User

Application for Employment

Turd Nerds, LLC is an Equal Opportunity Employer committed to excellence through diversity.  Employment offers are made on the basis of qualifications, without regard to race, sex, religion, national or ethnic origin, disability, age or sexual orientation. 

PLEASE WORD PROCESS OR PRINT.  Complete the entire application.  You may attach a resume, but you must still complete all questions; or your application will be deemed incomplete and may not be considered.  Please fill out each box 
(don't just indicate “See Resume”).  Please submit completed application and any supplemental employment documents to turdnerds@comcast.net  or mail to Turd Nerds, LLC at P.O. Box 1414, Minnetonka, MN  55345.

Position Applying For: | Name  (Last, First, Middle): | Other names under which you have attended school or been employed:
Current Residence Address: | City, State & Zip: |
Social Security Number: | Home Phone: | Work Phone: | Other Phone:
Are you eligible to work in the United States? | ☐Yes     ☐No |
Are you 18 years of age or older? | ☐ Yes    ☐ No | If NO, what is your current age?
Do you have a valid driver’s license? | ☐ Yes    ☐ No | If YES, State of issuance, license #, and expiration date:

How did you learn about this employment opportunity?
Check all that apply:   
☐ Online Advertisement
☐ Turd Nerds Website
☐ Referral by employee 
☐ Other:

        EDUCATION
Name of School | City/State | Did you graduate? | If No, # of years left to graduate | If Yes,  date of Graduation | Degree received | Major
High School: | | ☐Yes   ☐ No | | | |
GED: | | ☐Yes   ☐ No | | | |
Other School: | | ☐Yes   ☐ No | | | |
College: | | ☐Yes   ☐ No | | | |
College: | | ☐Yes   ☐ No | | | |
College: | | ☐Yes   ☐ No | | | |
Other credentials/ licenses/ professional affiliations, etc., which are relevant to the job(s) for which you are applying.

SKILLS:  Please list technical skills, clerical skills, trade skills, etc., relevant to this position.

WORK EXPERIENCE - Please detail your entire work history.  Begin with your current or most recent employer.  If you held multiple positions with the same organization, detail each position separately.  Attach additional sheets if necessary.  Omission of prior employment may be considered falsification of information.  Please explain any gaps in employment.  Include full-time military or volunteer commitments.  PLEASE DO NOT complete this information with the notation “See Resume.”   
PLEASE NOTE:  Turd Nerds, LLC reserves the right to contact all current and former employers for reference information. 

Employer/Organization

Dates Employed (most recent position)
From:       To

☐Full time     ☐   Part-time

If part-time, # hrs./wk: ☐

Title:

Starting Salary: | Organization Name and Address:
Final Salary: |

Supervisor’s Name, Title and Phone  #:

Other Reference Name, Title and Phone #:

Contact my current references:
☐ At any time
☐ Only if I am a finalist candidate

Primary duties: | Reason for Leaving:
Employer/Organization

Dates Employed (most recent position)
From:       To

☐Full time     ☐   Part-time

If part-time, # hrs./wk: ☐

Title:

Starting Salary: | Organization Name and Address:
Final Salary: |

Supervisor’s Name, Title and Phone  #:

Other Reference Name, Title and Phone #:

Contact my current references:
☐ At any time
☐ Only if I am a finalist candidate

Primary duties: | Reason for Leaving:

    

   

PLEASE READ CAREFULLY AND SIGN THAT YOU UNDERSTAND AND ACCEPT THIS INFORMATION.

I certify that the information on this application and any supporting documents are accurate and complete.  I understand and agree that failure to fully
complete this form, or misrepresentation or omission of facts,  represents grounds for elimination from consideration for employment, or termination after
employment if discovered at a later date.  I authorize Turd Nerds, LLC to investigate, without liability, all statements contained in this application 
and supporting materials.  I authorize references and former employers, without liability, to make full response to any inquiries in connection
with this application for employment. If requested, I agree to submit to a physical exam, criminal and credit background investigation, and/or screening
for illegal substances upon conditional offer of employment.  I understand that this document is NOT an offer of employment, and that an offer of
employment, if tendered, does NOT constitute a contract for continued guaranteed employment.  I understand that employees of Turd Nerds, LLC
serve at-will, and the employment relationship may be terminated at any time by either party, for any or no reason, other than a reason prohibited by law.
If employed, I will be required to furnish proof of eligibility to work in the United States and to comply with company policies, including, but not limited, to 
signing a Confidentiality Agreement with Turd Nerds, LLC.

I understand that if employed by Turd Nerds, LLC, I would be paid for hours established at time of conditional offer of employment. I understand that I will be
ineligible for any benefits including, but not limited to; paid time off, vacation, insurance, mileage, etc.

I understand that any benefits I receive may be subject to change or discontinuation at any time without prior notice.

Applicant Signature: ________________	 Date: ________________					                    	

Typing name in the signature line above acts as an electronic signature.  Upon conditional offer of employment, Turd Nerds, LLC will obtain a
written signature below.  (Please do not sign below at time of application.)

Conditional offer agreement applicant signature:  ____________________________________________________________  Date:  _________