Job Application Name* First Middle Initial Last Phone (best way to reach you)*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Position*Date you can start*Salary Desired*Are you employed now?*YesNoMay we contact your present employer?YesNoAre you currently on "lay-off" status and subject to recall?*YesNoHow did you hear about us? Work History and References*How would you prefer to send us your work history and references? I will fill out my work history and references using this formI will upload my resuméI will email my resuméClick "Choose File" below to upload your resume*Accepted file types: pdf, doc.Please attach your resume in PDF or Word document format and send to firstname.lastname@example.orgEmail*Please provide us your email so we can contact you, if necessary. Former EmployersPlease fill out the following information:Former Employers*Name and Address of EmployerDates Employed (Month & Year)SalaryPositionReason for Leaving Special Skills and Qualifications*References*NameAddressTelephone # Premier Code of Conduct & Commitment to Unity The Power of Unity How am I becoming part of the solution? Go For It! Will Premier’s opportunities bring out the best in me? Mutual Respect Willingness to Help. Readiness to Listen. Eagerness to Honor. Gossip Be a home run hitter—don’t give in to complaining or gossip! Communication Do I communicate “I need you” or “I can do it myself”? Humility “There is nothing noble in being superior to your fellow man; true nobility is being superior to your former self.” (Ernest Hemingway) Teamwork Am I holding the light bulb or having an adventure changing it? Application Agreement*You must check both boxes below. "I certify that the facts contained in this application are true and complete to the best of my knowledge." "I acknowledge that Premier is a drug and alcohol-free workplace. I acknowledge that all applicants and employees are subject to substance abuse testing as a condition of hiring and continued employment." "I have read and agree to Premier's Code of Conduct."