Available Start Date *

MM

DD

YYYY

Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are you legally authorized to work in the United States? *

Yes

No

Will you now or in the future require sponsorship for employment via status (e.g., H-1B visa)?

Yes

No

Veteran Status *

We are an Equal Opportunity Employer. Submission of this information is voluntary and will not affect your application. This data is collected for compliance purposes only.

I am a protected veteran

I am NOT a protected veteran

Prefer Not to Answer

Disability Status (Voluntary) *

Submission of this information is voluntary and will not affect your application. This data is collected for compliance purposes only.

Yes, I have a disability.

No, I do NOT have a disability.

Prefer Not to Answer

At-Will Employment Statement *

I understand that if I am employed, my employment will be at-will, meaning I may terminate my employment at any time, and the company may do the same, with or without notice or cause.

I acknowledge and agree to the above statement.

Background Check Authorization *

As part of our hiring process, we may conduct a background check to verify the information provided in your application and to ensure suitability for the position. This check may include verification of employment history, education, and criminal record, where permitted by law. By submitting this application, you authorize ERSI and its representatives to conduct a background check as described.

I authorize ERSI to conduct a background check as part of the hiring process. I understand that this may include verifying my employment history, education, and criminal record, as permitted by law.

Privacy Notice *

Your information will be used for recruitment purposes only and will be handled in compliance with applicable privacy laws. By submitting this application, you consent to the processing of your data as described.

I acknowledge and agree to the privacy notice.

Certification and Authorization *

I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that false information may result in disqualification or termination of employment if hired.

I agree to the above statement and authorize ERSI to verify the information provided in this application.