* Are you currently legally authorized to work in the United States? (Our Company hires only U.S. citizens and lawfully authorized alien workers. You will be required to provide identification and either proof of citizenship or proof of authorization to work in the U.S.):

Yes   No

* Will you now or in the future require sponsorship for employment visa status (e.g. H1B visa status)?:

Yes   No

* Are you under 18 years old? (If yes, you will be required to produce a work permit if hired):

Yes   No

* Have you ever worked for this Company before?  (Includes ESS Support Services, Compass Group and affiliates):

Yes   No

If yes, provide position, timing, location:

* Do you have any relatives working for ESS Support Services?:

Yes   No

* Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation?:

Yes   No

If no, please explain:

* When would you be available to begin work?:

* Type of employment desired:

Full-Time Part-Time Seasonal On-Call Remote Site Rotational Anchorage Based

* Hourly rate/salary desired:

* Are you currently employed?:

Yes   No

If so may we inquire of your present employer?:

Yes   No

If presently employed, why are you considering leaving?:

Give record of all High Schools, Colleges, Universities and Vocational/Technical Schools you have attended.

School Name & Location	Did you Graduate?	Degree Received	Subjects Studied/Major
*	* Yes   No	*	*
	Yes   No
	Yes   No

Give your full employment record, starting with your current or most recent employment. Include self-employment, summer, and part-time jobs.

Dates Employed	Employer Name & Address	Employer Phone
From: * To: *	* *	*
Job Title	Supervisor Name & Title	May we Contact?
*	* *	* Yes No
Responsibilities	Reason for Leaving	Salary/Hourly Rate
*	*	Start: * End: *

Dates Employed	Employer Name & Address	Employer Phone
From: To:
Job Title	Supervisor Name & Title	May we Contact?
		Yes No
Responsibilities	Reason for Leaving	Salary/Hourly Rate
		Start: End:

Dates Employed	Employer Name & Address	Employer Phone
From: To:
Job Title	Supervisor Name & Title	May we Contact?
		Yes No
Responsibilities	Reason for Leaving	Salary/Hourly Rate
		Start: End:

Name	Relationship	Phone Number
*	*	*

The information I have provided in this application is true, correct, and complete to the best of my knowledge. I understand any falsification, misrepresentation, or omission of any facts in my application, resume, or any other materials or during any interviews, can be justification for denial of employment or, if employed, termination from ESS Support Services. I acknowledge and agree that I am not a party to an agreement with another person, company, or entity that restricts in any manner my ability to work for ESS Support Services, perform the duties and responsibilities of my position, or to otherwise perform any services for the company. A drug screen and physical is required to verify fitness to work after a job offer is extended but prior to beginning work. The results of such may be cause for withdrawal of the employment offer. I understand the results of any such examination will be kept confidential in a file separate from my personnel file, and will only be used for the purposes consistent with the Americans With Disabilities Act and any other applicable law.

I authorize and request that all of my present and former employers and those individual I have listed as personal references furnish information about my current or past employment record, including a statement of the reason for the termination of my employment, work performance, abilities, and other qualifies pertinent to my qualifications for employment, hereby releasing them from any and all liability for damages arising from furnishing the requested information.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the company to hire me. If I am hired, I understand that either the company or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of the company has the authority to make any assurance to the contrary.

My signature below and submission of this application certifies that I have read, understand, accept, and agree with the above statements and that the information on this application is complete and correct. I understand that I am required to abide by all rules and regulations of the company.

* Signature (type name):

* Date: