Charles Koch Foundation Employment Application

PLEASE READ THIS CERTIFICATION AND AGREEEMENT CAREFULLY BEFORE SIGNING:

By my signature on this Application, I certify that all information furnished by me in this Employment Application, and in any resume I have supplied, is true, complete and correct.  I certify that I am at least 18 years of age or older. I agree that any false statement made by me, or my failure to answer completely any applicable questions may result in release from, or refusal of, employment. I authorize my former employers and any other persons or organization to provide any accurate information they have regarding my background, and I release all concerned from any liability in connection therewith. If I am hired, I understand the employment relationship will be at-will, meaning I am not guaranteed employment for any definite period, and my employment relationship may be terminated at any time, without cause or notice, for any or no reason, by either the company or myself. I understand any agreement to the contrary must be in writing and signed by an authorized representative of the company. I understand that if I am offered employment, such offer will be contingent upon passing a company approved background check and drug screen (unless prohibited by state law), that I may be required to complete a medical history questionnaire and/or undergo a physical examination by a physician selected by the company; and that I will be required to supply proof of authorization to work in the U.S. I also understand that I will be required to authorize the firm performing the company administered drug test to provide the results of this test to the company. By signing and submitting this Employment Application, I certify I am genuinely interested in working for the company in the position which I am applying and am submitting this Employment Application for no other purpose. I acknowledge that I have read this Employment Application carefully and understand its content.

I understand that checking this box is equivalent to providing my signature.

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NOTE: DO NOT INCLUDE CONVICTIONS THAT WERE SEALED, ERADICATED OR EXPUNGED, OR THAT RESULTED IN REFERRAL TO A DIVERSION PROGRAM. Applicants in California, Connecticut, Georgia, Hawaii, Maryland and Massachusetts should read the information below BEFORE answering the questions that follow.

 CALIFORNIA APPLICANTS: This does not include convictions under California Health & Safety Code §§11357(b) (formerly subdivision (c) of section 11360), 11364, 11365 or 11550 related to marijuana offenses that occurred two or more years before the instant application.

CONNECTICUT APPLICANTS: Applicants are not required to disclose the existence of any arrest, criminal charge, or conviction, the records of which have been erased. Criminal records subject to erasure are records pertaining to finding of delinquency or the fact that a child was a member of a family with service needs, an adjudication as a youthful offender, a criminal charge that has been dismissed or nolled (not prosecuted), a criminal charge for which the person was found not guilty, or a conviction for which the offender received an absolute pardon. Any person whose criminal records have been erased is deemed to have never been arrested within the meaning of the law as it applies to the particular proceedings that have been erased and may so swear under oath.

GEORGIA APPLICANTS: Applicants are not required to disclose information pertaining to any first offender discharge.

HAWAII APPLICANTS: Do not answer this question at this time. You will only have to answer this question if you receive a conditional offer of employment.

MARYLAND APPLICANTS: Under Maryland law, an employer may not require or demand, as a condition of employment, prospective employment, or continued employment, that an individual submit to or take a lie detector or similar test. An employer who violates this law is guilty of a misdemeanor and subject to a fine not exceeding $100.

MASSACHUSETTS APPLICANTS: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment.. An employer who violates this law shall be subject to criminal penalties and civil liabilities.

RHODE ISLAND APPLICANTS: The Company is subject to the Rhode Island Workers Compensation Law.





** Criminal convictions will not automatically disqualify an applicant from a particular job. The Company will consider various factors which may include but are not limited to: the crime’s type and seriousness, whether the conviction(s) substantially relates to the position’s functions and qualifications, the frequency of convictions, the applicant’s age at the time of conviction, the time elapsed since the date of conviction or completion of sentence, the applicant’s entire work and educational history, and employment references and recommendations.

Current Compensation Information





Employment History

Please provide employment infomation for all positions held in the past seven (7) years. Use the "Additional Employment History" link to add another position.
















Additional Employment History
Education

Please provide information on all degrees acertained or in progress. Use the "Additional Education" link to add another degree.








Actual or projected
Additional Education
References

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How did you hear about this opportunity? Please select all that apply














Resume

Testament of Accuracy

PLEASE READ THIS CERTIFICATION AND AGREEEMENT CAREFULLY BEFORE SIGNING:

By my signature on this Application, I certify that all information furnished by me in this Employment Application, and in any resume I have supplied, is true, complete and correct. I agree that any false statement made by me, or my failure to answer completely any applicable questions may result in release from, or refusal of, employment. I authorize my former employers and any other persons or organization to provide any accurate information they have regarding my background, and I release all concerned from any liability in connection therewith. If I am hired, I understand the employment relationship will be at-will, meaning I am not guaranteed employment for any definite period, and my employment relationship may be terminated at any time, without cause or notice, for any or no reason, by either the company or myself. I understand any agreement to the contrary must be in writing and signed by an authorized representative of the company. I understand that if I am offered employment, such offer will be contingent upon passing a company approved background check and drug screen (unless prohibited by state law), that I may be required to complete a medical history questionnaire and/or undergo a physical examination by a physician selected by the company; and that I will be required to supply proof of authorization to work in the U.S. I also understand that I will be required to authorize the firm performing the company administered drug test to provide the results of this test to the company. By signing and submitting this Employment Application, I certify I am genuinely interested in working for the company in the position which I am applying and am submitting this Employment Application for no other purpose. I acknowledge that I have read this Employment Application carefully and understand its content.

I understand that checking this box is equivalent to providing my signature.




The Charles Koch Foundation is an Equal Opportunity Employer. EOE/M/F/D/V


































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