Your Name (required)

Your Email (required)

Your phone (required)

Your Complete Mailing Address (required)

Position Applied for

Date Available to Start

Are you over 18? YesNo
Have you ever been convicted of a violation of the law higher than a minor traffic incident? YesNo
If yes, please explain
Have you applied to Harris Companies before? YesNo
If hired, proof of your identity and employment eligibility in the US must be established by appropriate documentation before you begin work. Does not applyHave documentationDo not have documentation
Are you willing to work an irregular schedule, overtime, different shifts and/or weekends when necessary? YesNo

Education

Elementary School Name and Graduate Year

High School Name and Graduate Year

College Name and Graduate Year
College course of study
College Degree (example BS in Industrial Tech)

Post College Education and Graduate Year
Post College course of study
Post College Degree (example BS in Industrial Tech)

Military Service Detail

Describe specialized training, apprenticeships or other applicable skills; list professional, trade, business or civic activities and offices held. (You may exclude memberships that would reveal sex, race, religion, national origin, age, ancestry, disability or other protected status.)

I give Harris Companies, Inc. the authorization to investigate my personal and/or employment background through necessary, appropriate legal means for the purposes of determining my eligibility for employment. This includes, but is not limited to, criminal record checks, background review and contacting of any previous employers and/or references listed on this form or otherwise provided by me, Previous employers and/or references have my full authorization to release such information in a lawful manner unless they are otherwise indicated here.
Note restrictions/exceptions:

Employment

Company Name
Title or Position
Employment Duration
Reporting Manager
Phone

Company Name
Title or Position
Employment Duration
Reporting Manager
Phone

Company Name
Title or Position
Employment Duration
Reporting Manager
Phone

Personal References

Name
Nature of Relationship
Length of Relationship
Phone

Name
Nature of Relationship
Length of Relationship
Phone

Name
Nature of Relationship
Length of Relationship
Phone

I consent to storing and using this information provided for future contact.

Additional Information to Consider:

Applicant's Statement/Form Waiver, by clicking SUBMIT, you agree to the following:

I certify that all facts contained in the application are true and complete; I acknowledge that the company is relying on the accuracy of the information provided and that falsification, misrepresentation or omission of requested facts may result in denial of employment or, if employed, may result in immediate dismissal.

I understand that (1) the Company has a drug and alcohol policy that provides for pre employment testing as well as testing after employment; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy. I further understand that continued employment may be based on the successful passing of testing under such policy. I further understand that continued employment may be based on the successful passing of job related physical examinations.

In consideration of my employment, I agree to conform to the employment policies of Harris Companies, Inc I agree that my employment is "at will," is not to be for any specific duration, and that I may resign or be terminated at any time without advance notice or cause or the need of me or the foundation to follow any particular procedure. I also agree that my employment is not subject to any express, implied, or oral contract or promise and that the company's employee handbook and personnel-related documents as they now exist or may be issued or revised in the future, are not to be regarded as such by me. I further agree that no supervisor or manager Harris Companies, Inc. has any authority to make any oral or written promise or agreement inconsistent with the foregoing, other than the president of the organization, in writing, signed by him/her.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 180 days. If I wish to be considered for employment beyond this time period, I understand that I need to inquire as to whether or not applications are being accepted at that time.