Job Apply

Submit Your Application

It is the policy of The Records Company to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability or veteran status.

Applicant Information

APPLICANT FULL NAME * (required)

Home Address

City/State/ZIP

Number of years at this address

Mobile phone

Daytime phone

Evening phone

Social Security Number

Driver's License (State/Number)

Emergency Contact

Who should be contacted if you are involved in an emergency?

Contact Name

Relationship to you

Address

City/State/ZIP

Daytime phone

Evening phone

Job Position Applied For*

Full or Part Time?

Salary Desired($)

per

Who referred you to our company?

Do you have any friends or relatives who work here? If yes, please list here

Have you applied to our company previously?:

Yes No

If yes, when?

Are you at least 18 years old?:

Yes No

Are you willing to work any shift, including nights and weekends?:

Yes No

If no, please state any limitations

If applicable, are you available to work overtime?

If you are offered employment, when would you be available to begin work?

IF HIRED, ARE YOU ABLE TO SUBMIT PROOF THAT YOU ARE LEGALLY ELIGIBLE FOR EMPLOYMENT IN THE UNITED STATES?

Yes No

ARE YOU ABLE TO PERFORM THE ESSENTIAL FUNCTIONS OF THE JOB POSITION YOU SEEK WITH OR WITHOUT REASONABLE ACCOMMODATION?

Yes No

What reasonable accommodation, if any, would you request?

HAVE YOU EVER BEEN CONVICTED OF A FELONY OR MISDEMEANOR?

Yes, I was convicted of on (date) in City state

THE EXISTENCE OF A CRIMINAL RECORD DOES NOT CONSTITUTE AN AUTOMATIC BAR TO EMPLOYMENT UNLESS RELEVANT TO THE TYPE OF EMPLOYMENT.

Applicant Skills

Check those skills that you have. List any other skills that may be useful for the job you are seeking. Enter the number of years of experience, and circle the number which corresponds to your ability for each particular skill. (One represents poor ability, while five represents exceptional ability.)

SKILL YEARS OF EXPERIENCE? ABILITY OR RATING

Applicant Employment History

List your current or most recent employment first. Please list all jobs (including self-employment and military service) which you have held, beginning with the most recent, and list and explain any gaps in employment. If additional space is needed, continue on the back page of this application.

EMPLOYER NAME

SUPERVISOR NAME

ADDRESS

CITY/STATE/ZIP

JOB DUTIES

REASON FOR LEAVING

DATES OF EMPLOYMENT (MONTH/YEAR)

EMPLOYER NAME

SUPERVISOR NAME

ADDRESS

CITY/STATE/ZIP

JOB DUTIES

REASON FOR LEAVING

DATES OF EMPLOYMENT (MONTH/YEAR)

EMPLOYER NAME

SUPERVISOR NAME

ADDRESS

CITY/STATE/ZIP

JOB DUTIES

REASON FOR LEAVING

DATES OF EMPLOYMENT (MONTH/YEAR)

EMPLOYER NAME

SUPERVISOR NAME

ADDRESS

CITY/STATE/ZIP

JOB DUTIES

REASON FOR LEAVING

DATES OF EMPLOYMENT (MONTH/YEAR)

Applicant's Education and Training

College/University Name and Address

DID YOU RECEIVE A DEGREE?

Yes No

If yes, degree(s) received

High School/GED Name and Address

DID YOU RECEIVE A DEGREE?

Yes No

Other Training (graduate, technical, vocational)

Please indicate any current professional licenses or certifications that you hold

Awards, Honors, Special Achievements

MILITARY SERVICE

Yes No

Branch

Specialized Training

References

NAME

CITY/STATE/ZIP

ADDRESS

RELATIONSHIP

TELEPHONE

NAME

CITY/STATE/ZIP

ADDRESS

RELATIONSHIP

TELEPHONE

PLEASE PROVIDE ANY OTHER INFORMATION THAT YOU BELIEVE SHOULD BE CONSIDERED, INCLUDING WHETHER YOU ARE BOUND BY ANY AGREEMENT WITH ANY CURRENT EMPLOYER

CERTIFICATION

I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of the application, or employment termination. I understand and agree that my employment is at will.

I authorize The Records Company to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance and grades. I authorize those persons designated to fully and freely communicate information regarding my previous employment and education.

* (required) I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND AND AGREE TO ITS TERMS.

Submission Received

Thank you for your submission. If your experience matches any current openings, we will contact you soon..

HIPAA DISCLAIMER:

Any and all private health information, covered by HIPAA or other pertinent statute shared via this form is intended only for use by the Records Company and its agents and employees. Any and all information is not to be disseminated for any reason unless previously agreed upon by the individual, an attorney or other authorized representative.

RECORDS RETRIEVAL

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Records Retrieval
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Request Medical Records
Records Management
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Health Insurance Records
Court Records

GENERAL DISCLAIMER:

Any request made via this site or other request to The Records Company, Inc. does not create a Business or other contractual relationship between the parties without further communication. Any and all information shared will remain strictly confidential unless we are required by law to do so.

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NETWORK

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CONTACT US:

PHYSICAL ADDRESS

Corporate Office:
The Records Company, Inc.
221 High Street Floor 4,
Hamilton, Ohio 45011

Miami Location
The Records Company, Inc.
101 NW 8th St
Suite 200, Room 7
Miami, FL 33136

MAILING ADDRESS:

The Records Company, Inc.
PO Box 776,
Hamilton, OH 45012

Phone: (513) 795-0724
Toll Free: (888) 270-5784
Fax: (513) 275-1752

Email: sharma1083@gmail.com

We Records Retrieval.