* = Required Information


Yes
No
Full-Time only
Part-Time only
Full or Part-Time
Days/Hours Available to Work
No Pref Monday Tuesday Wednesday
Thursday Friday Saturday Sunday

Yes
No

Yes
No
Education & Other Information
Type of School Name of School Location
(Complete mailing address)
No. of years completed Major & Degree
High School
College
Bus. or Trade School
Professional School

Yes
No

Yes
No

Yes
No

Yes
No
Work Experience
Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name. Attach additional sheets if necessary.


Please list three references other than relatives or previous employers.

Yes
No


Yes
No


Yes
No
PLEASE READ CAREFULLY
Application Form Waiver
In exchange for the consideration of my job application by Outstanding Possibilities Revealed, I agree that:

Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of Outstanding Possibilities Revealed, or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the President /General Manager of the Company. Both the undersigned and Outstanding Possibilities Revealed may end the employment relationship at any time, without specified notice or reason. If employed, I understand that the Company may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits.

I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contract.

I also understand that (1) (OPR) may complete a drug and alcohol test for pre-employment testing as well as testing after employment; (2) All applicants for staff positions at OPR are subject to completion of a criminal background check; (3) consent to and compliance with such policy is a condition of my employment; and (4) 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 job-related physical examinations.

I understand that, in connection with the routine processing of your employment application, Outstanding Possibilities Revealed may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics, and mode of living. Upon written request from me, the Company, will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act.

I further understand that my employment with the Company shall be probationary for a period of sixty (60) days, and further that at any time during the probationary period or thereafter, my employment relation with the Company is terminable at will for any reason by either party.
Outstanding Possibilities Revealed is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with this Company depends solely on your qualifications.

Thank you for completing this application form and for your interest in our business.