At Quantum Enterprises, Inc., all employment decisions, including selection, development, and compensation, are based on an individual’s qualifications, skills, and performance. Applying with Quantum does not guarantee employment. Quantum provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Personal Information

• Last Name
• First Name
• Middle Name
• Email Address
• Street Address (include apt/bldg #)
• City
• State --select-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
• Zip
• Telephone Number(s)
• Desired Salary
• Date You Can Start Work
• Social Security Number
• How did you learn about us?

• Are you at least 18 years of age or older? Yes No
• If not at least 18, can you provide a work permit? Yes No
• Are you a US citizen? Yes No
• If not a US citizen, can you provide work papers? Yes No
• Are you currently employed? Yes No
• If so, may we contact your present employer? Yes No
• Have you ever worked/applied to this company? Yes No
• If yes, when?

• Employment Desired Full Time Part Time Temporary Seasonal

• Driver's License Number (if applicable to position)
• Driver's License State

• Have you ever pled “guilty” or “no contest” to or been convicted of a crime? Yes No
• If yes, please give dates and details
• Answering Yes does not constitute an automatic rejection to employment. Date of the offense, seriousness, and nature of the violation, rehabilitation, and position applied for will be considered.

Education

• High School Attended (name and location)
• Number of Years Completed
• Degree/Major
• Did you graduate? Yes No
• College/University Attended (name and location)
• Number of Years Completed
• Degree/Major
• Did you graduate? Yes No
• Other (name and location)
• Number of Years Completed
• Degree/Major
• Did you graduate? Yes No

References

Please furnish the names, addresses and telephone numbers of two people to whom you are not related and by whom you have not been employed:

• Name
• Address
• Phone
• Name
• Address
• Phone

Previous Employment

Please provide at least three years of employment history. A resume may be attached in lieu of completing this section.

• Most Recent Employer
• Address
• City
• State --select-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
• Zip
• Phone
• Supervisor
• Dates From/To
• Position Held
• Pay
• Reason for leaving (be specific)
• May we contact your present empoyer? Yes No
• List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

• Prior Employer
• Address
• City
• State --select-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
• Zip
• Phone
• Supervisor
• Dates From/To
• Position Held
• Pay
• Reason for leaving (be specific)
• May we contact this employer? Yes No
• List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

• Prior Employer
• Address
• City
• State --select-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
• Zip
• Phone
• Supervisor
• Dates From/To
• Position Held
• Pay
• Reason for leaving (be specific)
• May we contact this employer? Yes No
• List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

Applicant's Certification Agreement

1. I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, educational, financial, or medical history and other related matters as may be necessary for an employment decision. I herby release employers, schools, or persons from all liability in responding to inquiries in connection with my application.

   In the event I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge.

• Enter your name as your signature
• Date

Quantum is an at-will, equal opportunity employer. This posting will remain open to gather qualified candidates for current and future needs.

Notice to third parties: Quantum does not accept unsolicited resumes from recruiters or employment agencies. In the absence of a signed Recruitment Fee Agreement, Quantum will not consider or agree to payment of any referral compensation or recruiter fees. If a resume is received without a previously signed agreement from the recruiter or agency, Quantum reserves the right to pursue and hire those candidate(s) without any financial obligation to the recruiter or agency.