Hermes Employment Application
Full Name
Present Address
City
State
Zip Code
Social Security Number
Home Phone
Business Phone
Previous Address
City
State
Zip Code
Email
Have you ever applied at HERMES? yes   no
If yes, where/when?
Have you ever worked for HERMES? yes   no
If yes, where/when?
Do you have a reference who is presently employed at HERMES? yes   no
If yes, please provide name.
If you are under 18 years of age, please state your age:
Are you eligible to work in the U.S.? (Proof of eligibility required at time of employment.) yes   no
Have you been convicted of a felony within the past seven years? yes   no
Have you ever been discharged from any employment? yes   no
If yes, please explain?
Position applying for:
Expected salary: hourly rate/annual:
Available for: Full time: 32-40 hrs.    Part time: less than 32 hrs.
Total number of hours available per week:


Day Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Start
End


Are you able to travel? yes   no
If yes, percentage of time willing to travel?
Are you willing to relocate? yes   no
Possible locations:     United States: East West Mid-West Southwest Southeast
Canada Europe Asia
Company
Address
Phone
Position
Last or Current Supervisor
May we contact? yes   no
Reason for leaving
Employment From / To /
Salary Start / End /

Company
Address
Phone
Position
Supervisor
Reason for leaving
Employment From / To /
Salary Start / End /

Company
Address
Phone
Position
Supervisor
Reason for leaving
Employment From / To /
Salary Start / End /
School & Location (City & State) No. Years Degree/Diploma Major/Minor
Branch of Service Rank at Discharge
Dates of Service: From To
Reason for Leaving
Name Relationship
Company Business Phone
City and State How Long Known?

Name Relationship
Company Business Phone
City and State How Long Known?

Notification and Agreement
Please read before submitting application.
I certify that all answers given by me are true, accurate and complete. I understand that the falsification, misrepresentation or omission of fact on this application (or any other accompanying or required documents) will be cause for denial of employment or immediate termination of employment, regardless of when or how discovered.

Questions regarding this statement should be directed to any employment interviewer before signing. The application will be given every consideration, but its receipt does not imply that the applicant will be employed.

It is the policy of HERMES to afford equal opportunity to all employees and applicants for employment without regard to age, race, religion, color, gender, national origin, marital status, expunged juvenile records, or pregnancy, and to afford equal opportunity to disabled veterans, veterans of the Vietnam era, and individuals with a disability, and any other characteristic protected by federal, state or local law.

I authorize the investigation of all statements and information contained in this

 application. I release from all liability, anyone supplying such information and I also release the employer from all liability that might result from making an investigation.

If hired, I understand employment at HERMES can be terminated at any time, by the coworker or the company, for any reason, with or without cause, with or without notice. Consistent with this policy of "at will" employment, HERMES may discipline, demote, or re-assign job responsibilities or decrease pay of coworkers at any time, for any reason, at its sole and absolute discretion. I will also agree to abide by all of HERMES's policies, rules and regulations. I further understand that no representation, whether oral or written by any representative or agent of the Company, at any time, can constitute a contract of employment. I understand that the Company and all Plan Administrators shall have the maximum discretion permitted by law to administer, interpret, modify, discontinue, enhance or otherwise change all policies, procedures, benefits or otherwise change all policies, procedures, benefits or other terms or conditions of employment. No representative or agent of the Company has the authority

 to enter into any agreement for employment for any specified period of time or to make any change in any policy, procedure, benefit or other term or condition of employment other than in a document signed by the President or Executive Vice President, or to make any agreement contrary to the foregoing.

Under Maryland law an employer may not require or demand any applicant for employment or prospective employment or any employee to submit or take a polygraph or similar test or examination as a condition of employment or continued employment. Any employer who violates this provision is guilty of a misdemeanor and subject to a fine not to exceed $100.

I acknowledge that I have read and understand the above statements and hereby grant permission to confirm the information supplied on this application by myself.