Pre-Employment Application

Q1, LLC is an Equal Opportunity Employer. We consider all applicants without regard to race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), age, national origin, disability, genetic information, veteran status, or any other protected characteristic under applicable federal, state, or local law. Completion of this application does not guarantee employment. Each question should be answered fully and accurately.

Personal Information

First Name (Required)

Last Name (Required)

Street Address (Required)

Address Line 2

City (Required)

State (Required)

ZIP Code (Required)

Country (Required)

Phone (Required)

Email (Required)

Are you 18 years of age or older? (Required)

Yes No

Are you legally authorized to work in the US? (Required)

Yes No

Employment Desired

Are you seeking (Required)

Full-time Part-time Any

Date Available to Start (Required)

Position Applied For (Required)

Have you worked for our company before? (Required)

Yes No

Compensation Expectations (Required)

Are you able to work overtime if required? (Required)

Yes No

Are you able to travel if required? (Required)

Yes No

Are there any days/hours you are unavailable? (Required)

Yes No

Please specify days/hours unavailable (Required)

Education

Highest Level of Education Completed (Required)

High School Trade/Technical Some College Associate's Degree Bachelor's Degree Master's Degree Doctorate

School / Institution Name

Field of Study / Degree

Certifications, Licenses, or Specialized Training

Special Skills

What languages do you speak, read and write fluently? (Required)

What additional skills or training do you have that are relevant?

Previous Employment

List names of employers in consecutive order with present or last employer listed first. Account for all periods including military service and any periods of unemployment.

I have had no previous employment

Employer 1

Employer Name (Required)

Position Held (Required)

Start Date

End Date

Reason for Leaving

Please explain any gaps in employment of 6 months or longer

Affidavit

Background Check Authorization: I authorize Q1, LLC to verify the information provided, including contacting references, previous employers, and conducting background checks as permitted by law. (Required)

Accuracy of Information: I certify that all information provided is true and complete. I understand that false or misleading information may disqualify me or result in termination if employed. (Required)

Drug & Alcohol Testing: I understand that pre-employment or employment-related drug/alcohol testing may be required under company policy, and refusal may result in withdrawal of my application or termination. (Required)

At-Will Employment: I understand that, if hired, my employment is "at-will" and may be terminated by myself or Q1, LLC at any time, with or without cause or notice, unless otherwise provided by written agreement signed by the CEO or VP of Human Resources. (Required)

Employment Authorization: I further understand that nobody in the Company is authorized to enter any written or verbal employment contracts with me for any definite period without the express written consent of the Chief People Officer or the Chief Executive Officer of the Company. (Required)

Electronic Signature

Electronic Signature (Type Full Name) (Required) By typing your full name above, you certify that all information is true and complete.

Personal Information

Employment Desired

Education

Special Skills

Previous Employment

Affidavit

Electronic Signature

Application Submitted!