215273 Employment Application Website


Design a website for potential employees to post applications and managers to review and manage these applications.

Page One

Select location in which you are applying we cover the Colorado market so

possibly a map in which the applicant could click on the area of interest.

My other thought would be a type in your Zip code and dropdown of distance

you are willing to travel. 2 miles/5 miles/10 miles etc.

Specific regions in this area would be Northern Colorado (Greely & Fort

Collins), Mountain, Denver, Colorado Springs, and Pueblo.

Depending on the above selection the applicant will now be presented with

available positions at the stores which meet the criteria set above the

positions may include :

Sales Representative

Shift Manager

Store Manager

District Manager

Other 1 (Defined by manager on back end)

Other 2 (Defined by manager on back end)

Any position may be Full Time/Part Time/Seasonal/Accepting applications for

future positions

The user would be allowed to select one available position per location from

as many locations listed.

Back End Note: Some locations may be managed by the same person when the log

in they would need to be able to see all of their locations in a list and

sort down to location without separate login's. Although an application may

be shared between different store managers any notes or additional

information entered by the store manager would be limited to that specific

store manager.

I think this would be the appropriate place for login/new user information

once they have been able to view available positions. If they are updating

their application any positions which are still available or are again

available would be auto populated. If we could submit the location/ position

as a date or something so that for archival purposes a store manager could

go back and review information even if the update has removed the position

on resubmit.

Page Two

Here is where the applicant would enter their Personal Information (*


*First Name

*Last name

Middle Initial

If provided we may use any of these methods to contact you.

(*at least one of the three contact numbers required)

Home Phone

Work Phone

Cell Phone

*Street Address

*City *State *Zip code

*E-Mail Address

Have you Ever been employed under any other names? Yes No Please List or


Have you ever been convicted of a criminal offense? Yes No Please List or


Are you authorized to work in the US? Yes No

Are you 18 years of age or older? Yes No

Page 3

(unless this would be my first job is checked all fields would be required

and applicant would be able to dynamically add additional fields jobs and as

well as they are required remove them as they are required) (alternately a

question how many jobs have you held in the last three years 0/1/2/3/4 and

the answer would populate the form with the appropriate number of fields all

being required.)

This would be my first job

Please began with The Most Recent Position Held

Dates Employed (MM/YY)






Full Time

Part Time, hrs/wk

Position Held

Company Name


Company Address



Reason For Leaving

Page 4 This one will have two sections Education & Skills

Again need user to be able to dynamically add blocks of fields either by add

or questions such as highest level of school compleated

(Didn't Graduate High School/Still in High School/GED/High School/Trade

School/Some College/Still in college/Graduated College)


School Name

Type Of School

Did You Graduate?

Subjects Studied



Please list any languages other than English which you speak.

Language 1 Level of Comprehension

Language 2 Level of Comprehension

Computer Skills

Are you familiar with? check box




Web Design


Other Skills

Sales Experience

Customer Service

Cash Handling

Employee Management

Other Please explain

Include Resume

Upload Resume File

Page 5

Review And Submit

Display above applicant information in a traditional job application format

(not Just a list of form Fields & answers) along with the following



EMPLOYMENT - I certify that the above statements are correct. I understand

that any false information (or omissions) in this application, or its

supporting documents, will be sufficient grounds for refusal to hire or

termination without notice. This application is not intended to create a

contract, and the employment relationship, if one is commenced, may be

terminated at any time, with or without cause or notice, by either party. I

agree that all rules, orders, and regulations of the company affecting my

employment shall constitute a part of my appointment or employment. I hereby

authorize the Company to review my education, previous employment, driving,

and criminal records and other background data. I hereby authorize the

company to thoroughly investigate my references, work record, education and

other matters related to my suitability for employment and, further,

authorize my former employers to disclose to the Company any and all of my

employment records, including disciplinary reports and letters of reprimand,

without giving me notice of such disclosure. In addition, I hereby release

the Company, my former employers, their respective directors, officers,

employees and agents, and all other persons from any and all claims, demands

and liabilities arising out of, or in any way related to, such an

investigation or disclosure. I understand that company wishes to maintain a

drug free environment. I agree that company may at any time request a test

be administered to in accordance with company policy to and state law to

confirm my drug free status. Failure of this test or refusal to perform such

test will be grounds for immediate termination. This application will remain

active for only 60 days. If you have not heard from the Company after 60

days and you still wish to be considered for employment, you will need to

fill out and submit a new employment application. I hereby certify that I

have not, knowingly, withheld any information that might adversely effect my

chances for employment, and the answers given by me are true and correct

without any mental reservation whatsoever. I further certify that I, the

undersigned applicant, have personally completed this application. I

understand that any omission or misstatement of material fact on this

application or any document used to secure employment shall be grounds for

rejection of this application or for immediate discharge if I am employed,

regardless of the time elapsed before discovery.

Yes I agree with the terms of Employment (*Required to submit)

NOTICE OF NONDISCRIMINATION - Per Title VI of the Civil Rights Act of 1964,

Title IX of the Education Amendments of 1972, and Section 504 of the

Rehabilitation Act of 1973, the NexStep Communications does not discriminate

on the basis of race, color, religion, national origin, ancestry, sex, age,

disability, or status as disabled veteran or veteran of the Vietnam Era.

Returns user to confirmation page and pops off an email to them thanking

them for their interest in becoming a part of our team if possible one email

per company in which they have actually applied based upon locations


Back End Page 1

Site Administrator Setup Store Owners

Back End Page 2

Store Owners Setup Locations

update available positions for all owned locations including setting names

for "other positions"

Possibly a page by itself

Set company defaults (application age, display columns/Sort by 1st, Sort by

2nd, Criteria Name's))

Back End Page 3

Table of current applicants (15/30/60/90 days old) storable by column

Setup interview check box/radio button (on click update) column added.

Click through to printer friendly application

Back End Page 4

Table to sort applications marked to schedule interviews

popup calendar and time field

Back End Page 5

Printer friendly application to be signed by hired employee

Back End 6

Interview results

Interview Date And Time

Showed up for interview Yes No

Criteria 1 1 2 3 4 5 Scale

Criteria 2 1 2 3 4 5 Scale

Criteria 3 1 2 3 4 5 Scale

Criteria 4 1 2 3 4 5 Scale

Criteria 5 1 2 3 4 5 Scale

Criteria 6 1 2 3 4 5 Scale

Criteria 7 1 2 3 4 5 Scale

Criteria 8 1 2 3 4 5 Scale

Criteria 9 1 2 3 4 5 Scale

Criteria 10 1 2 3 4 5 Scale

Interview Notes

Skills: Anything Goes, MySQL

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Project ID: #1961503

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$500 USD in 14 days
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