Employment Application

EQUAL OPPORTUNITY EMPLOYER: It is Applied DNA Sciences, Inc. policy to abide by all federal, state, and local laws prohibiting employment discrimination based solely on a person’s race, color, religious creed, sex, national origin, ancestry, citizenship status, pregnancy, childbirth, physical disability, mental disability, age, military status or status as a Vietnam-era or special disabled veteran, marital status, registered domestic partner or civil union status, gender (including sex stereotyping and gender identity or expression), medical condition (including, but not limited to, cancer related or HIV/AIDS related), genetic information, sexual orientation, or any other protected status except where a reasonable, bona fide occupational qualification exists. As part of the application process, Applied DNA Sciences, Inc. may conduct background checks on applicants.

Applicant Information
Name*
First Middle Last
e-mail*
Phone*
Last Four Digits of Social Security Number*
Education and Training
High School Name
High School City and State
Degree/Diploma Major Course of Study
Degree Received?
- yes
- no
GED
GED City and State
Degree/Diploma Major Course of Study
Degree Received?
- yes
- no
College(s)
College(s) City and State
Degree/Diploma Major Course of Study
Degree Received?
- yes
- no
Graduate School
Graduate School City and State
Degree/Diploma Major Course of Study
Degree Received?
- yes
- no
Trade School
Trade School City and State
Degree/Diploma Major Course of Study
Degree Received?
- yes
- no
*Only list colleges or universities accredited by the Department of Education (DOE). The DOE maintains a database of accredited institutions at http://ope.ed.gov/accrediation. It is your responsibility to verify accreditation.

*Only list colleges or universities accredited by the Department of Education (DOE). The DOE maintains a database of accredited institutions at http://ope.ed.gov/accrediation. It is your responsibility to verify accreditation.
List any other education, training, special skills or certificates/licenses that you possess related to the position applied for.
Professional License/Certification #
Professional License/Certification Type
Issuing Agency
State Issued
Expiration Date
Professional License/Certification #
Professional License/Certification Type
Issuing Agency
State Issued
Expiration Date
List any machines, equipment or software programs on which you are qualified and experienced in operating.
List any languages you speak fluently
List any languages that you read/write fluently
If you are applying for a position which involves driving a motor vehicle in the course and scope of employment duties, please indicate whether you have a valid driver’s license in this state.
- yes
- no
If you are applying for a government contractor position, please specify whether you have a security clearance and what level the security clearance is:
General Information
Can you, after employment, submit verification of Your legal right to work in the United States?*
- yes
- no
Are you 18 years of age or older?*
- yes
- no
Were you previously employed by Applied DNA Yes No Sciences, Inc.?*
- yes
- no
If yes, give dates:

From: (Month/Year) To (Month/Year)
Can you perform the essential functions of the position?
- yes
- no
List any relatives working for Applied DNA Sciences, Inc
Employment History
Please list the names of your present and/or previous employers in chronological order with present or most recent employer listed first. Provide information for at least the most recent ten (10) year period. Attach additional sheets if needed. If self-employed, supply firm name, and business references. Do not answer “see resume”.
Name of Employer
Type of Business
Business Address
City
State
Zip Code
Position Title
Telephone Number
Name and Title of Supervisor
Type of Employment
- Full Time
- Part Time
May We Contact?
- yes
- no
Employed From

(Month/Year)
Employed To

(Month/Year)
Last Salary
Reason For Leaving
Brief Description of Responsibilities and Duties
Name of Employer
Type of Business
Business Address
City
State
Zip Code
Position Title
Telephone Number
Name and Title of Supervisor
Type of Employment
- Full Time
- Part Time
May We Contact?
- yes
- no
Employed From

(Month/Year)
Employed To

(Month/Year)
Last Salary
Reason For Leaving
Brief Description of Responsibilities and Duties
Name of Employer
Type of Business
Business Address
City
State
Zip Code
Position Title
Telephone Number
Name and Title of Supervisor
Type of Employment
- Full Time
- Part Time
May We Contact?
- yes
- no
Employed From

(Month/Year)
Employed To

(Month/Year)
Last Salary
Reason For Leaving
Brief Description of Responsibilities and Duties
Name of Employer
Type of Business
Business Address
City
State
Zip Code
Position Title
Telephone Number
Name and Title of Supervisor
Type of Employment
- Full Time
- Part Time
May We Contact?
- yes
- no
Employed From

(Month/Year)
Employed To

(Month/Year)
Last Salary
Reason For Leaving
Brief Description of Responsibilities and Duties
Name of Employer
Type of Business
Business Address
City
State
Zip Code
Position Title
Telephone Number
Name and Title of Supervisor
Type of Employment
- Full Time
- Part Time
May We Contact?
- yes
- no
Employed From

(Month/Year)
Employed To

(Month/Year)
Last Salary
Reason For Leaving
Brief Description of Responsibilities and Duties
Criminal Record Information
All Applicants: Do not include convictions that were sealed, eradicated, erased, annulled by a court, expunged, pardoned, or deferred and withdrawn.
1. Convictions/Pleas: In the past ten (10) years have you ever been convicted of, or pled guilty or no contest to, any criminal offense?
- yes
- no
2. Pending Charges: Have you ever been arrested for any matters for which you are now out on bail or on your own recognizance pending trial?
- yes
- no
Criminal Records: If you answered yes to either of the above two (2) questions, please provide the date(s) and describe that criminal record so the individual circumstances can be considered.
Criminal convictions or arrests will not automatically disqualify an applicant from employment.
References
Please list the names of additional work-related references we may contact. Candidates with no prior work experience may list school or volunteer-related references.
1. Name
1. Title/Company Name
1. Telephone Number
1. E-Mail
2. Name
2. Title/Company Name
2. Telephone Number
2. E-Mail
3. Name
3. Title/Company Name
3. Telephone Number
3. E-Mail
Miscellaneous Information
Please include any additional information you think would be helpful to Applied DNA Sciences, Inc. in considering you for employment including articles/books published, honors, awards received.
Application Certification - Please read the following statement carefully.
I hereby affirm that the information provided on this application (and accompying resume if any) is true and complete to the best of my knowledge. I also agree that falsification or significant omission of information requested in this application or in the application process may disqualify me from further consideration for employment and may be considered justification for dismissal if discovered at a later date. I understand that Applied DNA Sciences, Inc. may now have, or may establish, a drug free workplace or drug and/or alcohol testing program consistent with applicable federal, state, and local law. If Applied DNA Sciences, Inc. has such a program and I am offered a conditional offer of employment, I understand that if a pre-employment (post-offer) drug and/or alcohol test is positive, the employment offer may be withdrawn. I agree to work under the conditions requiring a drug-free workplace, consistent with applicable federal, state and local law. I also understand that all employees of the location, pursuant to Applied DNA Sciences, Inc. policy and federal, state, and local law, may be subject to urinalysis and/or blood screening or other medically recognized tests designed to detect the presence of alcohol or illegal controlled drugs. If employed, I understand that the taking of alcohol and/or drug tests is a condition of continual employment and I agree to undergo alcohol and drug testing consistent with Applied DNA Sciences, Inc. policies and applicable federal, state, and local law. If employed by Applied DNA Sciences, Inc. I understand and agree that Applied DNA Sciences, Inc. , to the extent permitted by federal, state, and local law, may exercise its right, without prior warning or notice, to conduct investigations of property (including, but not limited to files, lockers, desks, vehicles, and computers) and, in certain circumstances my personal property. I understand and agree that as a condition of employment and to the extent permitted by federal, state, and local law, I may be required to sign a confidentiality, restrictive covenant, and/or conflict of interest statement. I authorize all person’s listed above (and on the accompanying resume, if any) to give Applied DNA Sciences, Inc. any and all information concerning my previous employment and education and any pertinent information they may have, personal or otherwise, and release all parties, such persona and Applied DNA Sciences, Inc. from liability for any damage that may result from furnishing same to Applied DNA Sciences, Inc. I understand that Applied DNA Sciences, Inc. may obtain a consumer and/or investigative consumer report for employment purposes that may include information regarding prior employment, work experience and performance, reasons for employment termination, and information as to character, general reputation, personal characteristics, or mode of living. The report may also contain a records check of driving, criminal, credit, education, degrees, professional licenses and/or certification records depending on the position. By signing this application, I authorize the procurement of a consumer and/or investigative consumer report by Applied DNA Sciences, Inc. as part of the pre-employment background investigation and if hired, at any time during my employment. If hired by Applied DNA Sciences, I understand that I will be required to provide genuine documentation establishing my identity and eligibility to be legally employed in the United States by Applied DNA Sciences, Inc. I also understand that Applied DNA Sciences, Inc. employs only individuals who are legally eligible to work in The United States. I also understand that Applied DNA Sciences, Inc. will use the E-verify System to establish identity to be legally employed in the United States by Applied DNA Sciences, Inc.
APPLIED DNA SCIENCES, INC. IS AN AT-WILL EMPLOYER AS ALLOWED BY APPLICABLE STATE LAW. THIS MEANS THAT REGARDLESS OF ANY PROVISION IN THIS APPLICIATION, IF HIRED, APPLIED DNA SCIENCES, INC. OR I MAY TERMINATE THE EMPLOYMENT RELATIONSHIP AT ANY TIME FOR ANY REASON, WITH OR WITHOUT CAUSE OR NOTICE. NOTHING IN THIS APPLICATION OR IN ANY DOCUMENT OR STATEMENT, WRITTEN OR ORAL, SHALL LIMIT THE RIGHT TO TERMINATE EMPLOYMENT AT-WILL. NO OFFICER, EMPLOYEE OR REPRESENTATIVE OF APPLIED DNA SCIENCES, INC. IS AUTHORIZED TO ENTER INTO AN AGREEMENT—EXPRESS OR IMPLIED—WITH ME OR ANY APPLICIANT FOR EMPLOYMENT FOR A SPECIFIED PERIOD OF TIME UNLESS SUCH AN AGREEMENT IS IN A WRITTEN CONTRACT SIGNED BY THE PRESIDENT OF APPLIED DNA SCIENCES, INC. If hired, I agree to abide to the rules, regulations, policies, and procedures of Applied DNA Sciences, Inc. and I understand that Applied DNA Sciences, Inc. has complete discretion to modify such rules and regulations at any time. Except that it will not modify its policy on EmploymentAt-Will.
Check box if you have read and agreed to all terms and conditions of this application
*
- I have read and agree to all terms and conditions included in this applicaiton

Employment Application

Applicant Information

Education and Training

General Information

Employment History

Criminal Record Information

References

Miscellaneous Information

Application Certification - Please read the following statement carefully.

Check box if you have read and agreed to all terms and conditions of this application