Job Application

B.Riley House Equal Employment Opportunity (“EEO”) Statement: B.Riley House is an equal opportunity employer. We are committed to a work environment that supports, inspires, and respects all individuals and in which personnel processes are merit-based and applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.

Applicant Information:

Employment History:

Please begin with current/most recent work experience first.

Name of Company/Agency *

City and State *

Dates Employed (From/To) *

Duties and responsibilities? *

Job Title/Position *

Supervisor's Name and Number *

Reason for leaving? *

May we contact? *

Yes No

City and State *

Dates Employed (From/To) *

Duties and responsibilities? *

Supervisor's Name and Number *

Reason for Leaving *

May we Contact? *

Yes No

Name of Company/Agency *

City and State *

Dates Employed (From/To) *

Duties and responsibilities? *

Job Title/Position *

Supervisor's Name/Number *

Reason for Leaving *

May we contact? *

Yes No

Education:

College/University/Vocational School:

Name of College/University/Vocational School *

City and State *

Major/Subjects Studied and Degree Earned *

Number of years completed *

Did you graduate? *

Yes No Currently Attending

Miscellaneous:

Application Agreement:

I hereby certify that all the information provided by me to B.Riley House on this application is true and correct to the best of my knowledge. I authorize previous employers and schools listed on my application to be contacted on behalf of B.Riley House to give any information regarding employment and education record. I release B.Riley House and its affiliations from any liability resulting from their findings. By signing this application, I acknowledge my responsibility to be honest in completing this application and agree with all the statements.

B.Riley House Application for Employment

Applicant Information:

Employment History:

Education:

Miscellaneous:

Application Agreement: