Employment Application

Instructions

Please fill out this application as completely as possible. You will need to fill this out in one sitting so please make sure to leave ample time to complete.

Employment Application

Tell Us About Yourself

First
Middle
Last
Address
Address
Number and Street
Apartment/Suite/Etc.
City
State/Province
Zip/Postal
Years/Months
Are you 18 years of age or older?
Have you ever worked for this company before?
Do you have any friends or relatives working here?
Have you ever pled guilty or "no contest" to a felony, been convicted of a felony, had adjudication withheld, prosecution deferred or do you have any felony criminal charges pending?
Specify per hour/per week/per year/etc.
Have you ever been terminated?

PREVIOUS EMPLOYMENT

Please list the names of your present or previous employers in chronological order with present or last employer listed first. Be sure to account for all periods of time including any period of unemployment.
Address
Address
City
State/Province
Zip/Postal

LICENSE

Do you have a valid Journeyman's or Master's license?
Do you have a valid driver's license?
Are you insurable to drive company vehicles?

EDUCATION

Add ALL types of institutions you attended.

PERSONAL REFERENCES

Do not add any relatives
This application will be considered active for a maximum of thirty (30) days. If you wish to be considered for employment after that time, you must reapply.
I understand that if I am hired, my employment will be for no definite period. I further understand that I have the right to terminate my employment at will at any time with or without notice or reason and the Company has the same right. No one other then the President of the Company has authority to modify this relationship or make any agreement to the contrary. Any such modification or agreement must be in writing.

I understand that the Company reserves the right to require me to submit to a drug test at any time and also reserves the right to require me to submit to an alcohol test and/or medical examination to the extent permitted by law. I further understand that the Company may contact my previous employers and I authorize those employers to disclose to the Company all records and other information pertinent to my employment with them. I release my previous employers from and liability as a result of their disclosure of information about me to the Company. I also authorize the Company to provide truthful information concerning my employment with it to my future prospective employers and I agree to hold it harmless for providing such information. I further understand that if employed I will be on a 90-day introductory period, and that termination for unsatisfactory performance during that period will not result in any Company responsibility for unemployment benefits. I further understand that the completion of the introductory period does not confer any expectation if continued employment and that if employed, my employment will be for no definite period and "at-will. "

By signing this application, I certify that all of the information that I provide on this application and in any interview will be true, complete and accurate. I understand that if I am employed and any such information is later found to be false or misleading in any respect, I will be dismissed.

I certify that I have received a written notification that the Company may obtain a consumer report or reports on me. I authorize this Company to obtain such a report or reports for use in connection with my application for employment and other employment-related reasons. If hired this authorization shall remain on file and serve as on going authorization shall remain on file and serve as ongoing authorization for procurement of employment-related consumer reports at any time during my employment. I understand that the term "consumer report" includes, but is not limited to , credit checks, criminal background checks, Department of Motor Vehicle, and investigative consumer reports. I further understand that the term "investigative consumer report" means a report in which information on my character, general reputation, personal characteristics, or mode of living is obtained through personal interviews with my neighbors friends, or associates, or with others with whom I am acquainted or who may have knowledge concerning any such items of information.

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