I understand that if I am hired, my employment will be for no definite period, regardless of the period or payment of my wages. I further understand that I am employed on an "at will" basis which means that I have the right to terminate my employment at any time with or without notice, and the company has the same right. No one other than the President of the company has the authority to modify this relationship or make any agreement to the contrary. Any such modification or agreement must be in writing signed by the President.
I AGREE THAT ANY DISPUTE BETWEEN ME AND THE COMPANY RELATED TO MY APPLICATION FOR EMPLOYMENT OF MY EMPLOYMENT IF I AM HIRED WILL BE RESOLVED THROUGH MUTUALLY BINDING ARBITRATION IN ACCORDANCE WITH THE COMPANY'S ARBITRATION POLICY AND PROCEDURE. I UNDERSTAND THAT I HAVE THE RIGHT TO REVIEW THE POLICY AND PROCEDURE PRIOR TO SIGNING THIS DOCUMENT.
By filling out this application, 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 I am permitted by law.
I 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, whether favorable or unfavorable. 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.
By submitting this form, I certify that all 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, incomplete or misleading in any respect, I will be dismissed.
It is understood that I consent to be screened through the E-Verify system.
It has been disclosed to me that the Company may obtain one or more consumer reports on me for use in connection with my application or for other employment-related purposes. These reports may include credit bureau reports, criminal records and driving records. I authorize the company or persons acting on it's behalf to obtain these records.
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First Name *
Last Name *
Address *
City *
State *
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Zip Code *
Phone *
E-mail *
Position Desired *
Service Detail Accounting Sales Other
Date You Can Begin
Paste your cover letter here:
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Additional comments regarding your work experience:
Do you have a current Drivers License?
*
no yes
State
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License Number
Expiration Date
Has your license ever been suspended or revoked?
*
no yes
If yes, please explain circumstances.
Do you have personal automobile insurance? *
no yes
Insurance Company
Has your personal automobile insurance ever been cancelled? *
no yes
If yes, please explain circumstances.
Have you ever been cited for driving under the influence (DUI) or driving while intoxicated (DWI)? *
no yes
If yes, please explain circumstances
Violation Offense, Date and Location
Violation Offense, Date and Location
Violation Offense, Date and Location
Have you ever pled guilty or “no contest” to a crime or been convicted of a crime? *
No Yes
Do you have any criminal charges pending? *
No Yes
If you answered Yes to either question, please give date and details of each.
Accept Terms *
This application will be considered active for a maximum of thirty days. If you wish to be considered for emplyment after that time, you must re-apply. I certify that all of the information that I hvae provided on this application is true, complete and accurate. By submitting this form, that is my signature.
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