Application for EmploymentInterested in joining our team? Fill out this application to get started. Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone * (###) ### #### Position(s) Applied For * Currently available: Maintenance Technician If employed and are under the age of 18, can you furnish a work permit? * N/A Yes No Have you ever filed an application here before? * No Yes If yes, give date. MM DD YYYY Have you ever been employed here before? * No Yes If yes, give date. MM DD YYYY Are you employed now? * No Yes If employed, may we contact your present employer? N/A No Yes Are you prevented lawfully from becoming employed in this country because of visa or immigration status? (Proof of citizenship or immigration status will be required upon employment.) * No Yes On what date would you be available for work? * MM DD YYYY Are you on a lay-off and subject to recall? * No Yes Can you travel if the job requires it? * No Yes Have you been convicted of a felony within the last two years? * No Yes If yes, please explain. What school did you obtain your diploma or GED from? * Personal References List the name and telephone number of three references not related to you and who are not previous employers, as well as their relationship to you. Reference 1 * Reference 2 * Reference 3 * Affiliations List any professional, trade, business, or civic activities and/or offices held. You may exclude those which indicate race, color, religion, sex, or national origin. Special Skills and Qualifications Summarize special skills and qualifications acquired from employment or other experience. Employment Experience Start with your present or last employer. Include military service assignments and volunteer activities. Exclude organization names which indicate race, color, religion, sex, or national origin. Employer * Job Title * Supervisor * Hourly Rate * $ Reason for leaving: * Employer Job Title Supervisor Hourly Rate $ Reason for leaving: Employer Job Title Supervisor Hourly Rate $ Reason for leaving: Applicant's Statement * I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I understand that this application is not and is not intended to be a contract of employment. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Company. I agree Thank you for submitting your application.
