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All applicants are considered for all positions without regard to race, religion, color, sex, gender, sexual orientation, pregnancy, age, national origin, ancestry, physical/mental disability, severe/morbid obesity, medical condition, military/veteran status, genetic information, marital status, ethnicity, alienage or any other protected classification, in accordance with applicable federal, state, and local laws. By completing this application, you are seeking to join a team of hardworking professionals dedicated to consistently delivering outstanding service to our customers and contributing to the financial success of the organization, its clients, and its employees. Equal access to programs, services, and employment is available to all qualified persons. Those applicants requiring accommodation to complete the application and/or interview process should contact a management representative.
Position(s) Applied for (Required)
First Name (Required)
Last Name (Required)
Middle Name (Required)
Last 4 digits of Social Security Number
Street Address (Required)
City (Required)
State (Required)
ZIP Code (Required)
Main Phone Number (Required)
Alternate Phone Number
Email Address (Required)
Please list the names of your present or previous employers in chronological order with present or most recent employer listed first. Be sure to account for all periods of time. If self-employed, give firm name and supply business references.
Name of Employer
Supervisor
May we contact?
YesNo
Street Address
City
State
ZIP Code
Phone Number
Employment Start
Employment End
Job Title and Duties
Reason for Leaving
Have you ever been involuntarily terminated or asked to resign from any job? (Required)
If you answered yes to the previous question, please explain.
Please explain any gaps in your employment history.
Please list any other experience, job related skills, additional languages, or other qualifications that you believe should be considered in evaluating your qualifications for employment.
High School: YesNo
School Name
Years Completed
Diploma/Degree Earned? YesNo
Area of Study/Major
Specialized Training, Skills, or Extracurricular Activities
College/University: YesNo
Graduate/Professional School: YesNo
Trade School: YesNo
Other Education: YesNo
Please list three professional references of individuals who are not related to you.
Name & Title
Relationship
Phone Number or Email
Please list three people who know you well.
Have you ever used another name? (Required)
Is any additional information relative to name changes, use of an assumed name, or nickname necessary to enable a check on your work and educational record? (Required)
If yes to either of the above, please explain.
Have you ever worked for DJ Trusses Unlimited before? (Required)
If yes, please give dates and position.
Do you have friends and/or relatives working for this company? (Required)
If yes, please give name(s) and relationship(s).
On what date are you available to begin work?
Days/Hours available to work: (Required)
MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Are you available to work? (Required)
Full-timePart-timeShift workTemporary
Minimum salary required per hour ($):
Minimum salary required per month ($):
If hired, would you have a reliable means of transportation to and from work?
Can you travel if the position requires it?
Can you relocate if the position requires it?
Are you at least 18 years old? (Note: If under 18, hire is subject to verification that you are of minimum legal age.)
If hired, can you present evidence of your identity and legal right to work in this country?
Are you able to perform the essential job functions of the job for which you are applying with or without reasonable accommodation? (Note: We comply with the ADA and consider reasonable accommodation measures that may be necessary for qualified applicants/employees to perform essential job functions.)
Please upload your resume in the PDF format. Maximum file size is 2MB.
Please read and acknowledge each paragraph below. If there is anything that you do not understand, please ask.
I hereby authorize the Company to thoroughly investigate my references, work record, education and other matters related to my suitability for employment and, further, authorize the prior employers and references I have listed to disclose to the Company any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the Company, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.
In the event of my employment with the Company, I understand that I am required to comply with all rules and regulations of the Company.
If hired, I understand and agree that my employment with the Company is at-will, and that neither I, nor the Company is required to continue the employment relationship for any specific term. I further understand that the Company or I may terminate the employment relationship at any time, with or without cause, and with or without notice. I understand that the at-will status of my employment cannot be amended, modified, or altered in any way by any oral modifications.
I understand that safety of employees is extremely important to the Company and that the Company is committed to ensuring a safe working environment. I understand that I, and every employee, have a responsibility to prevent accidents and injuries by observing all safety procedures and guidelines and following the directions of my site supervisor. I understand and agree to comply with federal, state, and local regulations related to on-the-job safety and health.
I hereby certify that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.
I understand that if I am selected for hire, it will be necessary for me to provide satisfactory evidence of my identity and legal authority to work in the United States, and that federal immigration laws require me to complete an I-9 Form in this regard.
I understand that if any term, provision, or portion of this Agreement is declared void or unenforceable, it shall be severed and the remainder of this Agreement shall be enforceable.
TYPING MY NAME BELOW ATTESTS TO THE FACT THAT I HAVE READ, UNDERSTAND, AND AGREE TO ALL OF THE ABOVE TERMS.
Full Name
Today's Date
Legal Disclaimer: This document is intended for informational purposes only, and does not constitute legal information or advice. This information and all HR Support Center materials are provided in consultation with federal and state statutes and do not encompass other regulations that may exist, such as local ordinances. Transmission of documents or information through the HR Support Center does not create an attorney-client relationship. If you are seeking legal advice, you are encouraged to consult an attorney.
