Employee Application

Personal Information

Are you authorized to work in the United States?
Have you ever been convicted of a crime, other than a minor traffic violation?
Can you perform the essential functions with or without reasonable accommodation?
If this job requires you to travel, are you able to do so?

Desired Employment

Are you willing to work weekends?
Are you willing to work holidays?
Are you willing to work evenings?
Are you seeking part-time or full-time work?

Employment History

Please list present employer first.

May we contact your present employer for reference?
Employment Listing #1

Forklift Experience, Small Engine Repair, etc....

Employment Listing #2

Forklift Experience, Small Engine Repair, etc....

Employment Listing #3

Forklift Experience, Small Engine Repair, etc....

Education/Training

Did you graduate?
Did you graduate?
I certify that all information contained in this application and any attachments is true and complete to the best of my knowledge. I understand that any willful misrepresentation, false statement, or omission by me in this application or interview process will be cause for rejection of my application or termination of my employment. I authorize investigation of all statements made on this application and any attachments, and I release all persons, companies and organizations from liability for providing or receiving such information. I further understand that this employment application and other employment related documents are not contracts of employment; and, that any oral or written statements to the contrary are hereby expressly disavowed. A typed name is considered a signature.
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