Employment

Personal Information

Name: *
Address: *
City: *
State: *
Zip Code: *
Social Security Number: Must be able to provide upon request.
Telephone: *
Alt. Telephone:
Email: *
If hired, when could you start?: *

Have you ever applied to or been employed by The Electric Sweeper Service Company?

Are you a U.S. citizen or do you have the legal right to be employed in the U.S.?

Are you 18 years of age or older?


Which jobs or jobs interest you?

Position(s) Applying For:
List in order of preference
1.
2.
3.
Other (explain):

If preferred positions are filled, would you accept another??

How did you hear about this job?

Summarize skills related to position(s) applied for (i.e., sales, service, parts, computers, etc.)

Education

 Name of InstitutionLocationDegree EarnedMajor Field of Study
High School
College
Trade
Other

Work Experience

List most recent experience first.

Employer 1
From (mm/yy):
To (mm/yy):
Name of Employer:
Supervisor's Name:
Employer Address:
 
City:
State/Province:
Zip/Postal Code
Phone:
Your Position:
Reason for Leaving:
Duties:

Employer 2
From (mm/yy):
To (mm/yy):
Name of Employer:
Supervisor's Name:
Employer Address:
 
City:
State/Province:
Zip/Postal Code
Phone:
Your Position:
Reason for Leaving:
Duties:

Employer 3
From (mm/yy):
To (mm/yy):
Name of Employer:
Supervisor's Name:
Employer Address:
 
City:
State/Province:
Zip/Postal Code
Phone:
Your Position:
Reason for Leaving:
Duties:

Have you ever had your employment terminated for reasons other than reduction in force? 
If yes, please explain:


References

Name: Phone:
Name: Phone:
Name: Phone:

Applicant Acknowledgement

PLEASE READ EACH STATEMENT CAREFULLY PRIOR TO SUBMISSION.

I understand that this application will be given every consideration, but its receipt does not imply that I will be employed; that each question must be answered completely and accurately; and that no action will be taken on this application until all questions have been answered.

I understand that no employment offer is being made by The Electric Sweeper Service Company at this time. I certify that the information on this application is true and correct without any consequential omission of any kind whatsoever. I understand that if I am employed, any false, misleading, or otherwise incorrect statements made on this application form or during any interview may be grounds for my immediate discharge. I hereby authorize The Electric Sweeper Service Company to contact any company, institution, or individual it deems appropriate to investigate my employment history, character, and qualifications. I give my full and complete consent to all third parties revealing any and all information they wish as a result of this investigation. In addition, I hereby waive my right to bring any cause of action against these parties for defamation, invasion of privacy, or any other reason because of their truthful statements.

The Electric Sweeper Service Company is a drug-free workplace. Individuals who are hired may be required to pass a drug test prior to their first day of employment. The Electric Sweeper Service Company's Drug-Free Workplace Policy also includes possible random and for cause substance abuse testing.

I agree that, if I am employed, I will abide by all the rules, regulations, and policies of The Electric Sweeper Service Company. I also understand that if I am hired, my employment will be "at-will" and may be terminated by myself or by The Electric Sweeper Service Company at any time for any reason or for no reason, with or without prior notice.

By submitting this application, I acknowledge that I have read, understand, and consent to these statements

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