Application for Employment


Equal access to programs, services, and employment is available to all persons. Applicants requiring reasonable accommodations to the application and/or interview process should notify the Human Resources Department.



Personal Information

Are you at least 18 years of age or older?
Are you eligible to work in the United States?
Do you have a (CDL) Commercial Drivers License?
Are you currently employed?
Work Availability
Salary Desired:
On what date would you be available for work?
What days/hours are you available for work?
Are you available to work weekends?
Can you travel out of town/state if a job requires it?
Can you be available to work overtime if a job requires it?
Have you been convicted of a criminal offense iu.e. felony or misdemeanor?
If yes, please explain the offense(s), date(s), city, and state of disposition:
*Note: a conviction of a crime will not necessarily disqualify you for employment. Each instance an explaination will be considered in relation to the position for which you are applying.


Employment Experience

Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate sex, race, religion, national origin, age, ancestry, disablity or other protected status.

Employer:
From:
To:
Address: Telephone Number: Positions Held:
Starting Salary:
Final Salary:
Supervisor: Reason for Leaving:
Specific Job Duties:
Employer:
From:
To:
Address: Telephone Number: Positions Held:
Starting Salary:
Final Salary:
Supervisor: Reason for Leaving:
Specific Job Duties:
Employer:
From:
To:
Address: Telephone Number: Positions Held:
Starting Salary:
Final Salary:
Supervisor: Reason for Leaving:
Specific Job Duties:
Employer:
From:
To:
Address: Telephone Number: Positions Held:
Starting Salary:
Final Salary:
Supervisor: Reason for Leaving:
Specific Job Duties:


Education

High School

School Name: Diploma/Degree: Major Field(s) of Study: List any Licenses and/or certifications earned: Describe any specialized training and/or apprenticeships:

Trade School

School Name: Diploma/Degree: Major Field(s) of Study: List any Licenses and/or certifications earned: Describe any specialized training and/or apprenticeships:

College or University

School Name: Diploma/Degree: Major Field(s) of Study: List any Licenses and/or certifications earned: Describe any specialized training and/or apprenticeships:


Skills

Are you able to operate a computer?
If yes, what computer programs/software do you have proficiencies in?
List any other office machines you can operate:
What knowledge, special skills, and/or individual capabilities do you have which prepared you for the position applied for?


References

Please list two persons, other than relatives, that you have known at least 5 years.

Name: Years Known: Address: Phone Number: Company: Position:
Name: Years Known: Address: Phone Number: Company: Position:
List any relatives or friends employed by MR FENCE, INC:


Applicant's Statement and Agreement

I certify that the information I have provided on this application is accurate to the best of my knowledge and may be verified by MR FENCE, INC. or its agents. I understand and agree that any misrepresentation or omission of facts in this application will be justification for refusal or termination of employment, regardless of the time elapsed before discovery. I authorize all the schools, persons and organizations named in this application to provide any relevant information in their possession or knowledge to the agents of MR FENCE, INC. for use in deciding whether to extend an offer of employment and specifically waive any required written notification. I hereby release MR FENCE, INC., my former employers and all other persons from any and all claims, demands, or liabilities arising out of or in any way related to such inquiry or disclosure.

I understand that MR FENCE, INC. is committed to maintaining a drug and alcohol-free workplace. Accordingly, I may be subject to a pre-employment blood test, urinalysis or other drug/alcohol screening. I further understand that if employed, I may be subject to such random or routine drug and alcohol screening if MR FENCE, INC. has reasonable suspicion to believe that I am under the influence of a drug or alcohol. My consent to submit to such a test is required as a condition of employment and my refusal to consent shall result in a refusal to hire or, if already employed, termination.

I understand and agree that my employment or an offer of employment established no guarantee or promise of continued employment or set hours of work or any obligation on the part of MR FENCE, INC. beyond pay for actual work performed. I further understand that the employment relationship is at-will and may be terminated at any time with or without cause, without prior notice, by either myself or MR FENCE, INC. There will be no agreement, expressed or implied between MR FENCE, INC. and myself for any specific period of employment, nor for continuing employment, unless made in writing, signed by an authorized representative of MR FENCE, INC.

I have placed my signature in the space provided below only after I have completed the entire application to the best of my ability and have carefully read the statements above.


Applicant Name:
Date:
Equal Opportunity Employment Employer It is the policy of MR FENCE, INC. to provide employment, training and development, and all other conditions of employment without regard to any legally protected status including race, color, religion, national origin, sex, sexual orientation, age, marital status, physical or mental disability or status as a disabled veteran.

Background Check Report

I, the undersigned applicant, do hereby certify that all the information provided by me for the purpose of employment is true and complete to the best of my knowledge. I understand that falsification of any information on company documents may lead to denial of employment or termination.

In connection with my application for employment, I understand that investigative background inquiries will be made about me that can include education verification, criminal convictions, and motor vehicle records. These reports will include information as to my character, general reputation, work habits, performance, and experience. Further, I understand that you will be requesting information from various federal, state and other agencies that maintain records concerning my past activities relating to my driving, credit, criminal, civil and other experiences.

I authorize, without reservation any party or agency contacted by MR FENCE, INC. and/or their appointed representatives to furnish the above-mentioned information prior to or at any time during my employment. The information on this form will be used solely for the purpose of conducting background checks to determine employment eligibility and will be maintained in a confidential file.

I hereby release all persons and agencies providing such information from any and all claims, damages, or liabilities connected with their release of any information. I agree that any copy of this document is as valid as the original.

I do hereby agree to forever release and discharge MR FENCE, INC. to the full extent permitted by law from any claims, damages, losses, liabilities, costs and expenses or any other complaint filed with any agency arising from retrieval and reporting of information.



Applicant Information and Signature

I understand that to aid in the proper identification of my file or records, the following is necessary:

Type Your Name
Current Address
Soc. Sec. No.
Date of Birth
Gender
Race
Driver's License Number
State:
Applicant Name:
Date: