EMPLOYMENT APPLICATION

Custom Equipment, LLC provides equal employment opportunity without regard to an applicant's age, ancestry, arrest and/or conviction record, color, creed, disability, domestic violence victim status, domestic workers, genetic testing/information, honesty testing, marital status, national origin, predisposing genetic characteristics, pregnancy or childbirth, race, religion, sex (including gender identity and sexual orientation), use or nonuse of lawful products off the employers premises during nonworking hours, or any other status protected by applicable state or federal law.

We will consider this application active for 90 days from the date of the employment application. Thereafter, you must reapply, if further interested in employment.

Date:

PERSONAL INFORMATION

First Name:

Last Name:

Middle Initial:

Current Address:

City:

Zip Code:

Home Phone:

Mobile Phone:

Email:

Are you related to anyone currently working at Custom Equipment?
 Yes   No

Name:

Relationship:

If you are a minor under age 18, do you have a certificate of age or employment? 
 Yes   No

 

EMPLOYMENT DESIRED

Position Applying For:

Date Available:

Desired Pay:

Desired Shift:

Have you previously been employed by our organization? 
 Yes   No

If yes, dates:
 To 

How did you learn of our organization?
 Temp Agency 
 College Publication 
 College Recruiter 
 Newspaper 
 Walk-in 
 Internet 
 Government Agency 
 Former Employee 
 Other
 
 Referred by Current Employee
Name:
 
Department:

 

EDUCATION

Level

School Name

City

State

Years Attended

Degree Earned

List any certificates or licenses you hold that may help qualify you for employment:

 

EMPLOYMENT HISTORY

PLEASE LIST ALL EMPLOYERS AS WELL AS LIST AND EXPLAIN ALL PERIODS OF UNEMPLOYMENT

All fields must be complete for each job even if your resume is attached.

Company:

Address:

Telephone:

Start Date:

End Date:

Title:

Supervisor:

Starting Salary:

Ending Salary:

Reason Left:

Primary Functions:

 

 

PROFESSIONAL REFERENCES or Business Related

Please provide three persons not related to you,who have known you at least one year.

Name Telephone Number Relationship Years Known

 

 

GENERAL INFORMATION

Have you been convicted of a felony or misdemeanor? Conviction includes any guilty or no-contest or verdict or finding of guilt, regardless of what sentence was imposed. Also exclude misdemeanor convictions for which probation was completed and the case was dismissed. A conviction will not necessarily disqualify you for employment.) 
 Yes   No

If yes, briefly describe the nature of the felony and/or misdemeanor, the date(s) of conviction, and the place(s) of conviction:

Are you currently released on a criminal offense on bail, bond, or your own recognizance while awaiting trial? 
 Yes   No

If yes, explain:

Are you able to perform the essential functions and responsibilities outlined in the job description, advertisement, announcement, posting, etc. with or without reasonable accommodation?
 Yes   No  

If you'd like to include a resume with your application, please upload here:
                         

I understand and acknowledge the following:

  1. If I am offered employment, I will, as a condition of employment, be required to submit proof of my identity and legal right to work in the United States.
  2. I hereby certify, under penalty of perjury, that all of the information set forth in this application (and/or any attached resume) is true, complete, and correct to the best of my knowledge.  I further certify that I, the undersigned applicant, have personally completed this application.  I agree that any omission, misrepresentation, falsification or misstatement of information on this  application or related document may result in the rejection of this application or my immediate discharge if I am employed.
  3. I understand and agree that, if I am offered a position, it will be offered on condition that my employemnt shall be at will and for no definate period, and that my employment may be terminated, at any time, with or without cause and with or without prior notice.
  4. I understand that no supervisor or manager may alter or amend the above conditions except in writing signed by both a Company officer and me.
  5. I understand that in processing my application for employment, former employees and/or educational Institutions, and references may be contacted. I authorize former employers and educational institutions to release information they have about me to Custom Equipment, LLC, and I release them from all liability or responsibility for doing so.
  6. If requested, I agree to submit to a physical exam, criminal investigation, and/or screening for illegal substances upon conditional offer of employment.
  7. I understand that this document is NOT and offer of employment, and that an offer of employment, if tendered, does NOT constitute a contract for continued guaranteed employment.

By clicking "Apply" I attest that all information entered is true to the best of my knowledge.

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