Bridge Crane Express | Job Application

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JOB APPLICATION FORM

Position of Interest

Name

First

Last

Address

City

State

Zip

Phone

Alternate Phone

How long have you lived at your present address?

What are your Salary Requirements? (Per Hour or Annually)

Have you earned any Special Certifications?

Are you willing to work overtime? (Y/N)

Have you previously applied for employment with our company? (Y/N)

Have you ever been employed by our company? (Y/N)

If you were employed by our company, what was the reason for separation

If hired by our company, when could you start working?

Have you completed your High School education? (Y/N)

What was the name of your High School?

What year did you graduate High School?

Did you attend a College or University? (Y/N)

What was the name of your College or University?

What year did you graduate your College or University?

What degree did you earn from your College or University? (copy)

Have you completed Business, Technical, Trade, or Vocational School training? (Y/N)

What was the name of your Business, Technical, Trade, or Vocational School?

What year did you graduate from your Business, Technical, Trade, or Vocational School?

What certification/degree did you receive from your Business, Technical, Trade, or Vocational School?

Please name any honors, awards, or special certifications you have received during your education.

WORK EXPERIENCE • Please list the names of your present and/or previous employers in chronological order with present or most recent employer listed first. Provide information for at least the most recent ten (10) year period. If self-employed, supply firm/company name and business references. You may include any verifiable work performed on a volunteer basis, internships, or military service. Your failure to completely respond to each inquiry may disqualify you for consideration from employment. Do not answer "see resume"

SECTION 1: MOST RECENT EMPLOYER

Employer Name

Employer Address

Employer Phone

Dates of Employment (from/to)

Position Title

Supervisor Name

Starting Salary (Per Hour/Annually)

Ending Salary (Per Hour/Annually)

May we contact this employer? (Y/N)

What was the reason for your separation from this employer?

How much notice did you give this employer when resigning?

WORK EXPERIENCE

SECTION 2: PREVIOUS EMPLOYER

Employer Name

Employer Address

Employer Phone

Dates of Employment (from/to)

Position Title

Supervisor Name

Starting Salary (Per Hour/Annually)

Ending Salary (Per Hour/Annually)

May we contact this employer? (Y/N)

What was the reason for your separation from this employer?

How much notice did you give this employer when resigning?

WORK EXPERIENCE

SECTION 3: PREVIOUS EMPLOYER

Employer Name

Employer Address

Employer Phone

Dates of Employment (from/to)

Position Title

Supervisor Name

Starting Salary (Per Hour/Annually)

Ending Salary (Per Hour/Annually)

May we contact this employer? (Y/N)

What was the reason for your separation from this employer?

How much notice did you give this employer when resigning?

ADDITIONAL EMPLOYMENT DETAILS

TERMINATIONS

Have you ever been terminated or asked to resign from any job? (Y/N)

Has your employment ever been terminated by mutual agreement? (Y/N)

Have you ever been given the choice to resign rather than be terminated? (Y/N)

If you answered YES to any of the above three questions, please explain the circumstances of each occasion:

PROFESSIONAL REFERENCES

REFERENCE 1

Name

First

Last

Title

Company

Work Relationship

Phone

PROFESSIONAL REFERENCES

REFERENCE 2

Name

First

Last

Title

Company

Work Relationship

Phone

PROFESSIONAL REFERENCES

REFERENCE 3

Name

First

Last

Title

Company

Work Relationship

Phone

PERSONAL REFERENCES

REFERENCE 1

Name

First

Last

Phone

Years Known

PERSONAL REFERENCES

REFERENCE 2

Name

First

Last

Phone

Years Known

PERSONAL REFERENCES

REFERENCE 3

Name

First

Last

Phone

Years Known

APPLICANT CERTIFICATION • Section 1: I understand and agree that if driving is a requirement of the job for which I am applying, my employment and/or continued employment is contingent on possessing a valid driver’s license for the state in which I reside and automobile liability insurance in an amount equal to the minimum required by the state where I reside. *

I Agree
I Disagree

APPLICANT CERTIFICATION • Section 2: I understand that the Company may now have, or may establish, a drug-free workplace or drug and/or alcohol testing program consistent with applicable federal, state, and local law. If the Company has such a program and I am offered a conditional offer of employment, I understand that if a pre-employment (post-offer) drug and/or alcohol test is positive, the employment offer may be withdrawn. I agree to work under the conditions requiring a drug-free workplace, consistent with applicable federal, state, and local law. I also understand that all employees of the location, pursuant to the Company’s policy and federal, state, and local law, may be subject to urinalysis and/or blood screening or other medically recognized tests designed to detect the presence of alcohol or illegal or controlled drugs. If employed, I understand that the taking of alcohol and/or drug tests is a condition of continual employment and I agree to undergo alcohol and drug testing consistent with the Company’s policies and applicable federal, state, and local law. *

I Agree
I Disagree

APPLICANT CERTIFICATION • Section 3: If employed by the Company, I understand and agree that the Company, to the extent permitted by federal, state, and local law, may exercise its right, without prior warning or notice, to conduct investigations of property (including, but not limited to, files, lockers, desks, vehicles, and computers) and, in certain circumstances, my personal property. I understand and agree that as a condition of employment and to the extent permitted by federal, state, and local law, I may be required to sign a confidentiality, restrictive covenant, and/or conflict of interest statement. I certify that all the information on this application, my résumé, or any supporting documents I may present during any interview is and will be complete and accurate to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of any information may result in disqualification from consideration for employment or, if employed, disciplinary action, up to and including immediate dismissal. *

I Agree
I Disagree

APPLICANT CERTIFICATION • Section 4: THIS COMPANY IS AN AT-WILL EMPLOYER AS ALLOWED BY APPLICABLE STATE LAW. THIS MEANS THAT REGARDLESS OF ANY PROVISION IN THIS APPLICATION IF HIRED, THE COMPANY OR I MAY TERMINATE THE EMPLOYMENT RELATIONSHIP AT ANY TIME, FOR ANY REASON, WITH OR WITHOUT CAUSE OR NOTICE. NOTHING IN THIS APPLICATION OR IN ANY DOCUMENT OR STATEMENT, WRITTEN OR ORAL, SHALL LIMIT THE RIGHT TO TERMINATE EMPLOYMENT AT-WILL. NO OFFICER, EMPLOYEE OR REPRESENTATIVE OF THE COMPANY IS AUTHORIZED TO ENTER INTO AN AGREEMENT—EXPRESS OR IMPLIED—WITH ME OR ANY APPLICANT FOR EMPLOYMENT FOR A SPECIFIED PERIOD OF TIME UNLESS SUCH AN AGREEMENT IS IN A WRITTEN CONTRACT SIGNED BY THE PRESIDENT OF THE COMPANY. IF HIRED, I AGREE TO CONFORM TO THE RULES AND REGULATIONS OF THE COMPANY, AND I UNDERSTAND THAT THE COMPANY HAS COMPLETE DISCRETION TO MODIFY SUCH RULES AND REGULATIONS AT ANY TIME, EXCEPT THAT IT WILL NOT MODIFY ITS POLICY OF EMPLOYMENT AT-WILL. *

I Agree
I Disagree

APPLICANT CERTIFICATION • Section 5: I authorize the Company or its agents to confirm all statements contained in this application and/or résumé as it relates to the position I am seeking to the extent permitted by federal, state, or local law. I agree to complete any requisite authorization forms for the background investigation which may be permitted by federal, state and/or local law. If applicable and allowed by law, I will receive separate written notification regarding the Company’s intent to obtain “consumer reports.” I authorize and consent to, without reservation, any party or agency contacted by this employer to furnish the above-mentioned information. I hereby release, discharge, and hold harmless, to the extent permitted by federal, state, and local law, any party delivering information to the Company or its duly authorized representative pursuant to this authorization from any liability, claims, charges, or causes of action which I may have as a result of the delivery or disclosure of the above-requested information. I hereby release from liability the Company and its representative for seeking such information and all other persons, corporations, or organizations furnishing such information. Further, if hired, I authorize the company to provide truthful information concerning my employment to future employers and hold the company harmless for providing such information. *

I Agree
I Disagree

APPLICANT CERTIFICATION • Section 6: If hired by this Company, I understand that I will be required to provide genuine documentation establishing my identity and eligibility to be legally employed in the United States by this Company. I also understand this Company employs only individuals who are legally eligible to work in the United States. *

I Agree
I Disagree

APPLICANT CERTIFICATION • Section 7: THIS APPLICATION WILL BE CONSIDERED ACTIVE FOR A MAXIMUM OF SIXTY (60) DAYS. IF YOU WISH TO BE CONSIDERED FOR EMPLOYMENT AFTER THAT TIME, YOU MUST REAPPLY. I CERTIFY THAT ALL OF THE INFORMATION THAT I HAVE PROVIDED ON THIS APPLICATION IS TRUE, ACCURATE, AND COMPLETE. • IMPORTANT NOTE - DO NOT AGREE OR SIGN THIS DOCUMENT UNTIL YOU HAVE READ ALL OF THE INFORMATION CONTAINED IN THE APPLICATION CONTENT ABOVE. *

I Agree
I Disagree

APPLICANT CERTIFICATION • Section 8: I understand clearly that by entering my FULL NAME and today's DATE below (1) digitally signs this online application and (2) confirms that all the information I have entered is true and accurate. *

I Agree
I Disagree

APPLICANTS FULL NAME (DIGITAL SIGNATURE) *

DATE OF APPLICATION *

Website

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