Employment Application

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Employment Application

Earle has a long standing record of nondiscrimination in employment and opportunity because of race, sex, gender, gender identity, sexual orientation, age, color, religion, creed, national origin, ancestry, disability, Vietnam-era or disabled veteran status, citizenship or any other protected classification.
All fields marked with a (*) are required.
Today's Date*
MM slash DD slash YYYY
Position applied for*
Email Address*
I. Personal Information
First Name*
Last Name*
Address*
City*
State*
ZIP*
Home Phone
Cell Phone
Drivers License #*
1. CDL?*
- Yes
- No
2. CDL Class?*
- A
- B
- N/A
Federal Law prohibits the employment of unauthorized aliens. All persons hired must submit satisfactory proof of employement (two forms of ID) authorization and identity (valid drivers license, birth certificate, Green Card, etc.) within three days of being hired. Failure to submit within the required time shall result in immiediate termination.
1. Are you able to provide Proof of Eligibility for Employment in the United States?
- Yes
- No
2. Do you have any relatives who are presently (or have formerly been) employed by Earle?
3. How were you referred to Earle?*
4. Have you ever been employed with us before?*
- Yes
- No
5. What are your personal values? Please describe.*
II. Education
Type of School
Name of School & Complete Mailing Address
Years Completed
Graduation Year
High School *
High School*
---*
Graduation Year*
College, Bus. or Trade School
College, Bus. or Trade School
---
Major or Degree
Please describe any additional specialized training, apprenticeship, skills, licenses, and equipment experience from proficient to least:*
III. WORK EXPERIENCE
Work Experience / Company Name*
Address*
City*
State*
ZIP*
Position Held*
Phone Number*
Dates Employed*
Manager/Supervisor*
Wage/Salary*
Reason for Leaving*
Work Experience / Company Name*
Address*
City*
State*
ZIP*
Position Held*
Phone Number*
Dates Employed*
Manager/Supervisor*
Wage/Salary*
Reason for Leaving*
Work Experience / Company Name
Address
City
State
ZIP
Position Held
Phone Number
Dates Employed
Manager/Supervisor
Wage/Salary
Reason for Leaving
IV. REFERENCES (PLEASE DO NOT INCLUDE RELATIVES, MUST LIST AT LEAST THREE.)
References / First Name*
Last Name*
Address*
City*
State*
ZIP*
Phone Number*
Years Known*
Occupation*
References / First Name
Last Name
Address
City
State
ZIP
Phone Number
Years Known
Occupation
References / First Name
Last Name
Address
City
State
ZIP
Phone Number
Years Known
Occupation
V. WORK AVAILABILITY
If your application receives favorable consideration, when will you be able to begin work? *
When will you be able to begin work?
Are you available to work overtime? *
Overtime?*
- Yes
- No
Can you work overtime without prior notice? *
Can you work overtime without prior notice?*
- Yes
- No
Are you available on weekends? *
Are you available on weekends?*
- Yes
- No
Can you travel if the position requires? *
*
- Yes
- No
VI. SALARY/HOURLY RATE REQUIREMENTS
If your application receives favorable consideration, what salary/hourly rate would you require?
If your application receives favorable consideration, what salary/hourly rate would you require?
Will you be needing insurance, i.e., Single / Parent, Child / Family, Employee, Spouse?
Will you be needing insurance, i.e., Single / Parent, Child / Family, Employee, Spouse?*
VII. Applicant's Statement
I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary for arriving at an employment decision. This application for employment shall be considered for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not the applications are being accepted at that time. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without case. It is understood that by me signing this application, I am granting Earle the right to contact my references listed on the application. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless an authorized executive of this organization specifically acknowledges such a change in writing.
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge, I understand, also that I am required to abide by all rules and regulations of the employer.
I accept these terms and conditions. *
Applicant's Printed Name*
Position Applied For*
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