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APPLICATION FOR EMPLOYMENT

We are an equal opportunity employment company. We are dedicated to a policy of non-discrimination in employment on any basis including race, creed, color, age, sex, religion, national origin, physical handicap, or any other legally protected status.

Employee First Name *

Last Name *

Middle Initial

Apt #

Address *

DOB *

ZIP code *

City *

State *

Phone # *

SSN *

Last 4 of SSN

Routing #

Dependents *

Email *

DD info, Name of Bank

Account #

License

Married (Taxed separate or ?) or Single

Emergency Contact Name *

Emergency Contact Phone *

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How did you hear about us?

Do you have your transportation?

Is it reliable?

Do you have your own tools?

APPLICANT: READ AND SIGN BEFORE SUBMITTING THIS APPLICATION:

I authorize the employer or his agents to investigate my background to ascertain any and all information of concern to my record, whether same is of record, or not and release employers and person named herein from all liability for any damages on account of his furnishings such information.

I understand that misrepresentation or omission of facts called for on this application will, if hired, result in discharge. Labor Code 2922 states that employment, having no specified term, may be terminated at the will of either party.

The employer adheres to this section of the Labor Code and hereby puts the applicant on notice that all employment offered by the employer may be terminated at the will of either party without cause.

I certify that this application was completed by me and that all entries on it and information on it are true and complete. Furthermore, I have read and understand all of the conditions upon which this offer of employment is made.

LIST OF DOCUMENTS THAT EACH APPLICANT NEEDS TO UPLOAD

STATE ID
SSN CARD
IF PERMANENT RESIDENT THEN PICTURE OF CARD FRONT AND BACK
PASSPORT IF POSSIBLE
ASBESTOS CARD
FIT TEST
PHYSICAL
OSHA
FOR PA APPLICANTS: CHILD ABUSE CERT, STATE POLICE CERT, FBI FINGER PRINT