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Application for Employment

Personal Information

Name(Required)
Address(Required)

General Information

Type
Are you seeking a permanent position?
Are you willing to work overtime?
Ar you at least 18 years old?
Are you willing to do after hours service calls?
Are you a U.S. citizen?
If no, can you verify that you are authorized to work in the U.S.?
Do you have a valid driver's license?
Do you have reliable daily transportation to get to work?
Have you ever been convicted of a felony?

Employment History

List
Employer name and address:
Position title/duties, skills:
Starting Pay:
Ending Pay:
Supervisor:
Phone#:
Start Date:
End Date:
Reason for leaving:
 

Skills and Qualifications

Education

High School:
Location
From
To
Did you graduate?
Degree
 
College:
Location
From
To
Did you graduate?
Degree
 
Other:
Location
From
To
Did you graduate?
Degree
 

Military Service

Are you a military veteran?
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References

List three personal references who are not related to you:
List
Name
Address
Phone
Occupation
Years Known
 
List
Name
Address
Phone
Occupation
Years Known
 
List
Name
Address
Phone
Occupation
Years Known
 

Resume

Max. file size: 256 MB.

Certification and Acknowledgement

I certify that the information provided herein is true and correct to the best of my knowledge. I understand that, if employed, falsified statements on this Application for Employment form will be considered grounds for termination.

I understand that I may be required to supply my birth certificate or other proof of authorization to work in the United States, consent to a drug test, and/or sign a conflict of interest agreement and abide by its terms.

I authorize the company to thoroughly investigate my work experience and any other matters related to my suitability for employment. I further authorize my former employers to disclose to the company any and all information they may have concerning my previous employment. In addition, I hereby release FireWater Restoration Services, 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 disclosure.

I acknowledge that, if employed, both FireWater Restoration Services and I have the right to terminate the employment relationship at any time, with or without cause or advance notice. This employment at will relationship will remain in effect throughout my employment with FireWater Restoration Services and may not be modified by any oral implied agreement.

Applicant Signature(Required)
By filling out this section you are agreeing to the terms listed above.
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