Installer - Cal Pac Sheet Metal

Job Application

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Position(s) applying for *

Date of Application *

Referral Source *

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Legal Name *

Address *

City *

State *

Zip Code *

Cell Telephone Number *

E-mail Address *

Are you legally eligible for employment in the United States? (Proof of eligibility will be required upon offer of employment) *

Are you at least 18 years of age? (If no, you may be required to provide a work authorization permit) *

Can you, with or without reasonable accommodation, perform the essential function of this job? *

Have you previously applied for a position here before? *

If yes, provide date

Date available to start work *

Days & Hours available to work *

Empoyment desired *

Full-Time
Part-Time
Temporary
Seasonal

What is the minimum salary or rate of pay you expect to receive if employed? *

Will you work overtime if required? *

Will you travel if job requires it? *

Have you EVER been convicted of a felony or misdemeanor or are you awaiting trial for a felony or misdemeneaor charge? *

If yes, please explain

Driver's License number (if job-related)

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Employment History

List your last three (3) employers, assignments or volunteer activities, starting with the most recent, including military experience. Explain any gaps in employment in comment section below. Please complete even if a resume is attached.

Employer 1

Employer 1 Telephone

Employer 1 Street Address

Employer 1 City

Employer 1 State

Employer 1 Zip Code

Job Title

Reason for Leaving (Be specific)

Employer 1 Start Date

Employer 1 End Date

Employer 1 - Summarize the nature of the work performed and job responsibilities.

May we contact for a reference?

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Employer 2

Employer 2 Telephone

Employer 2 Street Address

Employer 2 City

Employer 2 State

Employer 2 Zip Code

Job Title

Reason for Leaving (Be specific)

Employer 2 Start Date

Employer 2 End Date

Employer 2 - Summarize the nature of the work performed and job responsibilities.

May we contact for a reference?

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Employer 3

Employer 3 Telephone

Employer 3 Street Address

Employer 3 City

Employer 3 State

Employer 3 Zip Code

Job Title

Reason for Leaving (Be specific)

Employer 3 Start Date

Employer 3 End Date

Employer 3 - Summarize the nature of the work performed and job responsibilities.

May we contact for a reference?

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Additional comments regarding Employment History (including explanation of any gaps in employment)

Skills and Qualifications - Summarize any special training, skills, licenses, certificates and/or characteristics of yourself that may qualify you as being able to perform job-related functions for the position which you are applying.

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Education

List last three (3) schools attended, starting with most recent. Indicate the City and State of school location, number of years completed, degree or diploma earned (if any), Major or Minor field of study (if applicable), and the dates attended.

School 1

School 2

School 3

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List any foreign language(s) you describe your skill level.

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Professional References

List name and work telephone number of references who are/were previous supervisors and are NOT related to you. If not applicable, list three personal references that are NOT related to you.

Reference 1

Reference 2

Reference 3

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List professional, trade, business, or civic associations and any offices held. (Excluded memberships, which would reveal sex, race, religion, national origin, age, color, disability or other protected status)

List any special accomplishments, publications, awards (Exclude information which would reveal sex, race, religion, national origin, age, color, disability or other protected status)

List any additional information you would like us to consider relevant to the position in which you are applying.

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Conditions for Employment:

Please read the following statements carefully, as they constitute conditions for employment.

1. The information that I have provided on this application is accurate and true to the best of my knowledge.

2. I understand that any misrepresentation or omission of a fact on my application, resume or during the interview or hiring process may result in the refusal of employment, or if employed, immediate termination from employment.

3. The persons, schools, current and prior employers and other organizations named on this application are authorized by me to verify the information I have provided and to provide information that may be requested to arrive at an employment decision. I am willing that a photocopy of this authorization be accepted with the same authority as the original. I hereby waive and release all persons, schools, current and prior employers and other organizations from any liability arising from the disclosure of any of the above information whether in writing or orally, and further waive and release this Company from any liability arising from reliance on the aforementioned information or the use, publication, or retention of such information within the context of its application review procedures.

4. I understand that I may be required to pass a pre-employment background check and drug screening, of which the results will remain confidential. I further understand that should my background check and/or drug screening have unsatisfactory results I will be ineligible for employment. I can request an Individual Assessment of said results but must do so in writing within 30 days of my being notified of my ineligibility for employment. Additionally, I understand that the company is a Drug and Alcohol Free Workplace and has a zero tolerance for the use of illegal drugs or alcohol in the workplace. This policy also includes a zero tolerance for drug test cheating. If the lab performing my drug test suspects any kind of cheating, the result will be considered the same as a positive test.

5. I will be able, if hired, to clarify that I am authorized to work in the United States and understand that in accordance with the Immigration Reform and Control Act that I will be required to provide timely documentation of identity and employment eligibility.

6. In the event that I am employed, I agree to all Company policies and procedures. I understand and agree that if I am employed, I shall be employed on an at-will basis. As an at-will employee, I understand and agree that either the Company or I can terminate the employment relationship at any time for any reason, with or without advance notice and with or without cause. I understand and agree that, although over the course of my employment, other terms and conditions of my employment may change, the at-will term of my employment will NOT change. I understand that no one other than the President of the Company may enter into any agreement with me contrary to the foregoing and that any such agreement must be in writing and signed by the President.

7. Although the Company makes every effort to accommodate individual preferences, business needs may make the following conditions necessary: Overtime, shift work, a rotating work schedule, or a work schedule that includes Saturday and/or Sunday. I understand and accept these as conditions of my employment.

8. I agree to protect confidential information, trade secrets, and proprietary information of the Company, and the Company’s tenants, vendors, licensers, marketing programs, or clients entrusted to the Company, and I will not disclose to the Company any confidential information of others.

9. I understand that the Company may participate in E-Verify, under which the Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States.

Electronic Signature of Applicant *

Date *

Did you complete this application yourself? *

If not, who did?

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Cal Pac Sheet Metals, Inc. is a EQUAL OPPORTUNITY EMPLOYER and offers equal access to programs, services and employment. Those applicants requiring accommodation to the application and/or interview process should contact Human Resources.

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