Join the Team – Engines, Inc,

Name: Last, First, Middle

Address: Street, City, State, Zip

Phone Number

Email:

Are you known by another name? If yes, please provide the name.

Are you 18 or older?

Yes

No

Are you a citizen of the United States or are legally authorized to work in the U.S?

Yes

No

Current/Last Employer

Type of Business:

Address: Street, City, State, Zip

Employed From/To:

Job Title:

Pay Start/Final:

Supervisors Name:

May we contact this employer?

Yes

No

Phone number of previous employer:

What were your job duties and responsibilities?

Reason for leaving or seeking other employment:

Previous Employer

Type of Business:

Address: Street, City, State, Zip

Employed From/To:

Job Title:

Pay Start/Final:

Supervisors Name:

May we contact this employer?

Yes

No

Phone number of previous employer:

What were your job duties and responsibilities?

Reason for leaving or seeking other employment:

Previous Employer

Type of Business:

Address: Street, City, State, Zip

Employed From/To:

Job Title:

Pay Start/Final:

Supervisors Name:

May we contact this employer?

Yes

No

Phone number of previous employer:

What were your job duties and responsibilities?

Reason for leaving or seeking other employment:

Do you have a high school diploma or GED equivalent?

Yes

No

Please list any colleges or trade schools you have attended, the course of study, and how many years completed.

Do you have any special skills or certifications? If yes please list them.

What machines or eqiupment are you trained to operate that are related to the job for which you are applying?

List up to three (3) persons who are not related to you and who have definite knowledge of your business or professional qualifications for the position for which you are applying:

PLEASE READ EACH STATEMENT CAREFULLY BEFORE SIGNING/AGREEING

I certify that all information provided in this employment application is true and complete. If I am selected for interview I understand that I must inform Engines, Inc. of any changes in the information I have provided on this application. I understand that any false information or omission may disqualify me from further consideration for employment or may result in my dismissal if discovered at a later date.

I understand that Engines, Inc. may conduct an extensive and thorough background investigation.

I authorize Engines, Inc. and or any of its agents to verify and investigate any or all statements contained in this application. I also authorize any person or current organization names in this application to provide and release any information and opinions concerning my background. I release such persons and organizations from any legal liability for any damage whatsoever for making statements.

I understand the use of illegal drugs is prohibited during employment. I may be required to successfully pass a drug and alcohol screening examination prior to being hired and consent to taking a drug and alcohol test at anytime during my employment should I be hired.

I understand that this application or subsequent employment does not create a contract of employment nor guarantee employment for any definite period of time. I understand that should I be hired, my status as an employee with be at-will and that as an at-will employee my employment may be terminated at any time with or without cause and with or without advance notice. Additionally, as an at-will employee I may resign from my employment at any time for any reason or no reason with or without advance notice.

I further certify that I have read and understand the instructions, conditions, and other information provided in this document.

If you agree to all these statements please type your first and last name along with todays date in the box below.

Join The Team!