Employment Application | Berry Door & Window

Name

First

Last

Email

Phone

Address

Address Line 1

City

State

Zip Code

Over the Age of 18?

Yes
No

Are you a citizen of the United States of America?

Yes
No

Have you applied here before?

Yes
No

When would you be available to start?

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Provide an introduction and describe any special qualifications.

Recruitment Source: Please Check box(es) that prompted you to apply.

Employee Referral Name

Advertising Name

Are you a veteran of the U.S. Military service?

Yes
No

Have you ever been convicted of a Felony?

Yes
No

would the yes,

If yes, please specify:

As a candidate, you agree to and understand the following:

1. All personally identifiable information will be held in confidence and properly safeguarded, and the use of such information will be limited to valid business or legal requirements.

2. This company has a policy prohibiting the use of illegal drugs. A drug urinalysis test is required prior to employment. By signing this application, you indicate your awareness that, in accordance with this policy, a positive test result may be sufficient to disqualify you for employment or, if employed, may result in your dismissal.

INITIAL

3. You must meet minimum age requirements of applicable laws.

4. This company may conduct investigations, including verification of prior employment history and education. By signing this application, you authorize this company, or its agents, to make these investigations and you indicate your awareness that false statements or failure to disclose information may be sufficient to disqualify you for employment or, if employed may result in your dismissal.

5. If a job offer is made, you will be required by the Immigration Reform and Control Act of 1986 to verify your identity and eligibility to work in the United States.

6. This company adheres to state and local regulations regarding clean air in the work place and reserves the right to restrict smoking in company-owned or leased buildings.

7. This company is an at-will employer. Neither this document, nor any other, is intended to be a contract of employment.

8. In addition to this application, there are certain other documents that the company will require you to sign as a condition of employment. Failure to sign may result in your dismissal.

Please provide your signature and the date below to indicate that you agree to and understand all the information contained in this application.

Furthermore, your signature indicates that you understand that this application will remain active for 12 months from the date below. Following that date, to assure consideration for a position, a new application must be completed.

Applicant’s Signature

Date