Apply - English - Jarrett Companies Inc

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Skilled Laborer

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Personal Information

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Employees Name:

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Employment History

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Beginning with your most recent employer, please provide the following

Employer Name

Position Held

Supervisor's Name

Phone Number

Date Hired

Last date worked

Reason for leaving

Employer Name

Position Held

Supervisor's Name

Phone Number

Date Hired

Last date worked

Reason for leaving

Employer Name

Position Held

Supervisor's Name

Phone Number

Date Hired

Last date worked

Reason for leaving

Emergency Contact Information

In case of emergency, please notify:

Contact 1

Relationship

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Altername Phone No.

Contact 2

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Work/Cell No.

Altername Phone No.

Notice to Applicant

Physical Requirements

Field positions within each company demand a minimum requirement of daily physical activity. These positions require employees to work from ladders, scaffolding, and/or platforms, often in tight spaces. Field positions require employees to be able to stand, stoop, bend, kneel, climb and at times, work in uncomfortable positions. Field positions also require employees to be able to handle, lift, carry, and set up parts and equipment weighing up to 50 pounds. Occasionally, employees in field positions may need to lift and/or carry items weighing over 50 pounds.

Working Conditions

Field work is performed both inside and outside, depending on the needs of the company; employees are typically exposed to dirt, dust, and grease. Field employees are sometimes required to work where unpleasant fumes are present. Field employees are frequently exposed to extreme climates, both hot and cold. I understand that upon acceptance of an offer of employment with this company, it is my responsibility to understand the physical requirements of the position for which I am hired. I understand that this company does not discriminate against qualified applicants due to a disability. If I am unable to perform any of the essential functions of the position for which I am hired, I will inform the company of such.

Applicant’s Consent and Statement of Accuracy

I understand that if a conditional offer of employment is made, I may be asked by the company to submit to a background screening, a review of my driving record, pre-employment drug screening, other types of screenings that the company may require related to employment, confirmation of references and any other information provided by me in this application of employment. By signing this application, I consent to the release of such records and screenings to the company upon my acceptance of an offer employment.

Further, if employed by this company, I understand that I will be provided an Employee Handbook and/or other training materials regarding the company’s policies. I agree that, if employed, I will abide by the policies of the company.

I certify that all the information provided is accurate and true to the best of my knowledge. I understand that the company may, at its discretion, verify and confirm this information. I further understand that, if employed, having provided false information in this Application for Employment, may be grounds for disciplinary action up to and including termination of my employment.

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Date*

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Notice to Applicant

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