Personal Information
Are you legally authorized to work in the United States?
- Select an option -
Yes
No
Can you provide proof of eligibility to work in the US?
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Yes
No
Are you at least 18 years of age?
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Yes
No
Can you furnish a work permit?
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Yes
No
Not Applicable
Employment History
List last employers below, starting with the most recent one first (A1 uses wage verification)
References
List at least three responsible adults who have knowledge of your work ethic, experience, and ability. Do not include relatives.
Backround Information
Are you currently on lay-off and subject to recall?
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Yes
No
Are you willing to travel over night?
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Yes
No
Have you ever been convicted of a felony or misdemeanor?
- Select an option -
Yes
No
If yes, please explain
Are you bound by any non-compete agreements with your current or former employer(s)?
- Select an option -
Yes
No
Do you have any commitments or other agreements with another employer that might affect your employment with A1?
- Select an option -
Yes
No
If yes, please explain
If applying for a position that requires driving, do you have a valid driver’s license?
- Select an option -
Yes
No
Please list date and description of all chargeable accidents
Driver’s license Number
State
Driver’s license Class
CDL
- Select an option -
Yes
No
State any additional information you feel may be helpful to us in considering your application:
Job Applicant’s Agreement And Certification
In consideration of my employment, I agree to conform to the policies and procedures of the company. I understand that in accepting this application, the company is in no way obligated to provide me with employment and that I am not obligated to accept employment if offered. Furthermore, if employed, I understand that I am employed at will and that my employment and compensation can be terminated with or without reason, and with or without notice at any time.
I understand that this application will be kept on file for 3 months from the date completed, after which time I would have to reapply in accordance with established company procedures.
I certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that any misrepresentation or falsification of information or significant omissions on either this application or during the pre-employment process will result in my application being rejected, or, may be cause for subsequent dismissal if I am hired.
I also understand that any offer of employment is conditioned on pre-employment procedures, which includes a background check, tests and documentation. I will, upon request, sign all necessary consent and authorization and release forms. I voluntarily and knowingly authorize the company and/or its agents, to verify any aspect of the information contained in my employment application or through public and private sources. I authorize any third party organization to perform a consumer report and background investigation. I also authorize and consent any companies, schools or persons listed on this application (or accompanying resume) to give any information regarding my employment, qualifications and character to A1 Sprinkler & Systems Integration. I understand that the employment information may include, but is not necessarily limited to, performance evaluation and reports, job descriptions, disciplinary reports, letters of reprimand, and opinions regarding my suitability for employment possessed by it.
I voluntarily and knowingly, fully release and discharge, absolve, indemnify and hold harmless you, your agents and any former employer, person, firm, corporation, school or government agency, its officers, employees and agents from any and all claims, liability, demands, causes of action, damages, or costs, including attorney's fees, present or future, whether known or unknown, anticipated or unanticipated, arising from or incident to the disclosure or release of any such information to you, your agents, or consumer reporting agency.
I understand that I may be required to take a drug test as a part of the application process, as a condition of employment or at any time during employment.
I agree that any claim or lawsuit relating to my service with A1 Sprinkler & Systems Integration must be filed no more than twelve (12) months after the date of the action that is the subject of the claim or lawsuit. I waive any statute of limitations to the contrary.
