Monday, October 23rd 2017 6:21 PM
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Employment Application


indicates required field

Do we have permission to do a background check?
Yes No
First Name
Last Name
Email Address
Day Phone
Evening Phone
Date of Birth
/ /
SSN
Home Address
City
State
Zip
How long have you lived in the Central Florida Area?
/years
Years in the trade
/years
Starting pay per hour expected
/hr
Pay per hour after 1 year of employment
/hr
What are your strengths as an employee?
What are your weaknesses as an employee?
What would you like us to know about you?
Trade schools you have attended
Seminars you have attended
Certificates you hold
Have you ever been injured?
Yes No
If Yes – Please give complete details
Do you have a valid driver's license?
Yes No
Enter your driver's license number
Do you smoke?
Yes No
Do you have any tattoos or body piercing?
Yes No
What construction skills do you have?

PLEASE READ AND SIGN STATEMENTS BELOW

I certify that all information given on this employment application and any answers given during oral interviews are true and correct. I authorize the investigation of all matters contained in this application and give permission to contact previous employers and hereby release the Employer from any liability as a result of such contact.

I understand that misrepresentations, omissions of facts or incomplete information requested in this application may remove me from further consideration for employment. In addition, if employed, any misrepresentations or omissions of facts called for in this application will be cause for dismissal at any time without any previous notice.

I understand that if I am hired, I will be placed on a 90-day probationary period and can be terminated at any time without cause and that Premier Power, Inc. will contest any unemployment benefit I might attempt to obtain as a result of my termination.

Premier Power, Inc. will make every effort to provide steady, continuous work, but that we have no employment contracts that guarantee the performance of any position. Job tenure can be affected by many factors including business/economic conditions, changes in laws, conformity to work rules, job performance, etc.

We require all applicants for employment to undergo screening for drug use as part of our pre-placement physical examination. In addition, all employees are subject to urinalysis screening for drug or alcohol use at random times.

Signature: Date: 10/23/17 06:21 PM

Premier Power, Inc. is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, age, sex, religion, national origin, disability or marital status. We assure you that your opportunity for employment with this Employer depends solely upon your qualifications.


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