Application for Employment

It is our policy to comply with all applicable state and federal laws prohibiting discrimination in employment based on race, age, color, sex, religion, national origin, disability or other protected classifications. Please carefully read and answer all questions on this form.

 Employer: Ohio Aquamaster
  Position Applying For:
 Personal Data  
 Name (Last, first, middle)  

 Street Address or Mailing Address

 City

 State

 Zip Code

 Home Phone Number

 Business Phone Number

 Mobile Phone Number

 Date you can start work

 Salary Desired

 Do you have a High School Diploma or GED

Yes No

 Are you authorized to work in the U.S. on an unrestricted basis? Yes No
 Have you ever been convicted of a felony? (Convictions will not necessarily disqualify an applicant for employment) Yes No
 Qualifications

 Please list any education or training you feel relates to the position applied for that would help you perform the work, such as schools, colleges, degrees, vocational or technical training or military experience.

 References

Please list 3 professional references not related to you, with full name, address, phone number and relationship. If you do not have 3 professional references, then list personal unrelated references.

 Name

 Address/ City/ State

 Phone

 Relationship
       
       
       
 Work History Start with your most present or most recent employment and work back
 Job Title #1  start date (month/.day/ year)  end date (month/ day/year)
 Company name  Supervisors name  Phone number
 City  State  Zip Code
 Duties
 Reason for leaving  Starting Salary  Ending Salary
 May we contact your present employer? Yes No N/A

 Job Title #2  start date (month/.day/ year)  end date (month/ day/year)
 Company name  Supervisors name  Phone number
 City  State  Zip Code
 Duties
 Reason for leaving  Starting Salary  Ending Salary

 Job Title #3  start date (month/.day/ year)  end date (month/ day/year)
 Company name  Supervisors name  Phone number
 City  State  Zip Code
 Duties
 Reason for leaving  Starting Salary  Ending Salary

 Job Title #4  start date (month/.day/ year)  end date (month/ day/year)
 Company name  Supervisors name  Phone number
 City  State  Zip Code
 Duties
 Reason for leaving  Starting Salary  Ending Salary

I certify that the facts set forth in this Application for Employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize Ohio Aquamasters to make an investigation of any facts set forth in this application and release Ohio Aquamasters from any liability. Ohio Aquamasters may contact any of the references listed on this application. I acknowledge that Ohio Aquamasters is an "at will" employer, therefore any employee (regular, temporary or other type of category employee) may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without cause, with or without notice to the other party.

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