Application for Employment

Equal Opportunity Employer

In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, gender, marital status, veteran status, non-job related disability, or any other protected group status. Arrangements for accommodations required by disabilities can be made by contacting Human Resources at the above phone number or address.

Employment Application Agreement

I certify that I have read and understood all of this employment application. It is agreed and understood that the employer or his agents, may investigate my background to ascertain any and all information of concern to my employment history, whether same is of record or not, and I release employers and other persons named herein from all liability for any damages on account of furnishing such information. I understand that, as an applicant for a position with this company, I may be asked to demonstrate that I am capable of performing tasks which are pertinent to the job. I also understand that if offered a job, it may be conditioned on the results of a physical examination, drug test, and/or motor vehicle record.

I further certify that I am a genuine applicant for employment and this application is being submitted solely for the purpose of seeking employment with the employer and for no other reason.

I agree to furnish such additional information and complete such examinations as may be required to complete my employment file.

I also understand that misrepresentation or omission of information or facts may result in my rejection or dismissal.

If hired, I agree to abide by all the rules and policies of the employer.

I understand that I will be required, prior to hire, to provide proof of eligibility to work in the United States and information on any relevant criminal convictions.

This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.

Applicant to Complete All Information Requested

Personal Information
Company Experience
General
Educational Background
Employment History

NOTE: List employers in reverse order starting with the most recent.

Previous/Current Employer
Second Employer
Third Employer
Fourth Employer
Licenses

Complete this section only if the position sought requires a valid drivers license.

License Questions
Additional Work Experience
Please Review & Submit

Please review all information entered above. By submitting this application you agree to the above terms and disclosures. A representative from Cliff Viessman, Inc. will follow up regarding your application.