2024test Please enable JavaScript in your browser to complete this form. – Step 1 of 4PERSONAL INFORMATIONToday's Date *Name *FirstMiddleLastPresent Address *Street AddressCity *State *ZIP Code *How Long *If under 18, please list ageTelephone *Email Address *EMPLOYMENT DESIREDPosition(s) applied for *Days/hours available to work *Salary desired *How many hours can you work weekly? *Can you work evenings? *Employment desired *Full-Time OnlyPart-Time OnlyFull or Part-TimeWhen are you available to start work? *EDUCATIONHigh SchoolName of SchoolLocationYears CompletedMajor and DegreeCollegeName of SchoolLocationYears CompletedMajor & DegreeBusiness or Trade SchoolName of SchoolLocationYears CompletedMajor and DegreeProfessional or Graduate SchoolName of SchoolLocationYears CompletedMajor and DegreeNextWORK EXPERIENCEPlease list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give business name.Name of Employer *Phone number *Address *City *State *ZIP Code *Name of last supervisor *Your last job title *Employment datesFrom *To *Pay or SalaryStart *Final *Reason for leaving (be specific) *List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company. *Name of Employer Phone number Address City State ZIP Code Name of last supervisor Your last job titleEmployment datesTo From Pay or SalaryStart Final Reason for leaving (be specific) List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company. Name of Employer Phone number Address City State ZIP Code Name of last supervisor Your last job titleEmployment datesTo From Pay or SalaryStart Final Reason for leaving (be specific) List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company. Are you currently employed? *YesNoMay we contact your present employer? *YesNoDid you complete this application yourself? *YesNoIf not, who did?Have you ever been conviced of a felony? *YesNoIf yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.Have you ever been in the armed forces? *YesNoSpecialtyDate EnteredDischarge DateAre you now a member of the National Guard?YesNoIf hired, can you provide proof of your U.S. citizenship or proof of your legal right to live and work in this country? *YesNoHave you ever been employed with this company? *YesNoIf yes, when?Do you have any friends or relatives employed by this company? *YesNoIf yes, please provide their names and their relationship to you.If hired, would have a reliable means of transportation to and from work? *YesNoAre you able to perform the essential functions and duties of the job for which you are applying? *YesNoIf not, please describe the functions or duties you are unable to performPreviousNextReferencesPlease list below three persons not related to you who have knowledge of your work performance and/or personal qualifications within the last five years.Reference #1Name *Occupation *Company Name *Address *Telephone *E-Mail *Years Acquainted *Reference #2Name *Occupation *Company Name *Address *Telephone *E-Mail *Years Acquainted *Reference #3Name *Occupation *Company Name *Address *Telephone *E-Mail *Years Acquainted (copy) *PreviousNextAPPLICATION FORM WAIVERPlease read each paragraph closely.I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or any other document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery. *I have read and agree to the above waiver.I hereby authorize Sterling Equipment & Repair, Inc. to thoroughly investigate my references, work records, education, driving record, credit history, criminal background and other matters related to my suitability for employment. I further authorize the employers, schools and other references I have listed to disclose to Sterling Equipment & Repair, nc. any and all documents, transcripts, letters, reports and other information related to these references, without giving me prior notice of such disclosure. I hereby release Sterling Equipment & Repair, Inc., my former employers, and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosures. *I have read and agree to the above waiver.I understand that nothing contained in the application or conveyed during any interview which may be granted, or during my employment, if hired, is intended to create an employment contract between me and Sterling Equipment & Repair, Inc. other than one that is "at will". I understand and agree that if I am employed, my employment will be of an "at will" nature, whereby either the employee or the employer may terminate the employment relationship at any time, with or without cause or notice. I further understand that my employment, if hired, is for no definite or determinable period of time and may be terminated at any time, at the option of either myself or Sterling Equipment & Repair, Inc., and that no promise or representation contracy to the foregoin is binding on the company unless made in writing and signed by me and the company's designated representative. *I have read and agree to the above waiver.Electronic Signature *First and Last NameDate *Please Attach Your Resume Click or drag a file to this area to upload. Allowed file formats include .doc and .pdfPlease Attach Your Cover Letter Click or drag a file to this area to upload. Allowed file formats include .doc and .pdfSterling Equipment & Repair, Inc. is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, gender, sexual orientation, national origin, citizenship, age, or disability. We assure you that your opportunity for employment with Sterling Equipment & Repair, Inc. depends solely on your qualifications.Submit
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