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Position applied for

Name

SSN #
Address

City

State Zip

Phone #

Email
 
 Driver's License number if driving is an essential job function
  Employment History
Provide the following information of your last employer or assignment.

From

To

Employer

Phone

Starting Title

Final Title

Address

Immediate Supervisor and Title

Summarize the nature of work performed and job responsibilities

May we contact for reference?

YesNoLater

Reason for leaving

Hourly Rate/Salary


 
Skills and Qualifications
Summarize any training, skills, licenses and/or certificates that may qualify you as being able to perform job related functions in the position(s) for which you are applying.

I certify that all information I have provided in order to apply for and secure work with the employer is true, complete and correct.

I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) cancel further consideration of this application, or (ii) immediately discharge me from the employer's service, whenever it is discovered.

I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me.

I understand that the employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by applicable local, state or federal law.

I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered fo employment, it will be necessary to reapply and fill out a new application.

If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied, oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employer's president

I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States an that federal immigration laws require me to complete an I-9 Form in this regard.

I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement

Agree    Disagree

  Date
Paste Resume Here

 

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Construction Electronics, Inc.
13715 Stowe Drive
Poway, CA 92064

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