Employment Application - Otter Creek Awnings

Name *

First

Last *

Last

Email *

Current Address *

Phone *

If under 18 years old, please list age.

Position Apply To *

Salary Desired

How many hours can you work weekly? *

Employment Desired *

Full-Time ONLY

Part-Time ONLY

Full or Part Time

When are you available to start work? *

(start date)

HIGH SCHOOL *

Location (complete mailing address)

Number of Years Completed

Diploma | Certificate Received

COLLEGE

Location (complete mailing address)

Number of Years Completed

Major & Degree Obtained

BUSINESS | TRADE | PROFESSIONAL SCHOOL

Location (complete mailing address)

Number of Years Completed

Major Degree or Certificate Received

Do you have a Driver's License? *

Yes

What is your means of transportation to work?

Have you had any accidents during the past three years? *

Yes

If yes, how many?

Have you had any moving violations during the past three years? *

Yes

If yes, how many?

I authorize Otter Creek Awnings or its appointed representative to obtain motor vehicle records and acknowledge that my driving record may be used to determine my eligibility as an employee and/or to operate a company vehicle. *

Typing in your name acts as your signature.

Date *

Driver's License Number *

State of Issue *

Expiration Date *

Use this space below to summarize any information necessary to describe your full qualifications for the specific position for which you are applying.

WORK EXPERIENCE

Name of Current or Most Recent Employer

Address | City | State | Zip

Name of Last Supervisor

Phone Number

Your Last Job Title

Employment Start Date

Employment End Date

Reason for Leaving

(please be specific)

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

May we contact your present employer?

Yes

WORK EXPERIENCE

Name of Employer

Address | City | State | Zip

Name of Last Supervisor

Phone Number

Your Last Job Title

Employment Start Date

Employment End Date

Reason for Leaving

(please be specific)

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

WORK EXPERIENCE

Name of Employer

Address | City | State | Zip

Name of Last Supervisor

Phone Number

Your Last Job Title

Employment Start Date

Employment End Date

Reason for Leaving

(please be specific)

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

I certify that all the information on this application is accurate and complete to the best of my knowledge and understand that misleading or false statements will constitute sufficient cause for refusal of hire or termination of my employment. I understand that neither the acceptance of this application nor the subsequent entry into any type of employment relationship with Otter Creek Awnings creates an actual or implied contract of employment. I understand that, if I accept employment with Otter Creek Awnings, it will be on an at-will basis. This means that either Otter Creek Awnings or I have the right to terminate the employment relationship at any time, for any reason, with or without cause. I agree to submit to drug and alcohol testing, if requested by Otter Creek Awnings. I release Otter Creek Awnings, and its employees, plus other persons or companies, from any and all liability arising out of or related in any way to such testing. I authorize Otter Creek Awnings to investigate information concerning my education, employment experiences and all other aspects of my background relevant to my proposed employment. I release Otter Creek Awnings and its employees from all liability arising from such investigation. SIGNATURE OF APPLICANT AND DATE

Your typed-in name acts as your signature and acknowledges information above. *

Otter Creek Awnings is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with Otter Creek Awnings depends solely on your qualifications.

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