Beard Implement Company
Employment Application
General

This company is an equal employment opportunity employer. All applicants will be considered without regard to age, color, national origin, religion, disability, sex or other protected status in accordance with applicable federal and state equal employment opportunity laws. This company will strive to accommodate any physical or mental limitations of employees or applicants in order to accomplish the essential functions of a job.
Name: *
Address:*
Date Available for Employment:*
Type of Work Desired:
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration status?*
If applying for a position where driving is required, do you have a valid driver's license in this state?*
Can you perform the essential functions of the job(s) for which you are applying?*
License #:
If employed and under 18, can you finish a work permit?*
Have you ever been employed by this company?*
Are you employed now?*
May we contact your current employer?*
Are you able to work? *
Education

Elementary School Attended: *
Years Completed


High School Attended:
Years Completed


College Attended:
Years Completed


Graduate College Attended:
Years Completed
Course of Study:
Special Skills, Qualifications and Considerations

Summarize special skills and qualifications, volunteer activities, military experience, employment or other activities related to the job you are seeking:
References
List three (3) non-relatives who are familiar with your qualifications, work history and ability.
Reference #1

Name: *
Years Known: *
Relationship: *
Phone: *
Reference #2

Name: *
Years Known: *
Relationship: *
Phone: *
Reference #3

Name: *
Years Known: *
Relationship: *
Phone: *
Employment Experience
Start with your present or last job. List your last four (4) jobs in order. Do not omit any job.
Employment #1

Employer: *
Address: *
Employed from (M/Y - M/Y) *
Your job position: *
Phone: *
Your Salary (Starting / Ending): *
What did you like most about your job? *
What did you like least about your job? *
Reason for Leaving *
Employment #2

Employer: *
Address: *
Employed from (M/Y - M/Y) *
Your job position: *
Phone: *
Your Salary (Starting / Ending): *
What did you like most about your job? *
What did you like least about your job? *
Reason for Leaving *
Employment #3

Employer:
Address:
Employed from (M/Y - M/Y)
Your job position:
Phone:
Your Salary (Starting / Ending):
What did you like most about your job?
What did you like least about your job?
Reason for Leaving
Employment #4

Employer:
Address:
Employed from (M/Y - M/Y)
Your job position:
Phone:
Your Salary (Starting / Ending):
What did you like most about your job?
What did you like least about your job?
Reason for Leaving
I certify that all answers and statements I have made on this application (and resume or other supplementary materials) are true and complete without omissions. I understand that any false information will result in refusal to hire or immediate discharge if I am employed. I authorize any of the persons or organizations named in this application to give you complete information and records regarding my employment, education, character and qualifications.*
If hired, I will be responsible for familiarizing myself with all rules and regulations of BEARD IMPLEMENT as they presently exist or are later modified. If hired, I understand my employment can be terminated, at the discretion of the company or at my option, without notice, at any time, except as specifically set forth in writing in a current individual employment agreement, which I have entered into with the company.*
I also understand that no representative of BEARD IMPLEMENT has any authority to enter into any employment agreement for any specified period of time, or to assure me of any future position, benefits or terms and conditions of employment, except as specifically stated in a current written agreement signed by the President*
I understand this application is not an offer of employment and no promises or representations of employment have been made to me at this time.*
By signing below, I authorize BEARD IMPLEMENT to investigate all statements contained in this employment application as they may deem necessary in arriving at an employment decision. I further authorize BEARD IMPLEMENT to order one or more consumer reports containing financial, driving record, and/or other information about me from a consumer reporting agency. I understand that the consumer report(s) will be requested and used for the purpose of evaluating me for employment, promotions, transfers, and/or retention as an employee.
I have read, understand, and agree with the above.
Signature of Applicant: *
Date: *
This application is valid for only ninety (90) days from the date I signed. If I want to be considered for job openings more than ninety (90) days from date signed, I will submit a new application.
Notice Before Ordering Consumer Report

This is to inform you that as part of our procedure for evaluating your employment application or employment status, we may obtain from a consumer reporting agency one or more consumer reports containing financial, driving record, and/or other relevant information about you. These reports, if obtained, will only be used for the purpose of evaluating you for employment, promotions, transfers, and/or retention as an employee. The Fair Credit Reporting Act (FCRA) provides individuals with rights regarding customer reports, and places certain obligations on employers using consumer reports for employment-related purposes.
BEARD IMPLEMENT will not obtain a consumer report without your signed authorization. The authorization is contained above the signature line on the Application for Position. By signing the Application, you are authorizing BEARD IMPLEMENT to obtain one or more consumer reports.
I hereby acknowledge that I have read and understand the contents of this notice and by signing the Application for Position, have given my authorization for BEARD IMPLEMENT to obtain one or more consumer reports for the purposes listed above.
Signature of Applicant: *
Date: *
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