It is the policy of Vines Restoration, Plumbing, HVAC to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability or veteran status.
Please list any friends or relatives who work here:
Do you require any reasonable accommodations to perform your job? List below:
The existence of a criminal record does not constitute an automatic bar to employment with Vines Restoration, Plumbing, HVAC unless relevant to the type of employment.
Applicant’s Skills: List any skills that may be useful for the job you are seeking. Enter the number of years of experience, and circle the number that corresponds to your ability for each particular skill. (one represents poor ability, while five represents exceptional ability.)
Applicants Employment History:
List your current or most recent employment first. Please list all jobs (including self-employment and military service) which you have held, beginning with the most recent, and list and explain any gaps in employment.
Applicant’s Education and Training
Other Training (graduate, technical, vocational):
Please indicate any current professional licenses or certificates that you hold:
Awards, Honors, Special Achievements:
References
List any three (3) non-relatives who would provide a reference for you:
Please provide any other information that you believe should be considered, including whether you are bound by any agreement with any current employer.:
CERTIFICATION
I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis of rejection of my application, or if employment commences, immediate termination.
I authorize Vines Restoration, Plumbing, HVAC to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.
If an employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by its Owner, the employment relationship will be “at-will”. In other words, the relationship will be entirely voluntary in nature, and either I or my employer will be able to terminate the employment relationship at any time and without cause. With appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer will have the right. Moreover, no agent, representative, or employee of Vines Restoration, Plumbing, HVAC, except in a specific written contract of employment signed on behalf of the organization by its Owner, has the power to alter or vary the voluntary nature of the employment relationship.
I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND AND AGREE TO ITS TERMS. (sign and date below)
