Employment Application

Please fill out the application below:

Cover Letter
Resume
Employment Application
Full Name *
Date * / MM / DD YYYY
Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone * - (###) - ### ####
Email *
Date Available to Start * / MM / DD YYYY
Position Applied For:
Are you a citizen of the United States? * Yes No
If no, are you authorized to work in the U.S.? Yes No
Have you ever worked for this company? * Yes No
If yes, when?
Education
High School:
Address
From:
To:
Did you graduate? Yes No
Diploma:
College:
Address
From:
To:
Did you graduate? Yes No
Degree:
Other
Address
From:
To:
Did you graduate? Yes No
Degree:
References
Were you referred to Meeker Equipment by anyone? * Yes No
How did you hear of Meeker Equipment and this employment opportunity?
Please List Three Employment References:
Full Name
Relationship
Company
Phone - (###) - ### ####
Address:
Full Name
Relationship
Company
Phone - (###) - ### ####
Address:
Full Name
Relationship
Company
Phone - (###) - ### ####
Address:
Previous Employment
Company:
Phone - (###) - ### ####
Address:
Supervisor:
Job Title:
Responsibilities
From:
To:
Reason For Leaving:
May we contact your previous supervisor for a reference? Yes No
Company:
Phone - (###) - ### ####
Address:
Supervisor:
Job Title:
Responsibilities
From:
To:
Reason For Leaving:
May we contact your previous supervisor for a reference? Yes No
Company:
Phone - (###) - ### ####
Address:
Supervisor:
Job Title:
Responsibilities
From:
To:
Reason For Leaving:
May we contact your previous supervisor for a reference? Yes No
Disclaimer/Certifications/Signature
I certify that the information that I have provided to Meeker Equipment as part of this application along with any resume or other material submitted by me for employment consideration is true, complete, and without omissions or misleading statements. I understand that my employment may be terminated because of false, misleading, or omitted information regardless of the time that may have elapsed between furnishing the information and the discovery by Meeker Equipment.
I authorize Meeker Equipment to inquire into my education, references, and, unless the “NO” box is checked, past employment history as needed to determine my qualifications and suitability for employment. I hereby give my consent to any former employer or educational institution to provide academic or employment related information about me to Meeker Equipment. This includes any pertinent information they may have, personal or otherwise, and I release all parties from liability from any damage that may result from furnishing this information.
I understand that I will be required to pass a pre‐employment drug test and that my Social Security number must be validated. I further acknowledge that certain positions with Meeker Equipment may also require a confirmation that I am licensed to drive a motor vehicle, and that my credit, civil and criminal records may be checked including a verification of my address. I consent freely and voluntarily to participate in the required drug test and background checks, and consent to the release of the results to Meeker Equipment. I hereby release and hold harmless Meeker Equipment from any liability whatsoever arising from the drug test and/or background checks and decisions concerning employment based upon the results of these tests and checks.
I understand that nothing in this employment application, the granting of an interview, or possible subsequent employment offer is intended to create an employment contract between myself and Meeker Equipment. If hired, I will be an “Employee at Will” which means Meeker Equipment may release me at any time for any reason with or without cause, and I am likewise free to leave at any time for any reason.
If hired, I agree to conform to rules, regulations, and policies which Meeker Equipment may periodically issue, withdraw, or modify.
A photocopy, digital, and/or electronic copy of this signed authorization is as effective and binding as the original
Name-First, M.I., Last *
Date * / MM / DD YYYY
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Employment Application

Employment Application

Employment Application

Education

References

Please List Three Employment References:

Previous Employment

Disclaimer/Certifications/Signature

Press Enter to Submit after completing CAPTCHA: