Employment Application

Asterisk indicates Required Field

    Basic Information

  • Last Name
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  • First Name
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  • Address
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  • City
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  • State
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  • Zip Code
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  • Phone
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  • Email
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  • Are you under the age of 18?

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  • Are you currently authorized to work in the United States?

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  • Days / Hours Available to Work:

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    Employment desired

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  • Do you have any schedule conflicts within the next 12 months?

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    High School

    College

    Other

    Other

  • Have you ever been convicted of a crime? (A Conviction record will not necessarily disqualify you from employment)

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  • Do you have a Driver's License

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  • Have you had any accidents during the past three years?
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  • Have you had any moving violations during the past three years?
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  • Basic Skills

  • Can you type?
  • Are you familiar with Excel?
  • Are you familiar with Word?
  • Do you own a personal computer?

  • Please list two references other than relatives.

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  • Military Information

  • Have you ever served in the armed forces?
    Have you ever served in the armed forces?
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  • Previous Employment History

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  • May we contact your present employer?
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  • Did you complete this application yourself?
    Did you complete this application yourself?
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  • Application form wavier

    As indication that you have read and understood each sentence, please write your initails in the space provided below.

    In exchange for the consideration of my job application to Middletown Tractor Sales, (hereinafter called "the Company"), I agree that:

    Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied contract of employment or to confer any right to remain an employee of Middletown Tractor Sales, or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the Owner/Managing Member of the Company, Both the undersigned and Middletown Tractor Sales may end the employment relationship at any time, without specified notice or reason. if employed I understand that the Company may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits.

    I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools, all previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contact.

    I understand that, in connection with the routine processing of your employment application, the Company may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics, and mode of living. Upon written request from me, the Company, will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act.

    I further understand that my employment with the Company shall be probationary for a period of ninety (90) days, and further that at any time during the probationary period or thereafter, my employment relationship with the Company is terminable at will for any reason by either party.

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