Employment Application

Employment Application

It is our policy to provide equal employment opportunities to all applicants without regard to any legally protected status, such as race, color, religion, gender, national origin, age, disability, or veteran status.

Personal Information

Your Name *

Social Security Number (*** – ** – ****) *

Present Address (Address, Apt. #, City, State, ZIP) *

Mailing Address (if different)

Phone Number (### – ### – ####) *

Cell Phone Number (### – ### – ####) *

Email Address *

Are you over 18?

YesNo

Desired Employment

Position *

Location *

Dallas

Date you can start *

Salary Desired *

Have you applied here before?

YesNo

If so, when?

Have you worked for this company before?

YesNo

If so, when?

If yes, who was your supervisor?

If yes, what was your reason for leaving?

Education

High School

Name & Address of School

Did you graduate?

YesNo

If no, please explain:

College/University

Name & Address of School

# of Years Attended

Did you graduate?

YesNo

Major

Trade or Business

Name & Address of School

# of Years Attended

Did you graduate?

YesNo

Subjects Studied

General Experience and Training

Special Training Completed

Special Skills

Former Employers

Starting with the most recent, list your last three employers

Name of Present/Last Employer



Is this your current employer?
YesNo

Address, City, State, ZIP

Position

Starting Rate

Final Rate

May we contact your employer?

YesNo

Name of supervisor

Title

Phone Number (### – ### – ####)

Description of Work

Reason for Leaving

Name of Previous Employer



Address, City, State, ZIP

Position

Starting Rate

Final Rate

May we contact your employer?

YesNo

Name of supervisor

Title

Phone Number (### – ### – ####)

Description of Work

Reason for Leaving

Name of Previous Employer



Address, City, State, ZIP

Position

Starting Rate

Final Rate

May we contact your employer?

YesNo

Name of supervisor

Title

Phone Number (### – ### – ####)

Description of Work

Reason for Leaving

References

List three persons (not related to you) whom you have known for at least one year.

Reference 1

Name

Address

Relationship

# Years Known

Reference 2

Name

Address

Relationship

# Years Known

Reference 3

Name

Address

Relationship

# Years Known

Service Record

Have you acquired any special skills in the Military that would enhance the performance of your duties?

YesNo

If yes, please describe

Criminal Record

We sometimes perform work under security-sensitive conditions or perform security-sensitive functions.

Have you been convicted of a felony within the last five (5) years?

YesNo

If yes, explain (this will not necessarily exclude you from consideration)

Attach a Résumé

Upload:

Authorization and Acknowledgement

In exchange for the consideration of my job application by HAZMAT (hereinafter called "the Company"), I agree that:

Neither the acceptance of this application nor the subsequent enter 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 HAZMAT, 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 President of the Company. Both the undersigned and HAZMAT, Inc 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, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such.

I also understand that (1) the Company has a drug and alcohol policy that provides for pre-employment testing as well as testing after employment; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy as applicable. I further understand that continued employment may be based on the successful passing of job-related physical examinations as applicable.

I understand that, in connection with the routine processing of this 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. The Company will only review your credit report if the job falls into one of numerous exceptions.

Jobs that allow a credit check include:

  • • A position in the state Department of Justice
  • • A managerial position
  • • A position for which the information is required by law
  • • A position that involves access to specified personal information
  • • A position in which the person is a named signatory on the employer's bank or credit card account
  • • A position that involves regular access to confidential or proprietary information
  • • A position that involves regular access to $10,000 or more of cash.

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 hereby authorize any person, educational institution, or company I have listed as a reference on my employment application to disclose in good faith any information they may have regarding my qualifications and fitness for employment. I will hold HAZMAT, any former employers, educational institutions, and any other persons giving references free of liability for the exchange of this information and any other reasonable and necessary information incident to the employment process.

I understand that if I am applying for a driver position, there is an additional application that I will need to fill out.

I agree to the terms and conditions listed above.

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