Employment Application

An equal opportunity employer. Please fill out the following employment application.

Your Name

Phone Number

Email

Address

Street Address

Address Line 2

City

State / Province / Region

Zip / Postal Code

Country

Date of Birth

Do you have a valid driver's license?

Yes
No

Driver's License State

Have you had any infractions within the past 5 years? (seatbelt violation, no insurance, speeding, parking, etc.)

Yes
No

If yes, when? (Enter 'N/A' if not applicable)

Have you ever had a DUI or another driving offense related to alcohol?

Yes
No

If yes, when? (Enter 'N/A' if not applicable)

Have you ever been convicted of a felony?

Yes
No

If yes, when and for what? (Enter 'N/A' if not applicable)

Do you have any physical limitations that may prevent you from performing your job duties? (All field and operations positions are physically demanding and require endurance and the ability to keep the pace.)

Are you currently employed?

Yes
No

How soon are you available to start?

What hours are you unavailable?

Are you available to work weekends and/or overtime?

Yes
No

What is your desired hourly wage (range)?

Desired yearly earnings?

What position are you applying for?

What interests you about this position?

What are your hobbies?

Any recent DIY projects?

Do you smoke? (Mutton Rental Center is a smoke free organization. Smoking on or in company property is prohibited by our zero tolerance policy.)

Yes
No

If so, how many per day? (Enter 'N/A' if not applicable)

Skills

Please rate your skill level from 1 to 10 with 10 being the highest:

Computer

Customer Service

Mechanical Ability

Decision Making

Please list any special skills/expertise you have that are relevant to this position.

Do you have any leadership or supervisor experience? Describe.

Education

Highest Grade Completed: (High School)

Highest Grade Completed: (College)

List any degrees achieved and/or special awards/accomplishments:

Are you currently attending school?

Yes
No

If yes, where? (Enter 'N/A' if not applicable)

Do you plan to attend school in the future?

Yes
No

If yes, when? (Enter 'N/A' if not applicable)

Text Area

Are you open to part-time employment while attending school?

Yes
No

Military Service

Branch

Years Served (ex. 1980-1992)

Rank at Discharge

Type of Discharge

If other than honorable please explain: (Enter 'N/A' if honorable)

Are you in the Reserves?

Yes
No

Are you in the National Guard?

Yes
No

How did you hear about the job opening?

Employment History

Please list your last three employers starting with the most recent first:

Most Recent

Company Name

City, State

Phone

Area Code

Phone Number

Position Held/Job Description

Reason for Leaving

(Approx.) Start Date

(Approx.) End Date

Start Pay

End Pay

Supervisor's Name

Supervisor's Title

May we contact them?

Yes
No

Second-most Recent

Company Name

City, State

Phone

Area Code

Phone Number

Position Held/Job Description

Reason for Leaving

(Approx.) Start Date

(Approx.) End Date

Start Pay

End Pay

Supervisor's Name

Supervisor's Title

May we contact them?

Yes
No

Third-most Recent

Company Name

City, State

Phone

Area Code

Phone Number

Position Held/Job Description

Reason for Leaving

(Approx.) Start Date

(Approx.) End Date

Start Pay

End Pay

Supervisor's Name

Supervisor's Title

May we contact them?

Yes
No

Authorization of Pre-Employment Screening & Disclaimer

I authorize Mutton Rental Center, Inc. to conduct a reference check with my present and/or previous employer(s). This also serves to authorize my present and/or previous employer(s) to provide reference information to Mutton Rental Center, Inc. as it is requested. I understand that reference information may include, but not be limited to, verbal and written inquiries or information about my employment performance, professional demeanor and character, rehire potential, dates of employment, salary and employment history. By providing such authorization, I understand and agree that I release Mutton Rental Center, Inc. and its shareholders, management, employees and agents, from any and all claims or potential claims I may have regarding any and all information released to or by Mutton Rental Center, Inc and regarding any employment decisions made about me on the basis of such information. I understand that once offered employment I may be issued a drug test. Failure to pass a drug screening may result in my release. It is the right of Mutton Rental Center, Inc. to drug test at will, random or otherwise. Additionally, I authorize Mutton Rental Center, Inc. to conduct a thorough background check based on the personal information provided on the application for employment. This check may include, but is not limited to, a criminal record check. I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Signature

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