Application for Employment

Asterisk indicates Required Field

PERSONAL BACKGROUND

  • First Name
    *
  • Last Name
    *
  • Email
    *
  • Phone
  • Referred By:

ADDRESS

  • Current Address
  • Current State
  • Current City
  • Current Zip Code

    EMPLOYMENT STATUS

  • Position Applying For 
  • Date You Can Start
  • Salary Desired
  • Are You Employed

    Are you Employed ?

    Yes No
  • Present Employment
  • Ever applied to this company before?

    Ever applied to this Company before ?

    Yes No
  • Where ?
  • When ?
  • Are you willing to work overtime ?

    Are You willing to work overtime ?

    Yes No


    OTHER PERSONAL INFORMATION

  • U.S. Military or Naval Service
  • Rank
  • If driving is a requirement of the job for which you are applying. do you have a current, valid driver's license?

    If driving is a requirement of the job for which you are applying. do you have a current, valid driver's license ?

    Yes No
  • If under 18 years of age, do you have a work permit?

    If under 18 years of age, do you have a work permit ?

    Yes No
  • After employment, can you submit verification of your legal right to work in the U.S.?

    After employment, can you submit verification of your legal right to work in the U.S. ?

    Yes No
  • Have you ever been convicted of any law violation or pled guilty or no contest? (A conviction record will not necessarily bar you from employment.)

    Have you ever been convicted of any law violation or pled guilty or no contest? (A conviction record will not necessarily bar you from employment.)

    Yes No
  • Please explain


EDUCATION BACKGROUND


    HIGH SCHOOL INFORMATION

  • High School Name and Location
  • Are you a high school graduate or equivalent?

    Yes No
  • MAJOR AREA OF STUDY


    COLLEGE INFORMATION

  • College Name and Location
  • Are You a College Graduate

    Are You a College Graduate

    Yes No
  • MAJOR AREA OF STUDY


    TRADE, BUSINESS OR GRADUATE SCHOOL INFORMATION IF ANY

  • Trade, Business or Graduate School Name and Location
  • What is the Highest Grade Completed
  • Are You a Trade, Business or Graduate School Graduate ?

    Are You a Trade, Business or Graduate School Graduate ?

    Yes No
  • MAJOR AREA OF STUDY
  • SPECIALIZED TECHNICAL SKILLS (i.e. COMPUTER PROGRAMMER/LANGUAGE, EQUIPMENT OPERATION, SPECIAL TOOLS OR MACHINES USED )

WORK EXPERIENCE

( List below the last four employers, starting with your present or last place of employment. )
 

    FIRST EMPLOYMENT

  • Employer Name
  • Employer Address
  • Salary
  • Position
  • Name of Supervisor
  • Reason For Leaving

    SECOND EMPLOYMENT

  • Employer Name
  • Employer Address
  • Salary
  • Position
  • Name of Supervisor
  • Reason For Leaving

    THIRD EMPLOYMENT

  • Employer Name
  • Employer Address
  • Salary
  • Position and Responsibilities
  • Name of Supervisor
  • Reason For Leaving

    FOURTH EMPLOYMENT

  • Employer Name
  • Employer Address
  • Salary
  • Position and Responsibilities
  • Name of Supervisor
  • Reason For Leaving
  • May we contact your Previous Supervisor for Reference ?

    May we contact your Previous Supervisor for Reference ?

    Yes No

REFERENCES


Give the names of three persons not related to you, whom you have known at least three years.
 
Reference One
  • Name & Occupation
  • Address
  • Telephone Number
  • Years Known
  • Relationship
Reference Two
  • Name & Occupation
  • Address
  • Telephone Number
  • Years Known
  • Relationship
Reference Three
  • Name & Occupation
  • Address
  • Telephone Number
  • Years Known
  • Relationship
  • Are you able to perform the essential functions of the position with or without reasonable accommodations?

    Are you able to perform the essential functions of the position with or without reasonable accommodations ?

    Yes No



    We are an equal opportunity employer. We comply with all applicable Federal, State, and local laws concerning discrimination in employment. No question in this application is intended to elicit information in violation of any such law nor will any information obtained in response to any question be used in violation of any such laws. 

    Employment with the Mountaineer RV is employment-at-will. Employment may be terminated with or without cause and with or without notice at any time by the employee or the company. Nothing in any documentation or statement shall limit the right to terminate employment. 
     

    Disclaimer and Signature


    I hereby certify that the information provided in this application is correct and complete to the best of my knowledge. I have not knowingly withheld any information or misstated any information requested. I understand the misstating or providing misleading information is grounds for termination.

    I authorize the company to complete any references or obtain other records, i.e., record of employment, education records, etc. that will verify the accuracy of the information that I provided. I release the company, my former employers, and all other persons and entities from any and claims, demands, or liabilities arising out of or in any way related to such inquiry or disclosure. I understand that this application is not intended to create or in any way imply any type of contractual agreement.
  • Date Submitted 
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