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| Position(s) applying for: |
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| Referred by: |
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| First Name: |
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| Last Name: |
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| Address: |
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| City: |
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| State: |
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| Home Phone: |
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| Mobile/Other Phone: |
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| Salary Requirements: |
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| Date Available for Work: |
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Work Experience (list present and former employers beginning with the most recent) |
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Skills & Qualifications
Summarize any training, skills, licenses, and/or certifications that may qualify you as being able to
perform job-related functions in the position for which you are applying.
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Record of Education |
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Personal References (not relatives or former employers)
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Please read carefully before submitting:
I CERTIFY THAT THE INFORMATION CONTAINED IN THIS APPLICATION AND IN ANY RESUME PROVIDED BY ME OR ANY PARTY
REPRESENTING MY INTERESTS IS CORRECT AND COMPLETE TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT ANY FALSE
STATEMENTS, MISREPRESENTATIONS OR OMISSIONS MADE BY ME ON THIS APPLICATION OR ANY SUPPLEMENT THERETO, WILL
BE SUFFICIENT GROUNDS FOR REJECTION OF THIS APPLICATION OR DISCHARGE FROM EMPLOYMENT.
I GIVE THE PRO-LINE COMPANY, INC. THE RIGHT TO OBTAIN PERTINENT INFORMATION CONCERNING ME FROM FORMER
EMPLOYERS AND OTHERS, AND I RELEASE ALL THOSE PROVIDING OR REQUESTING SUCH INFORMATION FROM ANY LIABILITY
THAT MAY ARISE BY TRUTHFUL DISCLOSURES OR SUCH INVESTIGATIONS.
IF I AM HIRED, I UNDERSTAND THAT I AM FREE TO RESIGN AT ANY TIME, WITH OR WITHOUT CAUSE AND WITHOUT PRIOR
NOTICE, AND THE EMPLOYER RESERVES THE SAME RIGHT TO TERMINATE MY EMPLOYMENT AT ANY TIME WITH OR WITHOUT
CAUSE AND WITHOUT PRIOR NOTICE, EXCEPT AS MAY BE REQUIRED BY LAW. THIS APPLICATION DOES NOT CONSTITUTE AN
AGREEMENT OR CONTRACT FOR EMPLOYMENT FOR ANY SPECIFIED PERIOD OR DEFINITE DURATION. I UNDERSTAND THAT NO
REPRESENTATIVE OF THE EMPLOYER, OTHER THAN AN AUTHORIZED OFFICER, HAS THE AUTHORITY TO MAKE ANY
ASSURANCES TO THE CONTRARY. I FURTHER UNDERSTAND THAT ANY SUCH ASSURANCES MUST BE IN WRITING AND SIGNED
BY AN AUTHORIZED OFFICER.
I UNDERSTAND IT IS THE COMPANY’S POLICY NOT TO REFUSE TO HIRE A QUALIFIED INDIVIDUAL WITH A DISABILITY BECAUSE
OF THAT PERSON’S NEED FOR A REASONABLE ACCOMMODATION AS REQUIRED BY THE ADA.
I ALSO UNDERSTAND THAT IF I’M HIRED, I WILL BE REQUIRED TO PROVIDE PROOF OF IDENTITY AND LEGAL WORK
AUTHORIZATION.
By submitting this information you acknowledge that you have read and agree to the material above. |