Employment Application Form

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Are you under age 18

 If “YES”, can you provide proof of your eligibility to work?

Are you currently authorized to work in the United States?

Proof of eligibility will be required if hired.

Employment Information

Days/shift available to work.

Employment desired

Education High School

Education College

Business or Trade School

Have you ever been convicted of a crime (excluding traffic violations)?

(A Conviction record will not necessarily disqualify you from employment.)

Work Experience 1

Please list your work experience beginning with your most recent job held.

Work Experience 2

Work Experience 3

May we contact your present employer?

I certify that the information given by me in this application is true in all respects, and I agree that the omission of any requested and applicable information or misrepresentation of any fact provided in this application will be sufficient reason for SBS to deny me employment.  I also understand and agree that should I become employed by SBS and it is later discovered I have omitted or misrepresented any fact in this application, including any supplement thereto, or any other corporate record, SBS may immediately terminate my employment upon discovery of such omission or representation.

 

Included in this authorization is that SBS and its affiliates or third party providers of background research may obtain a consumer report and background check that includes, but is not limited to, my creditworthiness or similar characteristics, social security verification, criminal record and civil history, education and employment verifications, personal interviews, DMV records, and other public records and any other information bearing on my credit standing, credit capacity, character, general reputation, personal characteristics and trustworthiness. I release all previously mentioned parties from all liability for any damage that may result from furnishing such information.

 

I understand that nothing contained in this application or in the granting of an interview is intended to create an employment contract (express or implied) between SBS and myself for either employment or for the providing of any benefit.  No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon SBS unless a written contract created for the express purpose of altering the employee’s at-will employment status is signed by the President or a Vice President of SBS.  If an employment relationship is established, I understand that I have the right to terminate my employment at any time and that SBS retains that same right.

 

If I accept a conditional offer of employment from the Company, I understand that I may be requested to take a medical examination and I consent and agree to take such medical examination.  I understand that I will be asked to complete various forms in connection with my conditional job offer including a medical questionnaire.  I understand that any failure on my part to fully and accurately answer all questions will be grounds for withdrawing the conditional offer of employment and/or termination of employment.

 

I further consent and agree to submit to any lawful drug and alcohol testing that may be required either as a condition for employment or for continued employment.  I understand and agree that refusal to submit to such testing may result in revocation of the conditional offer of employment and/or termination of employment.

 

I understand that policies and procedures which are issued by SBS may be revised or eliminated in whole or in part at any time.

If I am employed, I acknowledge that there is no specified length of employment and that this application does not constitute an agreement or contract for employment. Accordingly, either I or the employer can terminate the relationship at will, with or without cause, at any time, so long as there is no violation of applicable federal or state law.

SBS Industries is an equal employment opportunity employer.  We adhere to a policy of making employment decisions without regard to race, color, religion, gender, national origin, citizenship, age, veteran status, genetic information, disability or any other legally protected characteristic or status.  We assure you that your opportunity for employment with us depends solely on your qualifications.

Thank you for completing this application form and for your interest in SBS Industries.