FBP Production Application

FBP PRODUCTION APPLICATION FOR EMPLOYMENT
Applicant Name

First Name Last Name
Date of Application *

Month Day Year
Date
Email
example@example.com
Present Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Social Security No. *
Phone
Permanent Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Referred By
Employment Desired
Position(s) Applied For *
Date you can start

Month Day Year
Date
Salary Desired *
Are you currently employed?

Yes No
May we inquire of your present employer?

Yes No
Phone Number

Area Code Phone Number
Have you applied to this company before?

Yes No
Where
When

Education History
Grade School
Choose highest grade completed for the following:

1 2 3 4 5 6 7 8
Years attended
Did you graduate?
Subjects Studied
High School
Years attended
Did you graduate?
Subjects Studied
College
Years attended
Did you graduate?
Subjects Studied
Trade, Business or Correspondence School
Years attended
Did you graduate?
Subjects Studied
Subjects of special study/research work or special training skills
U.S. Military or Naval Service?
Rank

References

Give below the names of three persons not related to you, whom you have known at least one year.
Name
Business
Phone Number

Area Code Phone Number
Years Known
Name
Business
Phone Number

Area Code Phone Number
Years Known
Name
Business
Phone Number

Area Code Phone Number
Years Known

Authorization

"l certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.
I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have. personal or otherwise, and release the company from al! liability for any damage that may result from utilizat:on of such information.
I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period ot time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.
This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws."
Signature *

Clear
Date *

Month Day Year
Date
Authorization Form for Consumer Reports

In connection with your application for employment (including contract for services), understand that consumer reports or investigative consumer reports which may contain public record information may be requested or made on you including consumer credit, criminal records, driving record, education, prior employer verification, workers compensation claims and others. These reports will include experience information along with reasons for termination of past employment. Further, understand that information from various Federal, State, local and other agencies which contain your past activities will be requested. A consumer report containing injury and illness records and medical information may be obtained only after a tentative offer of employment has been made.

By signing below, you hereby authorize without reservation, any party or agency contacted by this employer to furnish the above mentioned information. You further authorize ongoing procurement of the above mentioned reports at any time during your employment (or contract). You also agree that a fax or photocopy of this authorization with your signature be accepted with the same authority as the original.

You have the right to make a request of First Advantage, upon proper identification and the payment of any legally permissible fees, for the information in its files on you at the time of your request.

You hereby authorize and request, without any reservation, any present or former employer, school, police department, financial institution, division of motor vehicles, consumer reporting agencies, or other persons or agencies having knowledge about you to furnish First Advantage with any and all background information in their possession regarding you, in order that your employment qualifications may be evaluated.
For California, Minnesota or Oklahoma applicants only, if you would like to receive a copy of the consumer report, if one is obtained, please check the box blow this section. If checked and you are a California applicant, a copy of the consumer report will be sent within three (3) days of the employer receiving a copy of the consumer report.
For California applicants only, if public record information about your character, general reputation, personal characteristics, and mode of living is obtained without using a consumer reporting agency, you will be supplied a copy of the public record information within seven (7) days of the employer's receipt unless you check the box below this section where you hereby waive your right to obtain a copy of the consumer report.
I would like to receive a copy of the consumer report I would like to waive my right to obtain a copy of the consumer report
Name *

First Name Middle Name Last Name
Social Security Number *
Date of Birth *

Month Day Year
Date
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Race *
Gender (Male or Female) *
Driver License State: License Number *
Other Former Names *
Professional License
State
Type
Number
Signature *

Clear
Date *

Month Day Year
Date

Job Application Questionaire

Job Description: FB-P Production
Do you have experience operating mechanical / industrial equipment? If so, what?
Do you have experience operating skid loaders or similar equipment? If so, what?
Do you have experience operating Semi or Dump trucks? CDL? If so, what and where?
Do you have maintenance experience/ ability? If so what and where?
Do you have management or leadership experience? If so, what and where?
Do you have a basic understanding of industrial electrical wiring/motors, & motor control centers?
Do you work well with others? Please give us an example of how that is true.
Favorite past job and why?
Least favorite past job and why?
Can you commit to a minimum of 4 12 hour shifts per week? What is your shift preference? Days - Nights - Either
Can you commit to working an occasional Saturday should our schedule require that?
Tell us about you: What are your interests - hobbies? What's important in your life?
Should be Empty:

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FBP PRODUCTION APPLICATION FOR EMPLOYMENT

Education History

Grade School

High School

College

Trade, Business or Correspondence School

Former Employers

Authorization