Hercules Fence Employment Application Field/Shop

Please Select the LOCATION for which you are applying:

Please Select the ROLE for which you are applying:

FieldShop

Full Name

First NameLast Name

Today’s Date

Date

Address

Email Address

example@example.com

Home Phone

Area CodePhone Number

Mobile Phone

Area CodePhone Number

Date available to start work

Date

Have you ever worked for Hercules?

YESNO

If yes, provide the month/year and office location

Expected rate of pay

Are you able to perform the essential functions of the job for which you are applying, with or without reasonable accommodation?

YESNO

Position Desired

Are you available for full-time work?

YESNO

What days and hours can you work?

Are there specific times that you cannot work?

YESNO

What days and hours can you NOT work?

Do you have a reliable method of getting to work?

YESNO

If necessary for the job you are applying for, are you able to work overtime:

YESNO

If necessary for the job you are applying for, are you able to provide a valid drivers license:

YESNO

Are you legally eligible to work in the U.S.?

YESNO

Do you have relatives or friends working for Hercules?

YESNO

If yes, provide their full name and relationship

Please list Special Training or Skills (e.g., Languages, Machine Operation, etc.):

Are you 18 years of age or older? *If no, employment is subject to verification of minimum legal age requirements

YESNO

Last Year of HIGH SCHOOL completed: Last year Completed
Did you graduate: Yes No

Last Year of COLLEGE completed: Last Year Completed
Did you graduate: Yes No

List any TRAINING COURSES completed:

What languages do you speak and write fluently?

Job #1 (Most recent)

Job #2

Job #3

Reference #1

Reference #2

How did you hear about our job opening? Select all that apply:

If referred by a current employee, please provide the name of the Employee Referral

Resume Upload

“UNDER MARYLAND LAW, AN EMPLOYER MAY NOT REQUIRE OR DEMAND, AS A CONDITION OF EMPLOYMENT, PROSPECTIVE EMPLOYMENT, OR CONTINUED EMPLOYMENT, THAT AN INDIVIDUAL SUBMIT TO OR TAKE A POLYGRAPH EXAMINATION OR SIMILAR TEST. AN EMPLOYER WHO VIOLATES THIS LAW IS GUILTY OF A MISDEMEANOR AND SUBJECT TO A FINE NOT EXCEEDING $100.”

Hercules is an equal opportunity/affirmative action employer, supporting employment of qualified applicants without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, citizen status, marital status, disability, or veteran status.

I acknowledge that the Company follows an employment-at-will policy, such that I or the Company may terminate my employment at any time for any reason. I understand that this application is not a contract of employment. I understand that to be employed, I must be lawfully authorized to work in the United States and show the Company documentation that will prove this.

I certify that all the statements made herein are true and accurate and understand that any falsification or omission may result in dismissal.

Please sign here*

Date

Employment Application

Education

Employment History

References

Referral Source

Certification & Signature