Ron Bush Applicant Information

Applicant Information
Name: First*
Middle
Last*
Street Address
Email*
example@example.com
City/Town
Zip
Phone
Cell Phone
Date of Birth*

MonthDayYear
Date
Position applied for
Desired Salary
Education
High School
Graduated Yes
Graduated No
College
Graduated Yes
Graduated No
How long
Completion
Major
Degree
Other School
How long
Completion
Major
Degree
References
Please list three professional references:
1.) Full Name
Relationship
Company
Phone
2.) Full Name
Relationship
Company
Phone
3.) Full Name
Relationship
Company
Phone
Previous Employment
(1) Company
Phone
Address
Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilities
From
To
Reason for Leaving
(2) Company
Phone
Address
Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilities
From
To
Reason For Leaving
(3) Company
Phone
Address
Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilities
From
To
Reason for Leaving
Please list any other experience, training, skills, machine operation or licenses that You have
BELOW ARE SOME QUESTIONS THAT WILL NEED ANSWERING. PLEASE FILL OUT TO THE BEST OF YOUR KNOWLEDGE FOR SAFETY PURPOSES.
1 CAN YOU WORK WITH CONFIDENT AND SAFELY AT GREAT HEIGHTS?
YES
NO
2 IF NEEDED ARE YOU WILLING/ABLE YOU WORK OVERTIME?
YES
NO
3 IF NEEDED ARE YOU WILLING/ABLE TO WORK OUT OF TOWN?
YES
NO
4 DO YOU HAVE RELIABLE TRANSPORTATION?
YES
NO
5 HAVE YOU EVER WORKED FOR RON BUSH, INC.?
YES
NO
A. IF YES TO QUESTION 5 THEN WHEN?
6 ARE YOU A CITIZEN OF THE UNITED STATES?
YES
NO
A. IF NO TO QUESTION 6 THEN ARE YOU AUTHORIZED TO WORK IN THE UNITED STATES?
YES
NO
7 HAVE YOU EVER BEEN CONVICTED OF A FELONY?
YES
NO
THANK YOU. PLEASE PRINT THEN SIGN BELOW STATING THAT YOU HAVE ANSWERED EACH QUESTION HONESTLY TO THE BEST OF YOUR KNOWLEDGE.
PRINT
SIGN

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DATE

MonthDayYear
Date
JOB APPLICANT REQUIREMENTS. PLEASE INITIAL IN EACH BOX.

I understand that Ron Bush, Inc. requires a current valid driver's license. For insurance purposes Iconsent to a background check of my driving record. If for any reason my driver's license is revoked at any time, I will immediately notify Ron Bush. Inc. Initials:
Initials*
I authorize investigation of all statements contained in this application. I understand that any misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give Ron Bush, Inc. permission to contact schools, previous employers, and references. Initials:
Initials*
I also understand that (1) Ron Bush, Inc. has a drug and alcohol policy that provides for pre- employment testing as well as random testing after employment; (2) consent to and comply with such policy as a condition of my employment and (3) continued employment is based on the successful passing of testing under such policy. I also authorize the disclosure of the results of such testing to Ron Bush, Inc. as well as to any company or corporation. which it is reasonably necessary or needed to meet the requirements of the jobsite for which I am assigned. I further understand that continued employment may be based in the successful passing of job-related physical examinations. Initials:
Initials*
I understand that there are customers of Ron Bush, Inc. who require a Criminal Background Check on all Ron Bush, Inc. personnel assigned to those jobsites. I authorize Ron Bush, Inc., and any of its agents/designated personnel to run any background check that may be required shouldI be assigned to such a site. I understand that I will be notified before any such action is taken. Initials:
Initials*
I further understand that my employment with Ron Bush, Inc., should I be hired, shall be probationary for a period of six months, and further that at any time during the probationary period or thereafter, my employment relationship with Ron Bush, Inc. is terminable at will for any reason by either party. Initials:
Initials*
I am aware that during my employment, confidential information will be made available to me, i.e., equipment designs, marketing strategies, customer lists, pricing policies and other related information In the event of termination of employment, whether voluntary or involuntary, I hereby agree not to utilize or exploit this information with any other individual or company. Initials:
Initials*
Signature of applicant*

Clear
Date*

MonthDayYear
Date
Ron Bush. Inc. is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, sex. sexual orientation, national origin, citizenship. age or disability. Ron Bush, Inc. assures you that your opportunity for employment with us depends solely on your qualifications.
Should be Empty:

Applicant Information

Education

References

Previous Employment

1 CAN YOU WORK WITH CONFIDENT AND SAFELY AT GREAT HEIGHTS?

2 IF NEEDED ARE YOU WILLING/ABLE YOU WORK OVERTIME?

3 IF NEEDED ARE YOU WILLING/ABLE TO WORK OUT OF TOWN?

4 DO YOU HAVE RELIABLE TRANSPORTATION?

5 HAVE YOU EVER WORKED FOR RON BUSH, INC.?

6 ARE YOU A CITIZEN OF THE UNITED STATES?

7 HAVE YOU EVER BEEN CONVICTED OF A FELONY?