Application for Employment

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  • APPLICATION FOR EMPLOYMENT

  • Personal Information

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  • Other names used in the past?
  • Format: (000) 000-0000.
    • ADDRESSES DURING THE PAST TEN YEARS 
    • EMPLOYMENT DESIRED 
    • Does this position require driving?*
    • Do you have automobile insurance as required by state law?*

    • State:*   Number:*Expiration Date:Pick a Date*   

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    • Are You Employed Now?*
    • May We Contact Your Present Employer?*
    • Have You Ever Worked for this Company?*
    • Have You Ever Applied to this Company?*
    • What is your availability? (Please select all that apply)*
    • EDUCATION AND SKILLS 
    • Rows
    • Rows
    • U.S. Military Service?*
    • GENERAL INFORMATION 
    • Have you entered into any agreements with any former employer (for example, an agreement not to compete, or confidentiality agreement) that may impact your ability to work for the Company?*
    • Are you over 18 years of age?*
    • Have you ever initiated an act of violence in the workplace?*
    • Have you used illegal drugs within the past three (3) weeks?*
    • Are you able to perform the duties of the position for which you are applying, including regular attendance?*
    • FORMER EMPLOYERS 

    • What hourly wage or salary are you requesting, should you be offered employment?

    • Hourly Rate:   *Salary:   *   

    • Did you receive written performance evaluations from any of your prior employers?*
    • Have you been discharged or asked to resign from a position or job?*
    • REFERENCES 

    • In Case of Emergency, Notify: *   *

    • ACKNOWLEDGMENTS 
    • 1. I understand that I am entitled to copies of any public records obtained directly by the Company in connection with my application for employment. Check one:*

    • 2. If I am offered employment, I will, as a condition of employment, be required to submit proof of my identity and legal right to work in the U.S. 

      3. I understand that, if I am employed, any false statement, misrepresentation, or omission of facts on this application or on any supporting documents, regardless of when discovered to be false or omitted, may result in my immediate dismissal. 

      4. I understand that I will be required to possess a current and valid California driver's license if my job requires me to drive in the course of my work. 

      5. I agree that, if I am offered a position, it will be offered on condition that my employment shall be at will and for no definite period, and that my employment may be terminated at any time with or without cause and with or without prior notice. I understand that, except for the President of the Modern Air Mechanical, no supervisor or manager may alter or amend the above conditions. Only the President of the Company has authority to enter into any agreement for employment for any specified period of time or to make any agreement contrary to the foregoing. 

      6. I understand and agree that as a condition of my employment, I may be required to undergo drug testing, medical examinations and any other testing to the extent permitted by applicable laws. 

      7. I agree that I will settle any and all previously unasserted claims, disputes, or controversies arising out of or relating to my employment, my application or candidacy for employment, and/or cessation of employment with Modern Air Mechanical, exclusively by final and binding arbitration before a neutral Arbitrator (pursuant to the Company’s Alternative Dispute Resolution Policy). By way of example only, such claims include claims under federal, state, and local statutory law, such as the Fair Employment and Housing Act, Age Discrimination in Employment Act, Title VII of the Civil Rights Act of 1964, as amended, including the amendments of the Civil Rights Act of 1991, the Americans With Disabilities Act, the law of contract and the law of tort. 

      8. If I am offered employment, I will, as condition of employment furnish proof that I am over 18 years of age. 

      9. I agree that, if I am offered employment, I will be required to conform to the rules and regulations of the Company. 

      10. I authorize investigation of all statements contained in this application and any supporting documents. I authorize the Company to secure information about my experience from former employers, educational institutions, government agencies, or any references I have provided, and for those parties to provide information concerning my experience and I hereby release all parties from any liability arising from such investigation. 

      11. I understand that no supervisor or manager may alter or amend the conditions set forth in paragraphs one (1) through eleven (11) above. I understand that the foregoing conditions can only be altered or amended by a written agreement signed by either Mark Cauwels (President), or Suzanne Roberts (General Manager) of Modern Air Mechanical.

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