logoSummit Utility Structures, LLC (Job Application Form)
 
Personal Information
 
Contact Information
 
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SELECT YOUR RESPONSE OR PROVIDE THE APPROPRIATE INFORMATION
 
 
Full-Time Part-Time Temporary
Weekdays Weekends Days Nights
 
1000 Countdown
PLEASE READ BEFORE PROCEEDING: *
*** Federal law requires that employers hire only individuals who are authorized to be lawfully employed in the United States. In compliance with these laws, Summit Utility Structures will verify the status of every individual offered employment with the Company. In this connection, all offers of employment are subject to verification of the applicant’s identity and employment authorization, and it will be necessary for you to submit such documents as are required by law to verify your identification and employment authorization.
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EDUCATION: High School/Prep
 
College
 
College Or Graduate
 
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Professional Designations
 
 
 
 
 
 
 
 
 
 
 
 
PROFESSIONAL LICENSES:
 
License #2
 
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REFERENCES: Please list three professional references
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
PLEASE LIST YOUR WORK EXPERIENCE BELOW #1-2
 
Salary/Supervisor's Information
 
 
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Termination Information
Voluntary Involuntary
1000 Countdown
PLEASE LIST YOUR WORK EXPERIENCE BELOW #2-2
 
Salary/Supervisor's Information
 
 
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Termination Information
Voluntary Involuntary
1000 Countdown

PLEASE READ CAREFULLY BEFORE SIGNING APPLICATION

 
 
I have submitted the attached form to the company for the purpose of obtaining employment. I acknowledge that the use of this form, and my filling it out, does not indicate that any positions are open, nor does it obligate the company to further process my application.
 
My signature below attests to the fact that the information that I have provided on my application, resume, given verbally, or provided in any other materials, is true and complete to the best of my knowledge and also constitutes authority to verify any and all information submitted on this application. I understand that any misrepresentation or omission of any fact in my application, resume or any other materials, or during any interviews, can be justification for refusal of employment, or, if employed, termination from the Company’s employ.
 
I also affirm that I have not signed any kind of restrictive document creating any obligation to any former employer that would restrict my acceptance of employment with the Company in the position I am seeking.
 
 
References: I hereby authorize the company and its agents to make such investigations and inquiries into my employment and educational history and other related matters as may be necessary in arriving at an employment decision. I hereby release employers, schools, and other persons from all liability in responding to inquires connected with my application and I specifically authorize the release of information by any schools, businesses, individuals, services or other entities listed by me in this form. Furthermore, I authorize the company and its agents to release any reference information to clients who request such information for purposes of evaluating my credentials and qualifications.
 
Temporary/Contract Employment: If employed as a temporary or contract employee, I understand that I may be an employee of the company and not of any client. If employed, I further understand that my employment is not guaranteed for any specific time and may be terminated at any time for any reason. I further understand that a contract will exist between the company and each client to whom I may be assigned which will require the client to pay a fee to the company in the event that I accept direct employment with the client, I agree to notify the company immediately should I be offered direct employment by a client (or by referral of the client to any subsidiary or affiliated company), either for a permanent, temporary (including assignments through another agency), or consulting positions during my assignment or after my assignment has ended.
 
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Designed/Created by Juan Vasquez