Employment ApplicationAny questions, please contact: admin@merchantdemolition.com Today's Date * MM DD YYYY Name * First Name Last Name Email * Phone * (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Are you 18 years of age or older? * Yes No Are you either a U.S. citizen or an alien authorized to work in the U.S.? * Yes No Are you bilingual? * Yes No If so, which languages: POSITION DESIRED Position Are you willing to drive for the company (no CDL required)? * Yes No Start Date Available MM DD YYYY Wage Rate Desired $ Type of Employment Requested: * Full-time Part-time Seasonal Hours available to work: Days available to work: Shifts able to work: Weekends Nights Overtime Holidays Have you previously worked for Merchant Demolition? * Yes No How did you learn about this job opening? Education High School and Course of Study: Graduated High School? Yes No Technical School and Course of Study: Graduated Technical School? Yes No College / University and Course of Study: Graduated College / University? Yes No Post-Graduate Education and Course of Study: Graduated Post-Grad? Yes No Other education, training or special skills: WORK EXPERIENCE Please list all previous employment, beginning with the most recent. If you have additional to include, please send resume or details to : admin@merchantdemolition.com Employer (1) Company Name: Employer (1) Address: Employer (1) Phone: Employer (1) Dates Worked (From & To): Employer (1) Position Held: Employer (1) Reason for leaving: Employer (1) Supervisors Name & Title: Employer (1) May we contact? Yes No Employer (1) Description of Duties: Employer (1) Starting Compensation: $ Employer (1) Final Compensation: $ EMPLOYMENT HISTORY CONT. Employer (2) Company Name: Employer (2) Address: Employer (2) Phone: Employer (2) Dates Worked (From & To): Employer (2) Position Held: Employer (2) Reason for leaving: Employer (2) Supervisors Name & Title: Employer (2) May we contact? Yes No Employer (2) Description of Duties: Employer (2) Starting Compensation: Employer (2) Final Compensation: $ AUTHORIZATION AND ACKNOWLEDGMENTS Please review and submit entire form below when complete I affirm that the information I have provided in this application is true to the best of my knowledge, information and belief, and I have not knowingly withheld any information requested. I understand that withholding or misstating any information requested in this application is grounds for rejection of my application, and that providing false or misleading information in this application is grounds for discharge. I authorize the company to verify my references, record of employment, education record, and any other information I have provided. Unless otherwise noted, I authorize the references I have listed to disclose any information related to my work record and my professional experiences with them, without giving me prior notice of such disclosure. In addition, I release the company, my former employers and all other persons and entities, from any and all claims, demands or liabilities arising out of or in any way related to such inquiry or disclosure. Yes, I agree to above statement No, I do not agree to above statement Thank you!
