Please list up to 5 positions that you have held and are pertinent to the position for which you are applying
In the following textboxes, please include:
In connection with my employment, I understand that investigative background inquiries are to be made on myself including: consumer; credit; criminal convictions; motor vehicle; and other reports. The reports will include information as to my character, work habits, performance and experience along with reason for termination of past employment from previous employers. Further, I understand that Kilgore Industrial an authorized third party will be requesting information from various Federal, State and other agencies which maintain records concerning my past activities relating to my driving, credit, criminal, civil and other experiences.
I authorize, without reservation, any party or agency contacted by Kilgore Industrial or an authorized third party to furnish the above-mentioned information.
I also understand that this release will be effective for an indefinite period of time unless withdrawn by me in writing such that it will apply to as many employment applications that I may submit to Kilgore Industrial whether such application are submitted now or in the future.
Typing your name into the following textbox constitutes a signature for all purposes described above. Please enter your name and social security number in the following textboxes:
1.) I certify that all statements I have made in this application are true and agree that any misrepresentation or omission of facts requested may be sufficient cause for cancelation of my application or immediate dismissal from the Company, if I have been employed. In the event I am employed, I agree to conform to the rules and policies of the Company. I understand that these rules and policies may be changed, interpreted, withdrawn, or added to at the Company’s option at any time without notice.
2.) If I accept a job offer from the Company, I consent and agree to take a physical examination, if required, prior to beginning work. I agree to take such future physical examinations that may be required by the Company. I agree to submit to any lawful drug and alcohol testing, or skills and qualification testing that may be required either as a condition for employment or for continued employment. I understand and agree that refusal to submit to such testing during the course of my employment will result in immediate termination.
3.) I acknowledge the Company’s notification to me that a background investigation and/or an investigative consumer report on me may be made. I understand and agree that successful completion to the Company’s satisfaction of such investigation is required for employment or continued employment. I hereby authorize the Company to conduct or have conducted the investigation described above.
4.) I understand and agree that if any employment relationship is established with the Company, it will be of an “at will” nature. I understand that “at will” means that I may resign at any time and the Company may dismiss me at any time, with or without cause. I understand and agree that this “at will” employment relationship cannot be changed by any written document or oral statement unless this change is specifically acknowledged in writing by the President or higher level officer of the Company.
5.) I agree that the Company’s liability to me for wages is limited to the amount earned by me as of the date of such termination. I also authorize the Company to deduct at any time any funds owed by me to the Company whenever such deduction is not prohibited by law.
6.) I understand that federal law prohibits the employment of unauthorized aliens and that all persons hired must submit satisfactory proof of employment authorization and identity. I further understand that the failure to submit such proof will result in my immediate dismissal from the Company if I have been employed.
7.) I understand that my disclosure of prior convictions for criminal offenses will not necessarily prevent my employment with the Company; however, the omission of this requested information will be sufficient cause for cancellation of my application or my immediate dismissal from the Company.
8.) I have received a written job description and had the requirements of the job explained to me. I understand these requirements and represent to the Company that I can perform these requirements with or without reasonable accommodation.
9.) I acknowledge that I have the tools necessary to complete my job.