United Signs & Signals Employment Application

United Signs & Signals is an Equal Opportunity Employer and Drug Free Workplace.


Personal Information







Are you of minimum age to work in this state?
Are you legally authorized to work in the United States?
Do you have a valid driver's license?
If so, please enter your driver's license number. If not, type "No DL" in the box.



Have you ever applied for a position or been employed by United Signs & Signals?
If so, please explain when, where, and reason for leaving.


Do you have any relatives working for United Signs & Signals?
If so, please name them.

Position



Are you available to work on a full time basis?
If not, how many hours per week?



Will you work overtime, if asked?

How did you hear about us?
If other, please explain.

Education

Graduated? Date Diploma/GED was recieved.

Degree Date Degree was recieved.



Military

Service Dates From: To:

Rank at Discharge

Employment History

(Please list last three jobs held, beginning with current or most recent.)

Job 1

Dates of employment From: To:

Eligible for rehire?





Job 2

Dates of employment From: To:

Eligible for rehire?





Job 3

Dates of employment From: To:

Eligible for rehire?







Information

Reference 1



Reference 2



Reference 3



Background Questions

Have you ever been bonded?

Are you aware of any reason in which you could not be placed under a surely bond?
If so, please explain.

Have you been fired, discharged, or asked to resign from a position in the last five years?
If so, please explain.

Have you ever been convicted of a crime? (A conviction record will not necessarily bar you from employment.)
If so, please explain.

How many day's of scheduled work have you missed in the last year?)
If more than five day's, please explain.

By sumbitting the following application you agree to the following.

By submitting this application, I certify that the answers given by me to all questions on this application are, to the best of my knowledge and belief, true and correct without any reservations of any kind whatsoever I further understand that any misrepresentation or omission of facts called for hereon wilt be sufficient reason fpr dismissal from Company service.

I UNDERSTAND THAT IF I AM EMPLOYED BY . ('THE COMPANY"), MY EMPLOYMENT IS AT THE WILL OF THE COMPANY OR ME, AND EITHER THE COM PANY OR I MAY TERMINATE THE EMPLOYMENT RELATIONSHIP AT ANY TIME WITH OR WITHOUT NOTICE, REGARDLESS OF THE PERIOD OF PAYMENT OF MY WAGES I ALSO UNDERSTAND THAT NO OFFICER, SUPERVISOR, PERSONNEL REPRESENTATIVE OR ANY OTHER EMPLOYEE OR AGENT OF THE COMPANY HAS THE AUTHOR ITY TO ENTER INTO ANY AGREEMENT TO THE CONTRARY.

I understand that, where permitted by applicable law UNITED SIGNS & SIGNALS, INC 28248 CR 561 TAVARES, FL. 32778 ) and their respective employees, agents and those retained by them may make inquiries about my academic and employment history, and any other job-related information, including but not limited tc education, prior employment and job performance, motor vehicle driving record, credit history, military record and any criminal convictions, I authorize and request-each person, for mer employer, corporations, companies, credit reporting agencies, educational institutions, law enforcement agencies and military services to answer any and all questions that ma) be asked about me and to give any and ah information that may be sought in connection with this application, or concerning me or my work habits, character or skills. tn connectior therewith, I hereby release said individuals and/or entities (Including their directors, employees and agents) from any and all liability of whatever nature for doing so. i furthe release the Company and its affiliated companies and their respective officers, employees, representatives and agents from any and atl liability, of whatever nature, resulting from any request for such information. I understand that any information gathered as part of such investigation is subject to the terms of the Fair Credit Reporting Act of 1 970! as amended (If U.S.C. Sl 681), and any other applicable federal or state law.

"*AUTHORIZATION TO OBTAIN CONSUMER REPORTS AND INVESTIGATIVE CONSUMER REPORTS*"

I CERTIFY THAT HAVE RECEIVED A WRITTEN NOTIFICATION THAT THE COMPANY AND ITS AFFILIATED COMPANIES MAY OBTAIN A CONSUMER REPORT OR REPORTS AS WELL AS AN INVESTIGATIVE CONSUMER REPORT OR REPORTS ON ME; I AUTHORIZE THE COMPANY AND ITS AFFILIATED COMPANIES TO OBTAIN SUCF REPORTS FOR USE IN CONNECTION WITH MY APPLICATION FOR EMPLOYMENT AND FOR OTHER EMPLOYMENT-RELATED REASONS. UNDERSTAND THAT THE TERM "CONSUMER REPORT" INCLUDES, BUT IS NOT LIMITED TO CREDIT CHECKS, CRIMINAL BACKGROUND CHECKS, AND DEPARTMENT OF MOTOR VEHICLE REPORTS. I FURTHER UNDERSTAND THAT THE TERM "INVESTIGATIVE CONSUMER REPORT" MEANS A REPORT IN WHICH INFORMATION ON MY CHARACTER, GEN ERAL REPUTATION, PERSONAL CHARACTERISTICS, OR MODE OF LIVING IS OBTAINED THROUGH PERSONAL INTERVIEWS WITH MY NEIGHBORS, FRIENDS, ASSO CIATES OR WITH OTHERS WHOM I AM ACQUAINTED OR WHO MAY HAVE KNOWLEDGE CONCERNING SUCH ITEMS OF INFORMATION.



Do you agree to the aforementioned?

Signature: Date: