Employment Application

Personal Information

* = Required

Education

* = Required

High School or Equivalent

Job Training Program

Vocational/Technical School

College or University

Other:

Work Experience

List most recent employment first. * = Required

Employer One

May We Contact? Yes No

Employer Two

May We Contact? Yes No

Employer Three

May We Contact? Yes No

Skills

References

List the names of two people whom you have known at least one year. * = Required

Reference 1

Reference 2

Position Information

* = Required

If hired, can you present evidence of your identity and legal right to work in this country?

Any offer of employment is conditional upon you completing Form 1-9 and providing documents establishing your identity and work authorization.

Yes No

Are you 18 years of age or older?

If under 18 years of age, applicant will be required to submit a birth certificate or work certificate as required by State or Federal Law.

Yes No

Type of employment desired:

Full-Time Part-Time

Date Available to Start:

How were you referred to us?

Application

* = Required

*I, the undersigned, certify that all the information on this application is true and complete to the best of my knowledge.

*I also understand that employment at Nichols Equipment is "at will" and that the employer or the employee can terminate the employment relationship at any time for any or no reason, as long as the reason is not prohibited by law.

*I also understand that an offer of employment from Nichols Equipment may be contigent upon the satisfactory results of a background check.

Signature

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