Please list the names of your present and previous employers in chronological order with the most recent employer listed first. Provide information on the most recent ten years of employment. If self-employed, supply the company name and business references. You may include any verifiable work performed on a volunteer basis, internships, or military service. Your failure to complete this inquiry may disqualify you for consideration of employment. “See Resume” is not an acceptable response. If you need more room, please use a blank sheet of paper.
Applicant Certification
I understand and agree that if driving is a requirement of the position for which I am applying, my employment and/or continued employment is contingent upon possessing a valid driver’s license and my ability to be approved as insurable by the automobile insurance company utilized by Lee County Plumbing and Well Service.
I understand that Lee County Plumbing and Well Service is a drug-free workplace and maintains a drug and/or alcohol testing program consistent with applicable federal, state and local law. If I am offered a conditional offer of employment, I understand that if that drug and/or alcohol test is positive, the employment offer will be withdrawn. I agree to work under the conditions requiring a drug-free workplace. I also understand that all employees of Lee County Plumbing and Well Service, pursuant to the Company’s policy as well as federal, state, and local law, may be subject to screening designed to detect the presence of alcohol or illegal or controlled drugs as defined in the company policy. If employed, I understand that the taking of alcohol and/or drug tests is a condition of continual employment and I agree to undergo this testing consistent with the Company’s policies and applicable federal, state, and local law.
Lee County Plumbing and Well Service is an at-will employer as allowed by applicable state law. This means that regardless of any provision in this application, if hired, the company or I may terminate the employment relationship at any time, for any reason, with or without cause or notice. Nothing in this application or in any document or statement, written or oral, shall limit the right to terminate employment at-will. No officer, employee or representative of the company is authorized to enter into an agreement – express or implied – with me or any applicant for employment for a specified period of time unless such an agreement is in a written contract signed by the CEO of the company.
I certify that all of the information on this application, my resume, or any supporting documents I may present during my application process is and will be complete and accurate to the best of my ability. I understand that any falsification, misrepresentation, or omission of any information may result in disqualification from consideration for employment or, if employed, disciplinary action, up to and including immediate termination.
I authorize the Company or its agents to confirm all statements contained in this application and/or resume as it relates to the position I am seeking to the extent permitted by law. I agree to complete any requisite authorization forms for the background investigation permitted by federal, state and local law.
I authorize and consent to any party or agency contacted by this employer to furnish confirmation of the above mentioned information. I hereby hold harmless, to the extent permitted by federal, state and local law, any party delivering information to the Company or its authorized representative any liability, claims, charges, or causes of actions which I may have as a result of the delivery or disclosure of the above requested information. I hereby release the Company from liability and its representatives for seeking such information and all other persons, corporations, or organizations for furnishing such information. Further, if hired, I authorize the Company to provide truthful information concerning my employment to future employers and hold the Company harmless for providing such information.
If hired by Lee County Plumbing and Well Service, I understand that I will be required to provide genuine documentation establishing my identity and eligibility to work in the United States. I also understand that this Company only employs persons who are legally eligible to work in the United States and participates in the Federal E-Verify program.
This application will be considered active for a maximum of sixty (60) days. After that time, I understand I must reapply for continued consideration.
I CERTIFY THAT ALL OF THE INFORMATION THAT I HAVE PROVIDED ON THIS APPLICATION IS TRUE, ACCURATE AND COMPLETE. DO NOT SIGN UNTIL YOU HAVE READ ALL OF THE INFORMATION CONTAINED IN THE APPLICATION.
