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Hill's Wiring Inc. Application for Employment

Equal Employment Opportunity Statement:

Employment decisions will be based on the principles of equal opportunity. All personnel actions (recruiting, hiring, training, promotion, compensation, etc.) are administered without regard to any characteristic protected by state, federal or local law, assuming said characteristic does not interfere with the performance of essential job functions. Reasonable accommodations will be made for disabilities and religious beliefs. Please inform us of any necessary accommodations to the application process.

Address
How did you hear about Hill's Wiring?
Have you applied for a position with us before?
No
Yes - Specify Date
Have you ever been employed with us before?
No
Yes - Specify Date
Are you currently employed?
No
Yes
Are you currently on "lay-off" status and subject to recall?
No
Yes
What date will you be available for work?
Month
Day
Year
Can you travel for work if necessary?
No
Yes
Are you legally permitted to work in the United States?
No
Yes

NOTE: Proof of eligibility will be required within three working days of employment.

Are you 18 years of age or older?
No
Yes
Have you ever served in the U.S. Military?
No
Yes

NOTE: If you answered "no" to the above question, please skip the rest of this section.

Have you been convicted of a felony within the last 7 years?
No
Yes - Please Specify Below

NOTE: Such conviction does not necessarily prevent you from employment. Hill’s Wiring Inc. is an equal opportunity employer.

Are you willing to take a drug test at the Company's request?
No
Yes

Education:

Employment History

Applicant's Statement

I understand that providing false or misleading information at any time during the application and interview process may lead to refusal to hire or discharge from the Company. If I become employed by the Company, I agree to follow all rules and regulations of the Company as they develop and change.


I allow the Company to conduct investigations on me, my background and my performance, and I am aware that such investigations will become a part of my employment record. With this, I authorize the Company to speak with my acquaintances, personal and professional, to gather

information about me.


I authorize all former employers and references to provide any information about me to the Company, and release them of liabilities and damages of all kinds for providing this information. I authorize the Company to verify the accuracy of the information within this application. I also authorize the release of my educational transcripts to the Company for education verification purposes.


I release Hill’s Wiring Inc from liability for collection information about me and using it to make employment decisions.


If I become employed by the Company, I understand that the employment relationship will be “at will,” and that the “at will” status may not change at any time unless specifically approved, in writing by the CEO of the Company.


I agree that if I become indebted to the Company, I will be responsible for repaying the total owed upon termination from the Company. If I do not repay the sum prior to my final paycheck being received, the money owed will be deducted from my pay.


This application for employment is valid for the next 90 days. I understand that if I wish to be considered for employment after this period of time, I must apply again.

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