• 602 Broadway St., Lincoln, IL 62656

  • Employment Application | TARTER BROTHERS Employment Application | TARTER BROTHERS

    Tarter Brothers Mechanical Inc.
    Application For Employment
    (Pre-employment Questionnaire) (An Equal Opportunity Employer)

    Personal Information
    Last Name
    First Name
    Middle Name
    Current Address:
    Street
    City
    State & ZIP
    Permanent Address:
    Street
    City
    State & ZIP
    Phone #
    Cell Phone #
    E-mail Address:
    Are Your 18 Years Or Older

    Yes No

    Are you prevented from lawfully becoming employed in this country beause of visa or immigration status?

    Yes No

    I Understand I may be subject to drug/alcohol testing. Please initial

    Employment Desired

    Position:
    Start Date:
    Salary Desired:
    Are you employed now?
    If so, provide information first under Employment History.

    Yes No

    Ever applied to this company before?

    Yes No

    Where?
    When?
    Referred by:

    Education

    Grammar School:
    Name & Location of School:
    *# of years attended
    *Did you graduate?
    Subjects studied
    High School:
    Name & Location of School:
    *# of years attended
    *Did you graduate?
    Subjects studied
    College:
    Name & Location of School:
    *# of years attended
    *Did you graduate?
    Subjects studied
    Trade, business or correspondence school:
    Name & Location of School:
    *# of years attended
    *Did you graduate?
    Subjects studied

    General

    Subjects of special study or research work:
    Special skills:
    Activities: (civic, athletic, etc.)
    Exclude organizations, the name of which indicates the race, creed, sex, age, marital status, color or nation of origin of its members.
    U.S. Military or Naval Service

    Yes No

    Rank achieved:
    Present membership in National Guard or Reserves

    Yes No

    *This form complies with the provisions of the Americans with Disabilities Act and the final regulations and interpretative guidance promulgated by the EEOC on July 26, 1991.

    Tarter Brothers Mechanical Inc.
    Application For Employment
    Page 2

    Former Employers (list below last three (3) employers, starting with last one first)

    Employer 1:
    Date: Month and Year
    From:
    To:
    Name Of Employer
    Address of Employer
    Salary
    Position
    Reason for leaving
    Employer 2:
    Date: Month and Year
    From:
    To:
    Name Of Employer
    Address of Employer
    Salary
    Position
    Reason for leaving
    Employer 3:
    Date: Month and Year
    From:
    To:
    Name Of Employer
    Address of Employer
    Salary
    Position
    Reason for leaving
    Employer 4:
    Date: Month and Year
    From:
    To:
    Name Of Employer
    Address of Employer
    Salary
    Position
    Reason for leaving
    Which of these jobs did you like best?
    What did you like most about this job?

    References: (Give the names of three (3) persons not related to you, whom you have known at least two years)

    Person 1:
    Name:
    Address:
    Business
    Years acquainted
    Person 2:
    Name:
    Address:
    Business
    Years acquainted
    Person 3:
    Name:
    Address:
    Business
    Years acquainted
    In case of emergency notify:
    Name:
    Address:
    Phone #:
    “I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time.

    I hereby authorize a credit and/or criminal check to be made, verification of information I provided and communication with any and all names listed on this application.

    In consideration of my employment, I agree to conform to the company’s rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company’s option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company. I understand that no company representative, other than its president, and then only when in writing and signed by the president, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing.”
    Date:
    Signature: