Employment Application

Contact Information

First Name *

Middle Initial

Last Name *

Address (Street, City, State, Zip) *

Phone Number *

Email *

Position Questions

Position Applying For *

Salary Expected

Date Available

Will you work overtime? *

Are you currently employed? *

May we contact your employer? *

Education

High School *

Location *

Years Completed *

GPA

Degree

Graduated? *

College/University or Technical School

Location

Years Completed

GPA

Degree/Major

Graduated?

List Any Skills:

References

List three persons who can objectively evaluate your experience and capabilities; at least two of whom were your supervisor/manager.

Reference Name *

Job Title *

Place of Employment *

Phone *

Reference Name *

Job Title *

Place of Employment *

Phone *

Reference Name *

Job Title *

Place of Employment *

Phone *

Employment History

Employment Experience #1

Company Name

Company Address

Company Phone

Supervisor Name

Supervisor Phone

Date Employed

Starting Position

Final Position

Major Responsibilities and Accomplishments:

Reason for Leaving:

Employment Experience #2

Company Name

Company Address

Company Phone

Supervisor Name

Supervisor Phone

Date Employed

Starting Position

Final Position

Major Responsibilities and Accomplishments:

Reason for Leaving:

Employment Experience #3

Company Name

Company Address

Company Phone

Supervisor Name

Supervisor Phone

Date Employed

Starting Position

Final Position

Major Responsibilities and Accomplishments:

Reason for Leaving:

Security Background

Have you ever been convicted of any violation of the law? (excluding a traffic violation) *

If yes, give date, place and nature of offense and disposition:
Record of conviction does not necessarily disqualify an applicant for employment consideration.

Fair Credit Reporting Act

In accordance with the provision of the Fair Credit Reporting Act, enacted for your protection, we may in the course of our normal screening procedure,conduct an investigation to obtain information through personal interviews with your neighbors, friends, or others with whom you are acquainted. Thisinquiry includes information as to your character, general reputation, personal characteristics and mode of living. You have the right to make writtenrequest within a reasonable period of time for a complete and accurate disclosure of additional information concerning the nature and scope of thisinvestigation.

I authorize all persons, schools, companies, corporations, credit bureaus and law enforcement agencies to supply any information concerning mybackground and release them from any liability and responsibility arising from their doing so.

Applicant Statement

I hereby certify that I have read and that I fully understand the foregoing questions, that I have answered them to the best of my belief and knowledge,and that all my statements have been made truthfully and without evasion.

I hereby authorize Forklift Management Specialists, LLC (“the Company”), or any agent thereof, to investigate the validity of these statements.

Any deliberate omission or misrepresentation of a material fact in my application or attachments may be justification for refusal of, if employed,separation from the Company’s employment regardless of time of discovery.

I understand that this employment application and any other Company documents are not promises of employment. Should I be employed, I furtherunderstand that, if I am employed, I can terminate my employment at any time with or without cause and with or without advance notice, and that the Company has a similar right. I understand that no leader, representative, or agent of the Company has any authority to enter into any agreement foremployment for any specified period of time, or to make any agreement contrary to the foregoing, except that a corporate officer may do so in writing.

I understand that the Company is committed to provide equal opportunity in all employment practices, including but not limited to selection, hiring,promotion, transfer, and compensation to all qualified applicants and employees without regard to race, color, religion, creed, sex, national origin,ancestry, age, marital status, sexual orientation, medical condition, physical or mental disability, veteran status, or any other category protected byfederal, state, or local law.

Electronic Signature *

Date *

Employment Application

Equipment

Parts & Services

Headquarters