Everclear Enterprises Employment Application

To be considered for employment, please apply online here or print then mail this completed Everclear Form – Employment Application to:

Everclear Enterprises
P.O. Box 7831
Atlanta, Georgia 30357

PERSONAL:

Last Name (*)

First Name (*)

Middle Name

Social Security # (*)

Phone # (*)

Email Address (*)

Street Address (*)

Apt. Number

City (*)

State (*)

Zip Code (*)

Position Applied For (*)

Date Available To Start (*)

Wages/Salary Desired (*)

Referred By

Employment Desired (*)

Availability (*)

Are you at least 18 years old? (*)

Are you willing to travel and work out of town for extended periods? (*)

Are there any days or shifts you cannot or will not work? (*)

Please explain. (*)

Are you willing to work at heights? (*)

Have you ever been employed by Everclear Enterprises? (*)

List dates: (*)

Have you ever applied for employment with Everclear Enterprises? (*)

List dates and position applied for: (*)

Do you know anyone currently or previously employed with Everclear Enterprises? (*)

List name(s) (*)

Are you able to perform the essential functions of the position for which you have applied, with or without reasonable accommodations? (*)

EDUCATION:

High School

Name & Location (*)

Degree, Diploma or Certificate (*)

Date attended - from (*)

Date attended - to (*)

Technical/Vocational

Name & Location
Technical Degree
Date attended - from
Date attended - to

College/University

Name & Location
Degree, Diploma or Certificate
Date attended - from
Date attended - to

EMPLOYMENT HISTORY

List employment history for the previous ten (10) years, beginning with your current or most recent employer.

First Employer Details:

Employer Name (*)

Full Address (*)

Phone Number (*)

Job Title (*)

Start Date (*)

End Date (*)

Starting Pay (*)

Ending Pay (*)

Supervisor's Name (*)

Supervisor's Title (*)

May we contact your Supervisor? (*)

Supervisor's Contact Number (*)

Reason for Leaving (be specific) (*)

Major Duties and skills used (*)

Second Employer Details:

Employer Name

Full Address

Phone Number

Job Title

Start Date

End Date

Starting Pay

Ending Pay

Supervisor's Name

Supervisor's Title

May we contact your Supervisor?

Supervisor's Contact Number

Reason for Leaving (be specific)

Major Duties and skills used

Third Employer Details:

Employer Name

Full Address

Phone Number

Job Title

Start Date

End Date

Starting Pay

Ending Pay

Supervisor's Name

Supervisor's Title

May we contact your Supervisor?

Supervisor's Contact Number

Reason for Leaving (be specific)

Major Duties and skills used

List any other skills, experiences, and certifications (including OSHA or any other manufacturer’s certification(s)) that might be applicable to the position you are applying for:

ADDITIONAL INFORMATION:

Do you have a valid Driver's License? (*)

List issuing state and expiration date: (*)

Do you have reliable transportation? (*)

List year, make and model: (*)

List all at-fault traffic accidents and moving violations in the past 5 years:

Have you ever been convicted of a crime? (*)

State charge, date, and court disposition (A conviction will not necessarily disqualify an applicant from employment) (*)

Are you willing to submit to a pre-employment drug screen? (*)

Are you willing to submit to a pre-employment background check? (*)

REFERENCES:

List three professional references, not related to you, that have knowledge of your qualifications and quality of work. Please include at least one current or former supervisor.

First Reference Details:

Name (*)
Title/Occupation (*)
Relationship (*)
Phone Number (*)

Second Reference Details:

Name (*)
Title/Occupation (*)
Relationship (*)
Phone Number (*)

Third Reference Details:

Name (*)
Title/Occupation (*)
Relationship (*)
Phone Number (*)

ACKNOWLEDGEMENT:

I certify that the information I have provided on this application (including resume and any other documents submitted) is true and complete to the best of my knowledge and that this information becomes the property of Everclear Enterprises. I understand that any misrepresentation or omission of facts may disqualify me from further consideration of my application or result in dismissal if hired.

I authorize Everclear Enterprises or its representatives to conduct reference or background inquiries and to contact any of my former employers, any of the educational institutions I have attended, and any other person or organization which might have information relevant to my application for employment. In addition, I consent to a pre-employment background check. I understand that any information obtained by Everclear Enterprises will be held in the strictest of confidence.

I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules and regulations of employment of Everclear Enterprises. However, I further understand that neither the policies, rules, regulations of employment nor anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is at will and that either I or Everclear Enterprises may terminate my employment at any time with or without notice or cause.

Signature

Date