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  • Personal Information

  • Emergency Contact Info

  • Desired Employment

  • Education

  • General

  • Former Employers

    List the last three employers with the most recent one first.
  • References

    Give the names of three persons you are not related to, whom you have known for at least one year.
  • Military

  • Criminal History

    Note: A conviction does not automatically disqualify your application.
  • Referral Information

  • Authorization

    Autorización Signature (Firma) Date (Fecha) "I certify that the facts contained in this application are true and complete to the best of my knowledgein addition, understand if employed, falsified including omitting statements on this application shall be grounds for dismissal.I authorize the investigation of all statements contained herein and the references and employers listed above or in the attached resume to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise and release and forever discharge any and all rights and claims against this Company including its Officers and its Employees from all liability for any damage that may result from utilization of such information.I also authorize a pre-and or post-employment criminal background investigation, a pre-and or post-employment drug screen, release and investigate all worker’s compensation claims, a pre, and or post-consumer credit report, a DOT medical or MVR, which are contingent for employment. I understand failing to meet these requirements and not fully disclosing all employment history will eliminate my opportunity for with Parker Engineering and Mechanical, Inc.I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative."
  • Work Capacity

    During an 8 hour work day, how often can you:
  • I hereby acknowledge that all of the information I have provided in this application is accurate and true to the best of my knowledge.

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