Advantage Fire is a Full-Service Fire Protection Company

Application for Employment


PERSONAL INFORMATION

First Name MI Last Name  
Present Address
City State
Zip

 

 
Phone Number Referred by
 
Email Address  

EMPLOYMENT DESIRED

Position Desired Date You Can Start Desired Salary
/ /
Are You Employed?
If so, may we inquire of your present employer?
   
Have you ever applied to this company before?
   
Where? When?

EDUCATION HISTORY

Name & Location of School
Years
Attended
Did You
Graduate?
Subjects Studied
Grammar School
High School
College
Trade, Business or Correspondence School

GENERAL INFORMATION

Subjects of special study/research work or special training/skills
U.S. Military or Naval Service Rank

FORMER EMPLOYERS
List last four employers, starting with last one first
Date
Month/Year
Name & Address of Employer Salary Position Reason for Leaving
From

To
From

To
From

To
From

To

REFERENCES

Give below the names of three persons not related to you, whom you have known at least one year.
Name Address Business Years Known

AUTHORIZATION

"By submitting this pre-application for employment, I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.

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 of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws."

 

I agree with the above authorization statement.