APPLICATION FOR EMPLOYMENT

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Name*

Address*

Phone Number*

Complete Fire Protection LLC

APPLICATION FOR EMPLOYMENT

Name*

First Middle Initial Last

Social Security Number:

Address

Street Address City State / Province / Region ZIP / Postal Code

Phone Number:

If hired, can you provide evidence of legal eligibility to work in the U.S.?

Max. file size: 100 MB.

Any offer of employment is conditioned upon completing form I-9 and providing the appropriate documents for identity and work authorization.

Max. file size: 100 MB.

Wage/Salary Desired:

Position Desired:

Full Time?

Part Time?

Have you ever been convicted of a felony, or a misdemeanor involving any violent act, use or possession of a weapon, or act of dishonesty for which the record has not been sealed or expunged, or do you have such a case pending?

If yes, when?

If yes, where?

Can you verify that you are drug free and can pass random drug tests?

Yes

Date you can begin work?

Are you 18 years of age or older?

If under 18 years of age, you will be required to submit a birth certificate or work certificate as required by California or federal law.

Max. file size: 100 MB.

Name of high school attended:

City & State

Graduate?

GED?

Name of college or technical school:

City & State

Graduate?

Degree?

Major:

Are you presently enrolled in school?

If yes, give name & address of school and expected degree date:

List any job-related skills or accomplishments, including military service:

- Your Availability For Work -

Monday

From:

To:

Wednesday

From:

To:

Wednesday

From:

To:

Thursday

From:

To:

Friday

From:

To:

Saturday

From:

To:

Saturday

From:

To:

Total hours per week you are available to work:

Do you have any special requests or needs for a work schedule?

- Give Three References That Are Not Former Employers Who We May Contact -

Name and Occupation

How do you know them, and for how long?

Phone Number

Your Employment History

List names of employers with present or last employer listed first.

Please note if we may not contact your present employer until after you are offered a position.

Name of Employer:

Address

City State / Province / Region ZIP / Postal Code

Supervisor:

Telephone:

Job Title:

Duties:

Dates of Employment:

From:

To:

Hourly pay or salary:

Starting pay:

Ending pay:

Reason for Leaving:

Name of Employer:

Address

City State / Province / Region ZIP / Postal Code

Supervisor:

Telephone:

Job Title:

Duties:

Dates of Employment:

From:

To:

Hourly pay or salary:

Starting pay:

Ending pay:

Reason for Leaving:

Name of Employer:

Address

City State / Province / Region ZIP / Postal Code

Supervisor:

Telephone:

Job Title:

Duties:

Dates of Employment:

From:

To:

Hourly pay or salary:

Starting pay:

Ending pay:

Reason for Leaving:

CAREFULLY READ EACH STATEMENT BEFORE SIGNING AT THE BOTTOM

I certify that all of the information provided in this employment application are true and complete to the best of my knowledge, and I authorize investigation of all statements contained in this application, including a criminal background and credit history check. I understand that any false or incomplete information may disqualify me from further consideration for employment and may result in my immediate discharge if discovered at a later date. I understand and acknowledge that unless otherwise defined by applicable law or written agreement with Complete Fire Protection LLC, any employment relationship with Complete Fire Protection LLC is considered “employment at will.” This means the Employee may resign at any time and the Employer may discharge the Employee at any time, with or without cause, and with or without advance notice. I authorize the investigation of any or all statements contained in this application and also authorize any person, school, current employer, past employers, and other organizations to provide information concerning my previous employment and other relevant information that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements.

I have read, understand, and agree to the above statements.

Signature:

Date: