Power Wash usa
1801 Geneva St. ~ Sioux City, Iowa 51103
PRE-EMPLOYMENT QUESTIONNAIRE-AN EQUAL OPPORTUNITY EMPLOYER
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This applicant form is intended for use in evaluating your qualifications for employment, this is not an employment contract. Please answer all appropriate questions completely and accurately. False or misleading statements during the interview and on this form are grounds for termination of the application process, or if discovered after employment, termination of employment. All qualified applicants will receive consideration without discrimination because of sex, marital status, race, color, age, creed, national origin, sexual orientation, military reserve membership, ancestry, religion, height, weight, use of a guide or support animal because of blindness, deafness or physical handicap or the presence of disabilities. A felony conviction will not necessarily bar an applicant from employment. After an offer of employment and prior to reporting to work, you may be required to submit to a medical review. Depending on company policy and the needs of the job, you will be required to complete a medical history form and may be required to be examined by a medical professional designated by the company.
LIST BELOW THE LAST THREE EMPLOYERS STARTING WITH THE MOST RECENT ONE FIRST
LIST FOUR REFERENCES THAT KNOW YOU AND ARE NOT RELATIVES
HAVE YOU EVER BEEN CONVICTED OF A FELONY WITHIN THE PAST 5 YEARS?
IF YES EXPLAIN, (WILL NOT NECESSARILY EXCLUDE YOU FROM CONSIDERATION).
NOTE do not fill out any part of this section you believe to be non-job related.
CERTIFICATION AND RELEASE
I certify that I have read and understand the applicant note on page one of this form and that the answers given by me to the foregoing questions and the statements made by me are complete and true to the best of my knowledge and belief. I understand that any false information, omissions or misrepresentation of the facts called for in this application, whether on the document or not, may result in rejection of my applicaiton or discharge at any time during my employment. I authorize the company and or its agents, including consumer reporting bureaus to verify any of this information concerning my background and hereby release any said persons, schools, companies, and law enforcement authorities from any liability for any damage whatever for issuing this information. I also understand that the use of illegal drugs is prohibited during employment. If company policy requires, I am willing to submit to drug testing to detect the use of illegal drugs prior to and during employment.
Electronic Signature Agreement.
By selecting the "Submit Application" button, you are signing this Application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Application.
Consent to Electronic Delivery
You specifically agree that all information contained in this application may be sent electronically and that PowerWash USA Inc. cannot guarantee the delivery of the information contained in this application.