Company

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Employment Application

SOUTHEASTERN TANK, INC. Hereafter known as (SET), is an Equal Opportunity Employer and does not discriminate against any individual in any phase of employment in accordance with the requirements of local, state, and federal law. In addition, SET has adopted an Affirmative Action Program with the goal of ensuring equitable representation of qualified women, minorities, Vietnam Era and disabled veterans, and other disabled individuals, at all job levels.

Applicants may be subjected to testing for illegal drugs. In addition, applicants for certain positions who receive a conditional offer of employment must pass a medical examination prior to receiving a confirmed offer of employment.

This application will be considered active for 60 days. If you have not been employed within this period and are still interested in employment at SET, please contact the office where you applied and request that your application be reactivated.

APPLICANT INFORMATION

Name*

First M.I. Last

Date*

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

Date Available*

Desired Salary

Previous Address (if less than 2 years at present):

Street Address Address Line 2 City State ZIP Code

Position Applied for:*

Are you a citizen of the United States?*

Yes
No

Are you authorized to work in the U.S.?*

Yes
No

Have you ever worked for this company?*

Yes
No

If so, when?*

Have you ever been convicted of a crime involving dishonesty or violence?*

Yes
No

Please Explain*

Do you possess a valid driver’s license?*

Yes
No

Do you have any relatives employed by SET?*

Yes
No

Relative Name*

Relative Relationship*

EDUCATION

High School

Address

Street Address Address Line 2 City State ZIP Code

From

To

Did you graduate?

Yes
No

Degree

College

Address

Street Address Address Line 2 City State ZIP Code

From

To

Did you graduate?

Yes
No

Degree

Other

Address

Street Address Address Line 2 City State ZIP Code

From

To

Did you graduate?

Yes
No

Degree

REFERENCES

Please list three professional references.

Name*

First Last

Relationship*

Company*

Phone*

Address*

Street Address Address Line 2 City State ZIP Code

Name*

First Last

Relationship*

Company*

Phone*

Address*

Street Address Address Line 2 City State ZIP Code

Name*

First Last

Relationship*

Company*

Phone*

Address*

Street Address Address Line 2 City State ZIP Code

THE FOLLOWING QUESTIONS ONLY APPLY IF THE POSITION YOU DESIRE REQUIRES DRIVING:

Are you licensed to drive a car?

Yes
No

Is your license valid in this state?

Yes
No

PREVIOUS EMPLOYMENT

Company*

Phone*

Address*

Street Address Address Line 2 City State ZIP Code

Supervisor*

Job Title*

Starting Salary*

Ending Salary*

Responsibilities*

Date Started*

Date Left*

Reason for Leaving*

May we contact your previous supervisor for a reference?*

Yes
No

Company

Phone

Address

Street Address Address Line 2 City State ZIP Code

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

Date Started

Date Left

Reason for Leaving

May we contact your previous supervisor for a reference?

Yes
No

Company

Phone

Address

Street Address Address Line 2 City State ZIP Code

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

Date Started

Date Left

Reason for Leaving

May we contact your previous supervisor for a reference?

Yes
No

MILITARY SERVICE

Branch

From

To

Rank at Discharge

Type of Discharge

If other than honorable, explain

PLEASE READ THE FOLLOWING PARAGRAPH BEFORE SIGNING THIS APPLICATION

I certify that the information contained in this application is correct to the best of my knowledge and understand that any misstatement or omission of information is grounds for dismissal in accordance with Southeastern Tank, Inc. policy. I authorize the references 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 all parties from all liability for any damage that may result from furnishing same to you. In consideration, of my employment I agree to conform to the rules and regulations of Southeastern Tank, Inc., and I understand that my employment and compensation can be terminated with or without cause and with or without notice, at any time, at the option of either the Company or myself. This agreement concerning at-will employment is intended to be the final and complete expression of the relationship between Southeastern Tank, Inc. and me as to the nature of our employment relationship, and I understand that no unit manager or representative of Southeastern Tank, Inc., other than an officer 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. I hereby authorize Southeastern Tank, Inc. to obtain a consumer report on me.

Date*

Signature*