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Employment Application

An Equal Opportunity Employer

We do not discriminate on the basis of race, color, religion, national origin, sex, age, disability, or any other status protected by law or regulation. It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job-related factors.

Answer each question fully and accurately. No action can be taken on this application until you have answered all questions. If you do not have enough room on any part of the application, there will be a section at the end for entering additional information. In reading and answering the following questions, be aware that none of the questions are intended to imply illegal preferences or discrimination based upon non-job-related information.

Employment application
Current Address
Are You 18 Years of Age or Older?
Are You 18 Years of Age or Older?
If hired, can you furnish proof you are eligible to work in the U.S.?
Have you ever applied to PMC before?
Have you ever been employed by PMC before?
Have you ever been convicted of any law violations?
Include plea of "guilty" or "no contest." Exclude minor traffic violations.
If yes, please give details:
(A conviction will not necessarily disqualify an applicant for employment.)
If employed, do you expect to be engaged in any additional business or employment outside of our job?
If yes, please give details:
Do you have a valid driver’s license?
For Driving Jobs Only
Driver's License Number/State Issued/Class of License
For Driving Jobs Only (Ex. California DL# B5555555 Class A)
Have you had your driver's license suspended or revoked in the last 3 years?
For Driving Jobs Only
List professional, trade, business or civic activities and offices held.
(Exclude labor organizations and memberships which reveal race, color, religion, national origin, sex, age, disability or other protected status.)
Education information
Previous employment information
List names of employers in consecutive order with present or last employer listed first. Account for all periods of time including military service and any periods of unemployment. if self-employed, give firm name and supply business references. Note: A job offer may be contingent upon acceptable references from current and former employers.
[01] Name of Employer
[02] Name of Employer
[03] Name of Employer
[04] Name of Employer
Have you worked or attended school under any other names?
Are you presently employed?
Have you ever been fired or asked to resign?
ADDITIONAL INFORMATION
If you ran out of room on any section of this application or need to enter in any additional information that is relevant to your application, you may enter it here:
References
Please provide three references that are not relatives or former employers.

[1] Reference

Please include the name, address, and telephone number.

[2] Reference

Please include the name, address, and telephone number.

[3] Reference

Please include the name, address, and telephone number.


I certify that all information provided in this employment application is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date.
I authorize the investigation of any or all statements contained in this application. I also authorize, whether listed or not, any person, school, current employer, past employers and organizations to provide relevant information and opinions that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements.
I understand I may be required to successfully pass a drug screening examination. I hereby consent to a pre- and/or post-employment drug screen as a condition of employment, if required.
I understand that if I am extended an offer of employment it may be conditioned upon my successfully passing a complete pre-employment physical examination. I consent to the release of any or all medical information as may be deemed necessary to judge my capability to do the work for which I am applying.
I UNDERSTAND THAT THIS APPLICATION, VERBAL STATEMENTS BY MANAGEMENT, OR SUBSEQUENT EMPLOYMENT DOES NOT CREATE AN EXPRESS OR IMPLIED CONTRACT OF EMPLOYMENT NOR GUARANTEE EMPLOYMENT FOR ANY DEFINITE PERIOD OF TIME. ONLY THE PRESIDENT OF THE ORGANIZATION HAS THE AUTHORITY TO ENTER INTO AN AGREEMENT OF EMPLOYMENT FOR ANY SPECIFIED PERIOD AND SUCH AGREEMENT MUST BE IN WRITING, SIGNED BY THE PRESIDENT AND THE EMPLOYEE. IF EMPLOYED, I UNDERSTAND THAT I HAVE BEEN HIRED AT THE WILL OF THE EMPLOYER AND MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME, WITH OR WITHOUT REASON AND WITH OR WITHOUT NOTICE.
I have read, understand, and by my signature consent to these statements.
Applicant Signature
PLEASE VERIFY THAT ALL OF YOUR INFORMATION IS CORRECT BEFORE SUMITTING. THIS APPLICATION WILL REMAIN ACTIVE FOR A LIMITED TIME. ASK ONE OF OUR REPRESENTATIVES FOR MORE DETAILS. CLICK "SUBMIT APPLICATION" WHEN YOU ARE READY TO SEND YOUR APPLICATION.