Employment Application

We are an equal opportunity employer. Applicants are considered for positions without regard for race, religion, sex, national origin, age, disability, or any other consideration made unlawful by applicable federal, state or local laws.

Position applied for:___________________________________
 

                                                          Applicant Information

Name:__________________________________________
Address:________________________________________
City: __________________ State:_____  Zip:__________		 Home Phone:________________________
Desired Salary:_______________________
Social Security:_______________________

Email Address:___________________________________________________

Are you able, at the time of employment, to submit verification for your legal right to work in the U.S.?
(Verification and completion of Form 1-9 must be submitted no later than three business days after date of hire.)
 Yes     No

If under the age of 18, can you produce the necessary work certificate at the time of employment?
Yes     No

Type of employment Desired:
  Full time    Part Time   (Specify Hours):_______________________

Have you ever applied Wehner Mower before? If so when?
Yes     No     When:______________________

Within the past ten (10) years have you been convicted of a felony?
(Do not include convictions that where sealed, eradicated, erased, or expunged; convictions that resulted in referral to a diversion program; or marijuana-related convictions that are more than two (2) years old.)
 Yes     No

If yes, Please explain so that individual circumstances can be considered:
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

Have you ever initiated an act of violence in the workplace?
Yes     No
If yes, Please explain so that individual circumstances can be considered:
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

                                                                 Education

 

Education

School Name

Location

Graduate

Years comp.

Degree
High School    

Yes \ No

1 | 2 | 3 | 4

  
College    

Yes \ No

1 | 2 | 3 | 4 | 5 | 6

  
Other    

Yes \ No

1 | 2 | 3 | 4

  

Honors Received:_______________________________________________________________________________

List special technical skills that you feel qualify you for the job for which you are applying:
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

                                                            Work Experience

Start with your present or last place of employment. You may include any verifiable work performed on a volunteer basis, internships, or military service.

Employer 1:

Name:_________________________________
Address:_______________________________
City: _____________ State:____ Zip:________

Job Title:_______________________________
Supervisor's Name:_______________________

 Phone:___________ May we contact: Yes \ No
Type of Business:______________________
Date employed from:_________ to:________

Starting Wage:________  Final Wage:_______
 

Reason for leaving
_____________________________________________________________________________________________
_____________________________________________________________________________________________
 

Employer 2:

Name:______________________________
Address:____________________________
City: _____________ State:___ Zip:______

Job Title:___________________________
Supervisor's Name:___________________

 Phone:___________ May we contact: Yes \ No
Type of Business:______________________
Date employed from:_________ to:________

Starting Wage:________  Final Wage:_______
 

Reason for leaving
____________________________________________________________________________________________
____________________________________________________________________________________________
 

Employer 3:

Name:______________________________
Address:____________________________
City: _____________ State:___ Zip:______

Job Title:___________________________
Supervisor's Name:___________________

 Phone:___________ May we contact: Yes \ No
Type of Business:______________________
Date employed from:_________ to:________

Starting Wage:________  Final Wage:_______
 

Reason for leaving
_____________________________________________________________________________________________
_____________________________________________________________________________________________
 

                                                                    References

Please list the name of additional work related references we may call. Individuals with no work experience may list school of volunteer related references.

Name Position Company Relationship Telephone
         
         
         

 

                                                          Applicant Certification

    I understand and agree that if driving is a requirement of the job for which I am applying, my employment and/or continued employment is contingent on possessing a valid driver’s license and automobile liability insurance in an amount equal to the minimum required by the state where I reside. 
    I understand that the company may now have, or establish, a drug-free workplace or drug and/or alcohol-testing program consistent with applicable federal, state, and local law.  If the Company has such a program and I am offered a conditional offer of employment, I understand that if a pre-employment (post-offer) drug and/or alcohol test is positive, the employment offer may be withdrawn. I agree to work under the conditions requiring a drug-free workplace, consistent with applicable federal, state and local law.  I also understand that all employees of the location, pursuant to the Company’s policy and federal, state, and local law, may be subject to urinalysis and/or blood screening or other medically recognized tests designed to detect the presence of alcohol or controlled drugs.  If employed, I understand that the taking of alcohol and/or drug tests is a condition of continual employment and I agree to undergo alcohol and drug testing consistent with the Company’s policies and applicable federal, state and local law.
    If employed by the Company, I understand and agree that the company, to the extent permitted by federal, state, and local law, may exercise its right, without prior warning or notice, to conduct investigations of property (including, but not limited to, files, lockers, desks, vehicles, and computers) and, in certain circumstances, my personal property. 
    I understand and agree that as a condition of employment and to the extent permitted by federal, state, and local law, I may be required to sign a confidentiality, non-compete, and/or conflict of interest statement.
    I certify that all the information on this application, my resume, or any supporting documents is complete and accurate to the best of my knowledge.  I understand that any falsifications, misrepresentations, or omissions of any information may result in disqualification from consideration for employment or, if employed, disciplinary action, up to and including immediate dismissal. 

    I UNDERSTAND THAT NEITHER THIS APPLICATION NOR ANY COMMUNICATION BY A MANAGEMENT REPRESENTATIVE IS INTENDED TO CREATE OR DOES CREATE A CONTRACT OF EMPLOYMENT, OFFER, OR PROMISE OF EMPLOYMENT.  I ACKNOWLEDGE THAT IF HIRED BY THE COMPANY, EMPLOYMENT IS ON AN AT-WILL BASIS.  THIS MEANS THE COMPANY IS FREE TO TERMINATE MY EMPLOYMENT AT ANY TIME, WITH OR WITHOUT CAUSE OR ADVANCE NOTICE, IN ACCORDANCE WITH STATE LAW, AND ACCEPTANCE OF EMPLOYMENT IS NOT A CONTRACT OF EMPLOYMENT FOR ANY SPECIFIED TIME. SIMILARLY, I AM FREE TO TERMINATE MY EMPLOYMENT WITH THE COMPANY AT ANY TIME FOR ANY REASON.  THIS AT-WILL PROVISION MAY BE MODIFIED OR WAIVED ONLY IN A WRITTEN AGREEMENT SIGNED BY AN AUTHORIZED REPRESENTATIVE OF THE COMPANY AND ME.
    I AGREE TO CONFORM TO THE RULES AND REGULATIONS OF THE COMPANY, AND I UNDERSTAND THAT THE COMPANY HAS COMPLETE DISCRETION TO MODIFY SUCH RULES AND REGULATIONS AT ANY TIME, EXCEPT THAT IT WILL NOT MODIFY ITS POLICY OF EMPLOYMENT AT-WILL.

    I authorize the company or its agents to confirm all statements contained in the application and/or resume as it relates to the position I am seeking and to the extent permitted by federal, state, or local law. I agree to complete any requisite authorization forms for the background investigation.
    I authorize and consent to , without reservation, any party or agency contracted by this employer to furnish the above mentioned information. I hereby release, discharge and hold harmless, to the extent permitted by federal, state and local law, any party delivering information to the company or its duly authorized reprehensive pursuant to this authorization from any liability, claims, charges, or causes of action which I may have as a result of the delivery or disclosure of the above requested information. I herby release from liability the company and its representative for seeking such information and all other persons, corporations, or organizations furnishing such information.

Yes     No

Applicant Signature:___________________________________________________________