Careers"*" indicates required fieldsRHINEHART COMPANIESAT-WILL EMPLOYMENT APPLICATION This application is intended to evaluate suitability for employment. It is the policy of the company to provide equal employment to all qualified persons without discrimination on the basis of sex, race, color, religion, age, marital status, national origin, citizenship, disability, veteran status, or any other status protected under local, state and federal law. The company conducts pre-employment screening for certain jobs before an offer is made. If a job offer is made, employment may be contingent upon successful completion of a medical examination, which may include providing urine, blood or other types of samples. This application will remain active for ninety (90) days.Personal InformationLast*First*MiddleEmail Address:* Phone:*Please list below your current address and any other recent addresses:Current Address:Street*City*State*Zip*How long have you lived at your current address?*Previous address:*EducationHigh School Attended*City, State*Did you earn a Diploma/GED?*College or UniversityCity, StateAreas of StudyDegree/Certificate/DiplomaTrade, Business or OtherCity, StateAreas of StudyDegree/Certificate/DiplomaEMPLOYMENT INFORMATIONPosition Applied For:Date You Can Start Work:* MM slash DD slash YYYY Desired Salary*Do You Prefer:* Full Time Part TimeAre you currently working?* Yes NoWhich shift do you prefer* 1st 2nd 3rdIf Yes, may we contact your employer? Yes NoPlease answer all of the following questions.Are you at least 18 years of age and legally eligible for work in the United States?* Yes NoWill you work overtime when necessary?* Yes NoAre you on layoff and subject to recall? Yes NoAre you currently bound by a non-compete or trade secret agreement?* Yes No(If yes, please explain)Have you ever been discharged or asked to resign from a job?* Yes No(If yes, please explain)Have you ever been discharged or asked to resign from a job?* Yes No(If yes, please explain)REFERENCESName*City*Phone Number / Relationship*NameCityPhone Number / RelationshipNameCityPhone Number / RelationshipEMPLOYMENT HISTORYPlease list below your last three employers beginning with the most recent:1. Most Recent EmployerCityStateZipPhonePosition HeldDates: From/ToPay Rate Upon LeavingSupervisorDutiesReason for Leaving Terminated Voluntary Quit Laid OffExplanation:2. Next Most Recent EmployerCityStateZipPhonePosition HeldDates: From/ToPay Rate Upon LeavingSupervisorDutiesReason for Leaving Terminated Voluntary Quit Laid OffExplanation:3. Next Most Recent EmployerCityStateZipPhonePosition HeldDates: From/ToPay Rate Upon LeavingSupervisorDutiesReason for Leaving Terminated Voluntary Quit Laid OffExplanation:Please use this space to list any special skills or certifications you have that relate to the position:APPLICANT'S CERTIFICATION AGREEMENTI authorize the investigation of all statements contained in this application, resume and any attachments. I release from all liability any persons or employers supplying such information. I also release the company from all liability that might result from making the investigation.I certify that the facts and information set forth in this application are true and complete to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of facts on the application, resume and any attachments (or on any required document) will be cause for denial of employment or immediate termination of employment, regardless of when or how it was discovered.I agree, if I am offered and accept a position, to conform to all existing and future company rules and regulations, and I understand that the company reserves the right to change wages, hours and working conditions as deemed necessary. I ALSO UNDERSTAND THAT, IF HIRED, MY EMPLOYMENT WILL BE AT-WILL, WHICH MEANS THAT EITHER PARTY CAN END THE EMPLOYMENT RELATIONSHIP AT ANY TIME AND FOR ANY OR NO REASON.I understand that any employment offer is contingent upon my providing, within three working days of employment, valid proof of identity and eligibility to work in order to comply with the Immigration Reform and Control Act of 1986.I have read and reviewed the information provided in this application and the above statements. By signing this application for employment, I certify that all the information provided by me, including any resumes, test answers or attachments, is truthful and accurate.SignatureDate MM slash DD slash YYYY CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.
