Application for Employment

An Equal Opportunity Employer – All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Personal Information

Incomplete information could disqualify you from further consideration. Please complete all fields.

Name *

First

Middle

Last

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Phone *

Email *

Are you above 18 years old? *

Yes
No

Are you authorized to work in the United States? *

Yes
No

Are there any hours, shifts, or days you cannot or will not work? *

Preference of job *

Part-time
Full-time

Are you willing to work overtime if required (including weekends)? *

Yes
No

Employment Desired

Available to start *

Hourly Rate/Salary Desired *

Position Desired *

Are you currently employed? *

Yes
No

If so, may we inquire your present employer? *

Yes
No

Education/Certification

Name of license/certification

License/Certification Number

Has your license/certification ever lapsed?

If yes, state reason for lapse, revocation, or suspension

If yes, date of reinstation

Do you have any special skills, experiences and/or training that would enhance your ability to perform the position applied for? If yes, explain.

High School

Name and location of school *

No. of years attended *

College/University

Name and location of school

No. of years attended

Degree Received

Subjects studied/Major

Technical School

Name and location of school

No. of years attended

Degree Received

Subjects studied/Major

Other Schooling

Name and location of school

No. of years attended

Degree Received

Subjects studied/Major

Employment History

Please include your last 4 employers. Please start with the most recent and work backwards in time.

Employer 1 Name *

Start date *

Leave date *

Phone

Job Title *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Immediate Supervisor and Title

Summarize nature of work and job responsibilities *

Reason for leaving *

Employer 2 Name

Start date

Leave date

Phone

Job Title

Address

Address Line 1

Address Line 2

City

State

Zip Code

Immediate Supervisor and Title

Summarize nature of work and job responsibilities

Reason for leaving

Employer 3 Name

Start date

Leave date

Phone

Job Title

Address

Address Line 1

Address Line 2

City

State

Zip Code

Immediate Supervisor and Title

Summarize nature of work and job responsibilities

Reason for leaving

Employer 4 Name

Start date

Leave date

Phone

Job Title

Address

Address Line 1

Address Line 2

City

State

Zip Code

Immediate Supervisor and Title

Summarize nature of work and job responsibilities

Reason for leaving

References

Give the names of three persons not related to you, whom you have known for at least three years.

Reference #1 Name *

Phone/Email *

Years Acquainted *

Reference #2 Name *

Phone/Email *

Years Acquainted *

Reference #3 Name *

Phone/Email *

Years Acquainted *

Referral source, how did you hear about us?

EEOC Statement

Please read carefully before signing Contour Engineering, LLC is an equal opportunity employer. Contour Engineering, LLC does not discriminate in employment on account of race, color, religion, national origin, ancestry, age, sex, sexual orientation, marital status, or military status. I understand that neither the completion of this application nor any other part of my consideration for employment established any obligation for Contour Engineering, LLC to hire me. If I am hired, I understand that either Contour Engineering, LLC or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I attest with my signature below that I have given to Contour Engineering, LLC true and complete information on this application. No requested information as been concealed. I authorize Contour Engineering, LLC to contact referenced provided for employment reference checks. If any information I have provided is untrue, or I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.

Name *

First

Last

Signature *

Date *

Authorizing for Drug and Alcohol Testing

I hereby give Contour Engineering, LLC my permission to have me tested and I willfully agree to submit to tests for the presence of illegal drugs. These chemical tests will be performed to urinalysis and/or blood tests, and/or breath analysis. I further authorize the administrator of the tests to provide the results to Contour. I agree to hold harmless Contour from any action brought by myself or from others that may arise as a result of the testing and delivery of results whether such are deemed to be accurate or otherwise. I acknowledge receipt of the Alcohol and Drug Use Policy provided to me by Contour. If I am hired to perform services for Contour, I agree to undergo testing for alcohol and illegal drugs in the future and allow Contour, with sufficient cause, to search my person, vehicle, personal property, desk and/or locker as set forth in the Policy and Rules. I understand that I will be subject to, and agree to abide by, present or future Policies and Rules to Substance Abuse imposed by Contour and the disciplinary guidelines for violating these Policies and Rules. I have read this authorization in full and understand and agree to all of its provisions.

Name *

First

Last

Signature *

Date *

Request for MVR

By signing below, I authorize my employer, Contour Engineering, LLC, to pull a 7-year MVR from my record. Department of Motor Vehicle Safety MVR Unit Post Office Box 80447 Conyers, GA 30013

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Date of Birth *

Georgia’s Driver’s License No. *

Signature *

Date *

Employment Release Form

I hereby authorize your company or any agent of your company, to contact any of my references, previous employers, companies, credit bureaus, corporations, law enforcement agencies, persons and educational agencies to supply any information concerning my background, including but not limited to: dates of employment, job title, job performance, skills, reason for leaving and/or rehire status. In the event that information from the report is utilized in whole or in part in making an adverse decision with regard to your potential employment, before making the adverse decision, we will provide you with a copy of the consumer report and a description in writing of your rights under the Fair Credit Reporting Act. The Fair Credit Reporting Act gives you specific rights in dealing with consumer reporting agencies. You will be given a summary of these rights together with this document. By your signature below, you hereby authorize us to obtain a consumer report and/or an investigative report about you in order to consider you for employment.

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Date of Birth *

Race

Sex

Driver's License Number *

Driver's License State *

Signature *

Date *