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Application For Employment
United Fire Equipment Company is an Equal Opportunity Employer
and is committed to maintaining a drug-free workplace.

This application must be completed in full, even if we already have a resume from you.
Please do not leave any fields blank. Incomplete applications will not be considered.


PERSONAL INFORMATION

         

           

Present Address:
       

Permanent Address (if other than above):
      


If you are not applying for a specific position, indicate  "OPEN"  in the field.



     





Indicate hours you will work:
     

Will you work weekends if needed?   

Indicate days you are available to work:
                 

If you are under 18 years of age, can you provide required proof of your eligibility to work?   
Are you a military veteran?         If yes, please list under Work Experience (below).

Do you have any commitments to another employer that might affect your employment with us?    

  (This field must be completed)

How did you learn about this position opening (check all that apply)?
-
-    
-      
   


Have you any relatives employed here?   


Have you been previously employed here?   


Have you ever been convicted of a felony, or a crime other than a minor traffic offense?
(An affirmative answer will not automatically disqualify you as a candidate for employment)
  

Skills and Experience:

Check "T" if you have training in the skill
Check "E" if you have experience in the skill
Check "B" if you have both training and experience
Proficiency Level:
T  E  B Microsoft Word  High Med Low
T  E  B Microsoft Excel  High Med Low
T  E  B Microsoft Publisher  High Med Low
T  E  B Microsoft PowerPoint  High Med Low
T  E  B Microsoft Access  High Med Low
T  E  B Gold Mine Sales & Marketing High Med Low
T  E  B Navision Accounting Software High Med Low
T  E  B Email      Frequent User   Infrequent User
T  E  B Internet      Frequent User   Infrequent User
T  E  B Typing
T  E  B Data Entry
T  E  B Supervision/Leadership
T  E  B Management
T  E  B Customer Service
T  E  B Sales
T  E  B Human Resources
T  E  B Accounting
T  E  B Invoicing/Inventory
T  E  B Purchasing

Optional
List any foreign language(s) and check the box that best describes your skill level.

Language 1

Read/Write/Speak

Read/Write

Read/Speak

Read Only

Speak Only

Language 2

Read/Write/Speak

Read/Write

Read/Speak

Read Only

Speak Only

Language 3

Read/Write/Speak

Read/Write

Read/Speak

Read Only

Speak Only

Job Performance Ability
Given your knowledge, skills, education, are you able to perform all the essential functions of the position for which you are applying, with or without reasonable accommodation, as set forth in the job description?
Yes    No

Do you now have or do you anticipate having any activities, commitments, or responsibilities that may prevent you from short-term traveling if required? Yes    No

Education

High School

Name of School

Location (City, State)

Diploma or GED

1

Yes No

2

Yes No

College or Schools after High School (include any job-related education or training in military services)

Name of School

Location
(City, State)

Academic Major, Skill, or Trade

Dates Attended
(ex. Sept 1999)

Did you graduate?

1

Yes No

2

Yes No

3

Yes No

4

Yes No

Work Experience
List most recent employer first. Include at least the past ten (10) years, and account for any time gaps in your employment history, including any military service. All fields must be completed. "See resume" is not acceptable.

1.

Name of Employer

Location (City, State)

Dates employed (ex. Sept 1999)
From To

Final Salary
Select one Hourly  Weekly  Annually  Commission

Your last job title & description

Name under which employed

Name of supervisor

Phone Number (123-456-7890)

Reason for leaving
May we contact? Yes No

 

2.

Name of Employer

Location (City, State)

Dates employed (ex. Sept 1999)
From To

Final Salary
Select one Hourly  Weekly  Annually  Commission

Your last job title & description

Name under which employed

Name of supervisor

Phone Number (123-456-7890)

Reason for leaving
May we contact? Yes No


3.

Name of Employer

Location (City, State)

Dates employed (ex. Sept 1999)
From To

Final Salary
Select one Hourly  Weekly  Annually  Commission

Your last job title & description

Name under which employed

Name of supervisor

Phone Number (123-456-7890)

Reason for leaving
May we contact? Yes No


4.

Name of Employer

Location (City, State)

Dates employed (ex. Sept 1999)
From To

Final Salary
Select one Hourly  Weekly  Annually  Commission

Your last job title & description

Name under which employed

Name of supervisor

Phone Number (123-456-7890)

Reason for leaving
May we contact? Yes No


I certify that the information set forth in this Application for Employment is true and complete to the best of my knowledge. I understand that, if employed, falsified statements on this application or failure to furnish all requested information shall be considered sufficient cause for my dismissal.

I further understand that if I am hired there is no employment contract, that I may be terminated or laid off at any time, with or without notice at the will of the employer, that any verbal statements of any person to the contrary are void, and that an employment contract may be made only in writing by the company President or specified authorized official of the company. I authorize United Fire Equipment Company to investigate any information contained in this application for employment, to contact my former employers, and to conduct a background investigation. I further understand that my employment is contingent upon a satisfactory pre-employment drug screening test result and satisfactory results from any background investigations conducted.

I understand that my employment shall be contingent upon proof of identity and verification of eligibility for employment in the United States in accordance with the Immigration Reform and Control Act of 1986. 

United Fire provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. This policy applies to all terms and conditions of employment, including but not limited to hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

United Fire Equipment Company expressly prohibits any form of unlawful employee harassment based on race, color, religion, gender, sexual orientation, national origin, age, disability, or veteran status. Improper interference with the ability of United Fire's employees to perform their expected job duties is absolutely not tolerated.

I consent to and authorize this employer and its personnel to request any information concerning my previous employment record as indicated on the Application for Employment. I hereby release all parties and persons connected with any request for information from all claims, liabilities, and damages, for whatever reason, arising out of furnishing such job-related information.