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Application for employment
We are an equal opportunity employment company, dedicated to non-discrimination in employment on any basis including race, creed, color, age, sex, religion or national origin; or physical handicap.

Name
Email Address
Phone
Mailing Address

City
State
Zip
Position
Date wishing to start
Requested salary
Are you employed now?
YesNo
May we contact your current employer?
YesNo


High School
High school name and location
Years attended
Graduated?
Subject studied


College
College name and location
Years attended
Graduated?
Subject studied


Trade, Business or Correspondence
School name and location
Years attended
Graduated?
Subject studied


Employment History #1
Previous employer
Date started
Date left
Salary
Position
Reason for leaving


Employment History #2
Previous employer
Date started
Date left
Salary
Position
Reason for leaving


Employment History #3
Previous employer
Date started
Date left
Salary
Position
Reason for leaving


Questions/Comments
I agree to the terms and conditions.

By filling out this form you certify that you agree with the following:

I certify and agree that the facts set forth in this application are true and complete. I understand that if hired, false statements, omission, or misleading statements on this application shall be considered sufficient cause for dismissal. Upon discovery of any false statements made, I agree that the Company may terminate me immediately, and waive any recourse I may have against the company for this action. The Company is hereby authorized to investigate my employment, criminal, any other history available, including contacting of the employer.

I agree that this Employment Application is only a request for information and is not an employment contract. I understand that only the President of the Company has the authority to enter employment contracts, which must be in writing. I agree that any written or oral statements by any other managerial or supervisory official shall not be construed to establish any contractual relationship between the company (including any related company, any parent or successor company) and myself.

I understand and agree that, if hired, my employment is at-will and for no definite period. I agree that either the Company or myself may terminate me at any time without prior notice. I also understand and agree that if my employment is transferred to a successor company, the terms of my employment will be the same and the Successor Company will have all the rights of the Company with respect to my employment.

I agree in advance that I will abide by the company's drug free workplace program.

I agree to resolve each and all issues through the company's arbitration policy. This will be the sole remedy available to resolving all matters for myself and any other interested parties on my behalf.

2009® Unger Electric LLC • PO. Box 559 Tucker, Georgia 30085 • 770-270-1142