You need Adobe Flash Player to view this website. Click here to download it or here if you know you already have it. 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