Online Application

All fields are required for submission. Please add “N/A” to any fields that do not apply to you in lieu of leaving them blank.

1Personal

2Job Interests/Skills

3General

4Education

5References

6Employment History

7Acknowledgement

Name*
First Middle Last
Current Address*
Street Address City State ZIP Code
How long have you lived at this address?*
Previous Address*
Street Address City State ZIP Code
How long have you lived at this address?*
Phone*
Email*

Employment History
Please list the names of your present or previous employers in chronological order with present or last employer listed first. Be sure to account for all periods of time including military service and any period of unemployment. If self-employed, give firm name and supply business references.
Name of Employer*
First Last
Address*
Supervisor Name*
Phone*
Employment (From - To)*

Month/Year
Starting Rate of Pay*
Ending Rate of Pay*
Position Title & Duties*
Reason for Leaving*
May we contact this employer?*
- Yes
- No
Name of Employer*
First Last
Address*
Supervisor Name*
Phone*
Employment (From - To)*

Month/Year
Starting Rate of Pay*
Ending Rate of Pay*
Position Title & Duties*
Reason for Leaving*
May we contact this employer?*
- Yes
- No
Name of Employer*
First Last
Address*
Supervisor Name*
Phone*
Employment (From - To)*

Month/Year
Starting Rate of Pay*
Ending Rate of Pay*
Position Title & Duties*
Reason for Leaving*
May we contact this employer?*
- Yes
- No
Have you ever been terminated or asked to resign from any job?*
- Yes
- No
Please provide circumstances*
Please explain fully any gaps in your employment history*

Acknowledgement
In the event of my employment to a position with Pinnacle Sign Group, I will comply with all rules and regulations of Pinnacle Sign Group. I understand that Pinnacle Sign Group reserves the right to require me to submit to a test for the presence of drugs in my system prior to employment and at any time during my employment, to the extent permitted by law. I consent to the disclosure of the results of any tests to Pinnacle Sign Group. I also understand that I may be required to take other tests such as personality and honesty tests, prior to employment and during my employment. I understand that should I decline to sign this consent or decline to take any of the above tests, my application for employment may be rejected or my employment may be terminated.

I understand that Pinnacle Sign Group may investigate my driving record and my criminal record and that an investigative consumer report may be prepared. I understand that I have the right to make a written inquiry within a reasonable period of time to receive additional detailed information about the nature and scope of this investigation. I further understand that Pinnacle Sign Group may contact my previous employers, if I have indicated permission within this application, and I authorize the employers to disclose to Pinnacle Sign Group all records and information pertinent to my employment with them. In addition to authorizing the release of any information regarding my employment, I hereby fully waive any rights or claims I have or may have against my former employers, their agents, employees and representatives, as well as other individuals who release information to Pinnacle Sign Group, and release them from any and all liability, claims, or damages that may directly or indirectly result from the use, disclosure, or release of any such information by any person or party, whether such information is favorable or unfavorable to me. I authorize the persons named herein as personal references to provide Pinnacle Sign Group with any pertinent information they may have regarding myself.

I hereby state that all the information that I provided on this application or any other documents filled out in connection with my employment, and in any interview is true and correct. I have withheld nothing that would, if disclosed, affect this application unfavorably. I understand that if I am employed and any such information is later found to be false or incomplete in any respect, I may be dismissed. I understand if selected for hire, it will be necessary for me to provide satisfactory evidence of my identity and legal authority to work in the United States, and that federal immigration laws require me to complete an I-9 Form in this regard.

If hired, I agree as follows: My employment and compensation is terminable at-will, is for no definite period, and my employment and compensation may be terminated by either Pinnacle Sign Group or me at any time and for any reason whatsoever, with or without good cause.

This is the entire agreement between Pinnacle Sign Group and the Employee and this agreement supersedes any and all prior agreements. It is further agreed and understood that any agreement contrary to the foregoing must be entered into, in writing, by myself and the President of Pinnacle Sign Group. No supervisor or representative of Pinnacle Sign Group, other than its President, has any authority to enter into any agreement contrary to the foregoing. Oral representations made before or after you are hired do not alter this Agreement.

If any term or provision, or portion of this Agreement is declared void or unenforceable it shall be severed and the remainder of this Agreement shall be enforceable. If you have any questions regarding this statement, please ask the Office Manager before signing. I hereby acknowledge that I have read the above statements and understand the same. My signature below attests that I have read, understood, and agree to be legally bound to all of the above terms.

This application for employment is valid for the next 90 days. I understand that if I wish to be considered for employment after this period of time, I must apply again.
Date*
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