Stark Service Company Homepage

Employment Application

Serious applicants only, please.

We are an equal opportunity employer, dedicated to a policy of nondiscrimination in employment on any basis including race, color, age, sex, religion, disability, or national origin. This application will be given every consideration, but its receipt does not imply that the applicant will be employed. Each question should be answered in a complete and accurate manner as no action can be taken on this application until all questions have been answered. The careful and thoughtful completion of this application is an important step in our consideration of individuals for employment. Therefore, YOU MUST COMPLETE THE ENTIRE APPLICATION. IF YOU DO NOT, YOU WILL NOT BE CONSIDERED FOR EMPLOYMENT. Your application must also specify the position you are applying for; stating that you will do "anything" is too indefinate and will result in your application not being accepted by the company. Please be further advised that your application will go into our inactive file 90 days from the date of application. In order for you to keep your application current it will be necessary for you to inform our office personnel in writing, prior to the expiration of the 90 day period, that you wish to remain on the company's active applicant list. If, at the end of the 90 day period, we have not received written notice from you, your name will be taken off the active applicant list and you will not be considered for employment when a vacancy occurs. Should you contact the company after the 90 day period has expired, you will be treated as a new applicant. The application provided information that enables us to determine whether an applicant has the interests, background, and experience to be given additional consideration for employment. In most cases, circumstances will prevent a preliminary interview; therefore, the conscientious completion of this form is necessary in as much as it will supply much of the information normally covered in such a session. At the appropriate time, you will be required to establish your citizenship or, if not a citizen, your eligibility for employment.

All fields marked * are required.

Desired Position*

AFFIDAVIT

I certify that the answers given by me to the foregoing questions and statements are true and correct without any consequential omissions of any kind whatsoever. I understand that any misleading, incorrect, fraudulent, or false statements may render this application void and, if employed, would be cause for my termination. I further agree that the company shall not be liable in any respect if my employment is terminated because of faulty statements, answers or omissions made by me in this questionnaire. I agree that employment is subject to the company's ability to conduct a pre-employment investigation. I understand that you intend to request a background investigation regarding my general reputation, education, work experiences, finances, commnity standing and driver's record. In accordance with the Fair Credit and Reporting Act, I have a right to request in writing a disclosure of the nature and scope of the information requested. I authorize the companies, schools or persons named above to give any informations regarding my employment, character, and qualifications and hereby release said companies, schools or persons from all libility for any damage for issuing this information. I certify that all statements and answers about my health are true and were make without reservations and agree to expressly waive all provisions of law prohibiting any physician, person, hospital, or other institution from disclosing to the compnay any information regarding treatment rendered now and in the future. I understand that employment is subject to a physical examination. I further understand that the taking of drug tests is a condition of employment and refusal to take such tests when asked will subject me to termination. I agree not to reveal trade sectrets or confidential information. In consideration of my employment, I agree to conform to the rules and regulations of the company, and my employment is at-will and can be terminated with or without cause and with or without notice at any time at the absolute option of the company. I understand that no manager or representatvie other than the president of the company has the authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing. I understand that employment at Stark Service Company is not for a fixed period. Stark Service Company may at any time, for any reason, terminate this employment. The terms of the employment relationship cannot be altered except in writing by an authorized company officer.

Signature (Type your name)*