Date of Application
Complete Name (First, MI, Last)
Complete Address (Street, City, State, Zip)
Phone Number
Email Address
Desired Salary
Position Applied For
Type of Employment Desired
If under age 18 can you provide a work certificate at time of employment?
Preferred Location to Work At
Have you ever worked for this company?
If yes, when?
Have you ever been terminated from any job?
If yes, explain
Please list all education starting with High School. List School, Level of Education, City and State of that school and what degree you received
Please list three professionall references. Full name, company, relationship, phone number
List Previous Employment over the lst 3 years. Company, address, job title, supervisor, phone number, responsibilities, reason for leaving and YES OR NO if we can contact your previous supervisor
If you were in the military service, please list Branch, Dates of Services, Rank at Discharge, Type of Discharge and if other than honrable discharge, please explain.
Please note Certifications, Hobbies, Volunteer Work, Special Recognition, Special Skills, etc

THIS COMPANY IS AN AT-WILL COMPANY as allowed by applicable State Law.  This means that regardless of any provision in this application, if hired, the company may terminate the employment relationship at any time, for any reason, with or without cause or notice.  Nothing in this application or in any document or statement, written or oral, shall limit the right to terminate employment at-will.  No Officer, Employee or Representative of the Company is authorized to enter into an agreement u2013 express or implied u2013 with Me or any Applicant for employment for a specified period of time unless such an agreement is in a written contract signed by the President of the Company.


I understand and agree that if driving is a requirement of the job for which I am applying, my employment and/or continued employment is contingent on possessing a valid driveru2019s license for the State in which I reside and automobile liability insurance in an amount equal to the minimum required by the state where I reside.

I understand that the Company has a drug-free workplace and a drug and or alcohol testing program consistent with applicable federal, state, and local law.  If I am offered a conditional offer of employment, I understand that if a pre-employment (post-offer) drug and/or alcohol test is positive, the employment offer may be withdrawn.  I agree to work under the conditions requiring a drug-free workplace, consistent with applicable federal, state, and local law.  I also understand that all employees of the location, pursuant to the Companyu2019s policy and federal, state and local law, may be subject to urinalysis and /or blood screening or other medically recognized tests designed to detect the presence of alcohol or illegal or controlled drugs. If employed, I understand that the taking of alcohol and/or drug tests is a condition of continual employment and I agree to undergo alcohol and drug testing consistent with the Companyu2019s policies and applicable federal, state, and local law.

If employed by the Company, I understand and agree that the Company, to the extent permitted by federal, state, and local law, may exercise its right, without prior warning or notice, to conduct investigations of property (including, but not limited to, files, lockers, desks, vehicles, and computers) and, in certain circumstances, my personal property.

If hired, I agree to conform to the rules and regulations of the company, and I understand that the company has complete discretion to modify such rules and regulations at any time, except that it will not modify its policy of employment at-will.

I authorize the Company or its agents to confirm all statements contained in this application and/or resume as it relates to the position I am seeking to the extent permitted by federal, state, or local law.  I agree to complete any requisite authorization forms for the back ground investigation which may be permitted by federal, state and/or local law.  If applicable and allowed by law, I will receive separate written notification regarding the Companyu2019s intent to obtain u201cconsumer reports.u201d

I authorize and consent to, without reservation, any party or agency contacted by this employer to furnish that above mentioned information. I hereby release, discharge, and hold harmless, to the extent permitted by federal, state, and local law, any party delivering information to the Company or its duly authorized representative pursuant to this authorization from any liability, claims, charges, or causes of action which I may have as a result of the delivery or disclosure of the above requested information.  I hereby release from liability the Company and its representative for seeking such information and all other persons, corporations, or organizations furnishing such information.  Further, if hired, I authorize the company to provide truthful information concerning my employment to future employers and hold the company harmless for providing such information.

I certify that all the information on this application, my resume, or any supporting documents I may present during any interview is and will be complete and accurate to the best of my knowledge.  I understand that any falsification, misrepresentation, or omission of any information may result in disqualification from consideration for employment or, if employed, disciplinary action, up to and including immediate dismissal.

If hired by this Company, I understand that I will be required to provide genuine documentation establishing my identity and eligibility to be legally employed in the United States by this Company.  I also understand this Company employs only individuals who are legally eligible to work in the United States.

This Application will be considered active for a maximum of sixty (60) days. If you wish to be considered for employment after that time, you must reapply.


Although we strive to make sure the information presented here is correct, it may not be completely accurate and should not be considered as your sole basis for purchasing a unit. St. Joseph Equipment, Inc disclaims any and all liability for damages incurred directly or indirectly as a result of errors, omissions, or discrepancies.