Employee Installer Paperwork

Employee Installer Paperwork

Applicant Name:   Today:

Personal Information

Emergency Contact

Position Information

Proposed Start Date:   Employment Type: Full-time Part-time Temporary

Employment History (Most Recent First)

From:   To:

From:   To:

Education & Training

Professional References

Vehicle and Driver Information (if applicable)

Physical / Safety

Can you lift up to 50 lbs repeatedly? Yes   Able to work at heights / on ladders? Yes

Do you have any physical restrictions that would limit performance of installer duties? Yes If yes, explain below.

Legal Disclosures, Authorizations & Acknowledgements

At-Will Employment: I acknowledge that, unless a separate written agreement signed by an authorized company officer provides otherwise, my employment with the company is at-will and may be terminated by me or the company at any time, with or without cause or notice. By initialing below I acknowledge receipt and understanding of this statement.

Equal Opportunity: The company provides equal employment opportunity and does not discriminate on the basis of protected characteristics. By checking below I acknowledge I understand this policy.

Background Check & Reference Authorization: I authorize the company to obtain background information, motor vehicle records where applicable, and to contact prior employers and listed references to verify all statements in this form. I understand that any offer of employment is conditional on acceptable results from these inquiries. Consent:

Drug & Alcohol Testing: As a condition of employment in safety-sensitive positions, I consent to pre-employment and periodic drug and alcohol testing consistent with company policy. Consent:

Criminal Convictions: Conviction of a crime will not necessarily disqualify me from employment, but I must truthfully disclose convictions below. Failure to disclose relevant convictions is grounds for refusal to hire or termination.

Applicant Certification

I certify that all information provided on this form is true, complete, and correct to the best of my knowledge. I understand that any misrepresentation, omission, or falsification of information may result in withdrawal of any employment offer or immediate termination if employed. I authorize the verification of all information in this application and understand that any offer of employment may be conditioned upon satisfactory completion of background checks, reference checks, and any required medical evaluation.

I acknowledge that I have read and understand the statements above and that my signature affixed below constitutes my certification and consent as set forth herein.

Additional Information (Optional)

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