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Address:
Grade:
MM slash DD slash YYYY
Which area(s) interest you:
Do you have a social security number?*
If Hired, can you provide proof you are least 16 years of age or older?*
If Under 18 years of age, do you have a permit to work:*
Do you have a Valid Driver’s License?
Do you have Daily Access to a Reliable Vehicle?
Have you ever been Terminated/Disciplined for Attendance?
Have you ever been Terminated/Disciplined for Fighting or Assault?
Have you ever been Terminated/Disciplined for Violating Safety Rules?
Have you ever been Terminated/Disciplined for Theft?

Please read and acknowledge the following using the checkbox below:

I CERTIFY THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS CORRECT TO THE BEST OF MY KNOWLEDGE AND UNDERSTAND THAT FALSIFICATION OF THIS INFORMATION IS GROUNDS FOR DISMISSAL. I HEREBY AUTHORIZE THE FORMER EMPLOYERS DESIGNATED ON THE APPLICATION TO ANSWER ANY QUESTIONS ABOUT MY EMPLOYMENT, INCLUDING ASSESSMENTS OF MY JOB PERFORMANCE AND ABILITY, WHICH MAY BE REQUESTED BY THE HUMAN RESOURCES DEPARTMENT IN CONNECTION WITH MY APPLICATION FOR EMPLOYMENT WITH ORREN PICKELL BUILDING GROUP. FURTHERMORE, I HEREBY RELEASE EACH AND EVERY ONE OF MY FORMER EMPLOYERS FROM ANY AND ALL LIABILITY OF ANY TYPE, FOR PROVIDING ACCURATE INFORMATION. IN CONSIDERATION OF MY EMPLOYMENT, I AGREE TO CONFORM TO THE RULES AND REGULATIONS OF ORREN PICKELL BUILDING GROUP AND UNDERSTAND THAT, JUST AS I RETAIN THE RIGHT TO RESIGN, WITHOUT NOTICE OR CAUSE, ORREN PICKELL BUILDING GROUP HAS THE SAME RIGHT WITH RESPECT TO TERMINATION. I UNDERSTAND THAT MY EMPLOYMENT IS FOR NO DEFINITE TERM, AND THAT NO ONE AT ORREN PICKELL DESIGNERS & BUILDERS HAS THE AUTHORITY TO CHANGE THAT STATUS EXCEPT THE PRESIDENT AND, THEN, ONLY IN WRITING.

Check box to acknowledge the above:*
ORREN PICKELL BUILDING GROUP IS A DRUG-FREE AND ALCOHOL-FREE WORKPLACE. IN ORDER TO ASSURE COMPLIANCE WITH THIS POLICY, ORREN PICKELL BUILDING GROUP RESERVES THE RIGHT TO TEST ANY EMPLOYEE SUSPECTED TO BE IN VIOLATION OF THIS POLICY.
This field is for validation purposes and should be left unchanged.