Ducts Unlimited Mechanical Systems Inc. Employment Application

Programs, services and employment are equally available to everyone. Please inform the Human Resources Department if you require reasonable accommodation for the application or interview.

Position Applied for
How were you referred to us?
Full Name
Address
City
Zip
Phone
Email
Available Date to Start
Have you ever worked for us before? Yes   No
Are you over the age of 18? (If under 18, hire is subject to verification of minimum legal age.) Yes   No
If hired, would you be able to present evidence that you can legally work in the United States? Yes   No
Type of Employment desired:
Full Time      Part Time      Temporary      Seasonal     
Summarize any special skills or qualifications?
Previous Employment (begin with most recent position)
Dates of Employment From To
Position Held
Company Name
Address
City State Zip
Phone Supervisor Title
Responsibilities
Starting Salary and Title
Ending Salary and Title
Reason for leaving
May we contact this employment for a reference? Yes   No
Employer Two
Dates of Employment From To
Position Held
Company Name
Address
City State Zip
Phone Supervisor Title
Responsibilities
Starting Salary and Title
Ending Salary and Title
Reason for leaving
May we contact this employment for a reference? Yes   No
Employer Three
Dates of Employment From To
Position Held
Company Name
Address
City State Zip
Phone Supervisor Title
Responsibilities
Starting Salary and Title
Ending Salary and Title
Reason for leaving
May we contact this employment for a reference? Yes   No
Education Name and Address Degree Years
High School
College
Trade School

I hereby certify that all of the information provided by me in this application (or any other accompanying or required documents) is correct, accurate, and complete to the best of my knowledge. I understand that the falsification, misrepresentation or omission of any facts in said documents will be cause for denial of employment or immediate termination of employment regardless of the timing or circumstances of discovery.


I understand that submission of an application does not guarantee employment. I further understand that, should an offer of employment be extended by Ducts Unlimited Mechanical Systems (hereinafter referred to as "DUCTS") that employment with DUCTS is at will, for no specified duration and may be terminated by either DUCTS or myself at any time, with or without cause or notice. I understand that none of the documents, policies, procedures, actions, statements of DUCTS or its representatives used during the employment process is deemed a contract of employment real or implied. I understand that no representative of DUCTS except the President and CEO has the authority to enter into any agreement guaranteeing any conditions of employment or any agreement contrary to the foregoing statements and that any such agreements must be made in writing and signed by the President and CEO of DUCTS.

In consideration for employment with DUCTS, if employed, I agree to conform to the rules, regulations, policies and procedures of DUCTS at all times and understand that such obedience is a condition of employment. I understand that due to the nature of DUCTS business, attendance, and punctuality are considered essential requirements of every job at DUCTS and that poor attendance or tardiness will result in disciplinary action. I understand that if offered a position with DUCTS, I may be required to submit to a pre-employment drug screening and background check as a condition of employment. I understand unsatisfactory results from, refusal to cooperate with, or any attempt to affect the results of these pre-employment tests and checks will result in withdrawal of any employment or termination of employment if already employed. I hereby authorize any and all schools, former employers, references, courts and any others who have information about me to provide such information to DUCTS and/or any of its representatives, agents or vendors and I release all parties involved from any and all liability for any and all damage that may result from providing such information.

I understand that this application is considered current for three months. If I wish to be considered for employment after this period, I must fill out and submit a new application.

BY SIGNING BELOW I ACKNOWLEDGE THAT I HAVE READ UNDERSTOOD AND AGREE TO THE ABOVE STATEMENTS