Employment Application

In accordance with state and federal laws, employment offers are tendered solely on the basis of qualifications without regard to race, religion, color, national origin, age, sex, marital status, sexual orientation, handicap (including disabled veterans) or Vietnam Era veteran status. If hired, this application will be a part of your employment record. Ink is required to complete the application form, answering all items completely and accurately, using "no", "none", or "not applicable" as appropriate. Inquiries beyond normal reference checking may be made during the processing of this application concerning pertinent information about you. We will give this application consideration, however, in accepting it, Vanwin makes no commitment of employment to the applicant.

Vanwin requires post-offer, pre-employment drug testing as a condition of employment. After successfully completing the drug testing, applicants may be required to complete a base line hearing test and/or a respirator fitness test as requirements for the job. Vanwin requires proof of employability.

General Information

Position Applying for*

Your Name*

First Middle Last

Your Phone*

Best Time To Call You*

Your Email Address*

Enter Email Confirm Email

Address*

Street Address Address Line 2 City State ZIP Code

Emergency Contact Name*

First Last

Emergency Contact Phone*

WE ARE CONCERNED ABOUT THE EFFECT OF THE USE OF ILLEGAL DRUGS AND THE HEALTH AND SAFETY OF OUR EMPLOYEES. WE RECOGNIZE THAT ALCOHOL AND ILLEGAL DRUGS INCREASE THE RATIO OF ACCIDENTS AND MEDICAL CLAIMS IN THE WORKPLACE. EMPLOYEES WHO ABUSE DRUGS AND ALCOHOL ARE NOT ONLY A DANGER TO THEMSELVES, BUT TO CO-WORKERS AS WELL.

IN ADDITION, THE INCREASED MEDICAL COST INCURRED BY EMPLOYEES WITH DRUG AND ALCOHOL PROBLEMS ARE MUCH HIGHER THAN THOSE OF OTHER EMPLOYEES, AND THE DECREASED PRODUCTIVITY OF THE INDIVIDUALS, BECAUSE OF ABSENTEEISM AND TURNOVER, CAN ADVERSELY AFFECT A COMPANY'S ABILITY TO CONTINUE TO COMPETE AND THEREFORE SURVIVE.

APPLICANTS FOR EMPLOYMENT WILL BE REQUIRED TO UNDERGO POST-OFFER, PRE-EMPLOYMENT DRUG TESTING

Employment History

Start with your present employer. Your present employer will not be contacted without your specific permission.

Employment History

Employer Name	Job Title	From Date	To Date	Employer Address	Actions

There are no Entries.

Education

Education*

Type of School

Name

Address

Course of Study

Years Completed

Graduated?

Degree / Diploma?

Summarize skills and qualifications that are relevant to the position you are applying.

Special Skills and Qualifications*

List three individuals with whom you have worked for/with in a professional surrounding.

Hidden

Number of references

Please enter a number from 3 to 3.

References*

Name

Title

Company

Address

Phone

Release and Certification*

Must be read and signed by all applicants.

I understand that the application will be verified for employment.

I hereby authorize any employer, company or other person to furnish VANWIN full and complete information concerning my ability, character, work record, and any other lawful information desired, and specifically release any such employer, company or person from liability because they supplied such information. This does not take into account the ability to keep your current employer from being contacted.

I understand any offer of employment is made contingent upon passing any and all of the test(s) required by VANWIN for the job in which I am applying for, and a satisfactory background report, as outlined in paragraph 2 above.

I agree that just as I have, if hired, the right to terminate my employment at any time with or without cause and with or without notice, VANWIN may terminate my employment at any time, with or without cause or notice. I understand that no manager or representative of VANWIN, other that its president or his designee, has any authority to enter into any agreement for employment for any specified period of time or make any agreement contrary to the foregoing either now, in the past, or in the future. I further understand that such an agreement must be in writing and signed by an authorized person of VANWIN for it to be binding on either VANWIN or myself. I further understand that this statement supersedes any prior oral or written understanding and bars any future oral understanding to the contrary.

I understand that this application in no way obligates VANWIN to hire me.

If employed, I agree to abide by all rules, regulations and policies of VANWIN.

I agree to disclose any non-competition agreement I may be bound to by a previous employer.

I declare that the information provided by me is complete and true to the best of my knowledge. I understand that any misrepresentation or omission on this application may prevent an offer of employment, or may result in a withdrawal of an employment offer, or may result in my discharge from employment if I am already employed at the time the misrepresentation or omission is discovered.

I agree to the terms and conditions.

Signature*

Date Signed*