Sparkman Industries, Inc.

Careers

Application for Employment

We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment any basis including race, color, age, sex, religion, disability or national origin. Consistent with the American with Disabilities Act, applicants may request accommodation needed to participate in the application process.

Application must be completed in full to be considered for review of job applying for and all information is to be kept in a confidential location.

Personal Information

Date of Birth:

First Name:

Middle Name:

Last Name:

Street Address:

City/State/Zip:

Phone

Employment Desired

Position Applied for:

Referred by:

Available date for work:

Salary desired:

Drivers License:Yes  No

Have you ever applied at this company before?Yes  No

If yes, when
Are you 18 years of age or older:Yes  No

Do you agree to pay for any physical examinations or drug screens that you would fail to pass?Yes  No

Have you ever been convicted of a crime?Yes  No

If yes, explain number of conviction(s), nature of offense(s), leading to conviction(s), how recently such offence(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation or probation.

Education Background

Elementary School

Address

Did you graduate?Yes  No

High School

Address

Last Year Completed:1  2  3  4

Did you graduate?Yes  No

College

Address

Last Year Completed:1  2  3  4
Did you graduate?Yes  No

Subjects Studied and Degree(s) Received

Trade, Business, Vocational or other training

Address

Last Year Completed:1  2  3  4

Did you graduate?Yes  No

Subjects Studied and Degree(s) Received

Special Skills

List any applicable professional or technical licenses/certifications, equipment, machinery, job related skills or specials skills relative to your ability to perform the functions of the position for which you are applying

Former Employers

List below your last four employers starting with the last one first.

Name of Employer:

Address of Employer:

Start date:

End date:

Salary Upon Leaving

Position

Reason for leaving

Name of Employer:

Address of Employer:

Start date:

End date:

Salary Upon Leaving

Position

Reason for leaving

Name of Employer:

Address of Employer:

Start date:

End date:

Salary Upon Leaving

Position

Reason for leaving

Name of Employer:

Address of Employer:

Start date:

End date:

Salary Upon Leaving

Position

Reason for leaving

References

List three persons not related to you, whom you have known for at least one year

Name

Position

Company

Address

Phone Number

Years Acquainted

Name

Position

Company

Address

Phone Number

Years Acquainted

Name

Position

Company

Address

Phone Number

Years Acquainted

"Under Maryland law an employer may not require or demand any applicant or prospective employment or any employee to submit to a polygraph, lie detector or similar test or examination as a condition of employment or continued employment, any employer who violates this provision is guilty of a misdemeanor and subject to a fine not to exceed $100.00"

"It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability"

If you are to be hired by the Company, you will be required to attest to your identity and employment eligibility, and to present documents confirming your identity and employment eligibility. You cannot be hired if you cannot comply with these requirements.

Authorization:

I certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that any false statement, omission, or misrepresentation on this application is sufficient cause for refusal to hire, or dismissal if I have been employed, no matter when discovered by the Company.

I understand the nay employment is conditioned on a background check. I authorize the Company to thoroughly investigate all statements contained in my application and I authorized my former employer and references to disclose information regarding my former employment, character and general reputation to the Company, without giving me prior notice of such disclosure. In addition, I release the Company, any former employers and all references listed above from any and all claims, demands or liabilities arising out of or related to such investigation or disclosure.

I understand and agree that nothing contained in this application, or conveyed during any interview, is intended to create an employment contract. I further understand and agree that if I am hired, my employment will be "at will" and without fixed form and may be terminated at any time, with or without cause and without prior notice, at the option of either myself or the Company. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon the Company unless made in writing.

If I am offered employment I agree to submit to a medical examination and drug test before starting work. If employed, I also agree to submit to a medical examination or drug test at any time deemed appropriate by the company and as permitted by law. I consent to such examination and tests, and i request that the examining doctor disclose to the Company the results of the examination, which results shall remain confidential and segregated from my personal file. I understand that my employment of continued employment, to the extent permitted by law, is contingent upon satisfactory medical examinations and drug test, and if I am hired a condition of my employment will be that I abide by the Company's Drug and Alcohol Use Policy.

I understand the filling out this form does not indicate there is a position open and does not obligate the Company to hire, if hired, I agree to abide by all Company work rule, policies and procedures. The company retains the right to revise it policies or procedures, in whole or in part, at any time.

Professional Website Design provided by DE Web Works