EMPLOYMENT APPLICATION

Thank you for your interest in working for Commonwealth Equipment! We are a leading distributor of material processing equipment in the Mid-Atlantic region of the United States! Our growing company needs bright, energetic self-starters to take the business to the next level. We recognize excellence in our employees, and that's why we offer benefits such as health, dental, vision, and prescription coverage, paid time off, IRA match, and more.

PERSONAL DATA

Name (First, Middle, Last)*

Street Address*

Street Address 2

City*

State*

Zip*

How long have you been at this address?*

Home phone*

Cell phone

Email address

Are you authorized to work in the US?*

Yes

POSITION PREFERENCES

Position applied for:

Date available*

When can you start?

Desired salary*

How were you referred?

Select or enter value

File Attachments

You may attach any relevant documents here. If attaching a resume, you may skip any duplicate employment questions. Please be sure to complete any requested information which is not included on your resume.

Drag and drop files here or

EDUCATION

Please complete as needed.

High School name and location

Years attended

Graduated?

Yes

Areas of Study and Degrees acquired

College name and location

If any

Years attended

Graduated?

Yes

Areas of Study and Degrees acquired

Other schooling: name and location

Years attended

Graduated?

Yes

Areas of Study and Degrees acquired

Professional license/certification type

If any

Date issued

Professional license/certification type

Date issed

EMPLOYMENT RECORD

Please provide the requested information for three previous employers. You may attach a resume. If your resume includes all the requested info for at least three employers, you only must include information for at least your current/last employer below, and you may skip the fields for the second and third employers.

Current Employer (or most recent)*

City/State*

Phone*

Last Position Held*

Duties & Responsibilities*

Start Date*

End Date

If applicable

Salary*

Reason for leaving*

May we contact this employer?*

Yes

Previous Employer 1

Previous Employer 1 City & State

Previous Employer 1 Phone

Previous Employer 1 Position

Previous Employer 1 Duties & Responsibilities

Previous Employer 1 Start Date

Previous Employer 1 End Date

Previous Employer 1 Salary

Previous Employer 1 Reason for leaving

May we contact Previous Employer 1?

Yes

Previous Employer 2

Previous Employer 2 City & State

Previous Employer 2 Phone

Previous Employer 2 Position

Previous Employer 2 Duties & Responsibilities

Previous Employer 2 Start Date

Previous Employer 2 End Date

Previous Employer 2 Salary

Previous Employer 2 Reason for leaving

May we contact Previous Employer 2?

Yes

REFERENCES

Please list three professional references.

Reference Name*

Relationship*

Employer*

Phone*

Address*

Reference Name*

Relationship*

Employer*

Phone*

Address*

Reference Name*

Relationship*

Employer*

Phone*

Address*

CERTIFICATIONS & ACKNOWLEDGEMENTS

Please read each statement closely and check each box next the statement, acknowledging your understanding. If clarification is needed, please contact Human Resources.

This Company is committed to the principles of equal employment opportunity and is committed to make employment decisions based on merit. We are committed to complying with all Federal, State, and local laws providing for equal employment opportunities, as well as all laws related to terms and conditions of employment. The Company desires to maintain a work environment that is free of sexual harrassment and discrimination due to race, religion, color, national origin, physical or mental disability, age or any other status protected by Federal, State or local laws. The Company will make reasonably efforts to accomodate those physical or mental limitations of an otherwise qualified employee unless undue hardship would result for the Company.

Equal Employment Opportunity Statement*

This Company strictly prohibits and does not tolerate unlawful harassment against employees or applicants because of race, color, religion, national origin, sex, age, physical or mental disability or any other characteristic protected under applicable Federal, State or local law. Any employee who engages in unlawful discrimination or sexual harassment will be subject to appropriate discipline, up to and including termination.

Discrimination and Harassment Policy Statement and Acknowledgement*

If you are offered a position with the Company, you may be given a drug test as a condition of employment. Your refusal to timely submit to a drug test or your failure to pass such a test means you will not be employed by this Company. Negative test results are required as a condition of employment.

Disclosure to Applicants Concerning Drug Testing*

If offered a position with the Company, I understand that I may be asked to undergo legally permitted physical, psychological, skill, or medical tests as a condition of employment.

Post-Hire, Pre-Employment Testing*

I acknowledge that if I am offered employment with the Company, a job offer may also be contingent upon a background investigation which may include interviews with past employers, workers and friends. Said investigation may also include credit, driving, criminal background, references and other background checks.

Background Investigation*

I understand and agree that if I become employed by the Company, my employment will be "at-will", which means that the Company may terminate the employment relationship at any time, with or without cause and with or without notice. Likewise, the Company will respect my right to terminate my employment at any time, with or without cause and with or without notice. This policy does not create a contract between the Company and any person employed by the Company.

At-Will Employment*

I understand and agree that the Company's acceptance of this job application does not mean that a position for which I am qualified is open (unless specifically posted) or that the Company has agreed to hire me. I understand that the Company is under no obligation to hire me as the result of accepting this completed application.

Company Obligation*

I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I have personally completed this application. I understand that any omission of information or falsification of this application, or any other document used to secure employment, shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.

Complete and Accurate Information*

TO BE READ AND SIGNED BY APPLICANT

This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge. By completing the fields below, you are signing this form electronically. You agree your electronic signature is the legal equivalent of your manual signature on this form.

Electronic Signature*

Type your full legal name

Signature Date*

Enter today's date

Send me a copy of my responses

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