Just Brakes - Employment Application


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Online Application

It is the policy of Just Brakes to afford equal opportunity to all employees and applicants. Race, color, religion, age, sex, disability, citizenship, marital or veteran status, place of national origin and any other categories protected by law are not factors in employment, promotion, compensation or working conditions. We also comply with all applicable laws governing employment practices and do not discriminate on the basis of any unlawful criteria. Equal access to programs, services and employment is available to all persons.

General Application Information
Fields marked with an asterisk (*) are required.

Last Name*

First Name*

Street Address*

City*

State*

Zip Code*

Daytime Phone*

Other Phone

E-Mail Address

Employment Information

If you are under the age of 18, can you furnish a valid work permit (this is required)
Position Applying for*
Full Time (40 or more hours a week) or Part Time (35 hours or less a week)
City and state you are seeking employment:
Are you able to work overtime?*
Will you relocate if the job requires it?*
Will you travel if the job requires it?*
Date you are able to start working:
Salary desired:
Are you currently employed?*
How did you hear about Just Brakes?*
Name of Source (ex: name of employee, internet, relative or agency)
Have you ever applied to Just Brakes?*
Have you ever been employed by Just Brakes?*

Work History
Your application will NOT be considered unless you provide ALL of the requested information.

Name of Current Employer:
Supervisor/Contact Name:
Address:
Phone Number:
Position:
Job Description:
Salary:
Employment Dates (From-To):
Reason for Leaving:
May we contact current employer?

Past Employer #1:
Supervisor/Contact Name:
Address:
Phone Number:
Position Held:
Job Description:
Salary:
Employment Dates (From-To):
Reason for Leaving:

Past Employer #2:
Supervisor/Contact Name:
Address:
Phone Number:
Position Held:
Job Description:
Salary:
Employment Dates (From-To):
Reason for Leaving:

Additional Experience

List any additional skills, qualifications, certifications or experience you believe should be considered in evaluating your qualifications for employment.

Applicant Affirmation and Consent

I affirm that all information I have provided in order to apply for and secure work with the employer is true, complete and correct. I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (1) cancel further consideration of this application, or (2) immediately discharge me from the employer’s service, whenever it is discovered.

I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), current and prior employers, public agencies. licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, résumé or verbally during any job interview. I, thereby, waive any and all rights and claims I may have regarding this employer, its agents, employees or representatives for seeking, gathering and using such information in the hiring / employment process. I additionally release and forever discharge all agents, employees and representatives of any entity contacted by this employer in its investigation process from any and all claims, demands, actions, causes of action or suits of any kind or nature whatsoever arising from the background investigation.

I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.

I understand that the employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by applicable local, state or federal law.

I understand that this application remains current for only 45 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to reapply and complete a new application.

If I am hired, I understand that my employment will be considered 'at-will' meaning that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employer’s president.

I affirm that I have read, fully understand and accept all terms of the foregoing Applicant Affirmation and Consent:

I Agree