Pre-Employment Application

INSTRUCTIONS

These instructions must be followed exactly. Fill out application completely. If questions are not applicable, enter "NA." Do not leave questions blank. Resumes will not be accepted in lieu of applications.

Flasher Equipment Company (FEC) is an Equal Opportunity Employer and does not discriminate on the basis of age, color, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, veteran status, or any disability as defined in the Americans with Disabilities Act, or for any other reason protected by Local, State or Federal law.

This application becomes company record and is not subject to disclosure. With a few exceptions, you have the right to request and be informed about information that FEC collects about you. You also have the right to ask FEC to correct any information that is determined to be incorrect. This application will be given every consideration, but its receipt does not imply that the applicant will be employed.

Full Name(Required)

Other Name(s)(Required)

Have you used any other name(s) different than the name on this application?

YES

Other Name #1(Required)

List any other name used:

Other Name #2

List any other name used:

Daytime Phone(Required)

Email(Required)

Social Security #(Required)

Home Address(Required)

How long have you resided at this address?(Required)

WORK HISTORY

List names of employers in consecutive order with present or last employer listed first. Account for all periods of time including military service and any periods of unemployment. If self-employed, provide company name and supply business references

Have you ever been employed by Flasher Equipment Company?(Required)

YES

If yes, provide department and position:(Required)

Name of Previous Employer #1:(Required)

Employer Address:(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Employer Phone:(Required)

Nature of Business:(Required)

Name and Title of Last Supervisor:(Required)

From:(Required)

To:(Required)

Starting Pay(Required)

Specify hourly, weekly, monthly, or annualy

Ending Pay(Required)

Specify hourly, weekly, monthly, or annualy

Position Title & Job Description:(Required)

Provide your last position title, and describe duties performed, skills used/learned, advancements / promotions earned:

Reason for Leaving:(Required)

Add A Second Employer?(Required)

YES

Name of Previous Employer #2:(Required)

Employer Address:(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Employer Phone:(Required)

Nature of Business:(Required)

Name and Title of Last Supervisor:(Required)

From:(Required)

To:(Required)

Starting Pay(Required)

Specify hourly, weekly, monthly, or annualy

Ending Pay(Required)

Specify hourly, weekly, monthly, or annualy

Position Title & Job Description:(Required)

Provide your last position title, and describe duties performed, skills used/learned, advancements / promotions earned:

Reason for Leaving:(Required)

Add a Third Employer?(Required)

YES

Name of Previous Employer #3:(Required)

Employer Address:(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Employer Phone:(Required)

Nature of Business:(Required)

Name and Title of Last Supervisor:(Required)

From:(Required)

To:(Required)

Starting Pay(Required)

Specify hourly, weekly, monthly, or annualy

Ending Pay(Required)

Specify hourly, weekly, monthly, or annualy

Position Title & Job Description:(Required)

Provide your last position title, and describe duties performed, skills used/learned, advancements / promotions earned:

Reason for Leaving:(Required)

REFERENCES

Provide three personal references - not relatives or former employers

REFERENCE #1

Name(Required)

First Last

Phone(Required)

Occupation(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

REFERENCE #2

Name(Required)

First Last

Phone(Required)

Occupation(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

REFERENCE #3

Name(Required)

First Last

Phone(Required)

Occupation(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Application Date(Required)

Job Application