EMPLOYMENT APPLICATION

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    Application

    To apply, please complete the form below. Any field with an asterisk (*), is required.

    Position

    Job Title*


    Applicant Information

    Full Name*


    Street Address Line 1*



    Street Address Line 2



    City*


    Select State


    Zip Code*


    Phone*


    Email*


    Are you authorized to work in the U.S.?*


    Have you ever worked Pevco or been referred by a current employee?


    If yes, who?



    High School Education


    High School Name


    High School City and State


    Did you graduate?


    Do you have a diploma?



    College Education


    College Name


    College City and State


    Did you graduate?


    Degree



    Other Education


    Other


    Other City and State


    Did you graduate?


    Degree



    Previous Employment (current or most recent position)


    Company Name


    Phone


    Address



    Job Title



    Supervisor Name



    Responsibilities



    Start Date



    End Date



    Reason for Leaving



    May we contact your previous supervisor for a reference?*




    Previous Employment


    Company Name


    Phone


    Address



    Job Title



    Supervisor Name



    Responsibilities



    Start Date



    End Date



    Reason for Leaving



    May we contact your previous supervisor for a reference?




    Previous Employment


    Company Name


    Phone


    Address



    Job Title



    Supervisor Name



    Responsibilities



    Start Date



    End Date



    Reason for Leaving



    May we contact your previous supervisor for a reference?




    Reference


    Reference #1


    Full Name


    Relationship



    Company Name



    Phone



    Military Service


    Branch


    Branch


    Start Date



    End Date



    Rank at Discharge


    Rank at Discharge


    If other than honorable Discharge, please explain:


    Disclaimer and Signature


    “UNDER MARYLAND LAW, AN EMPLOYER MAY NOT REQUIRE OR DEMAND, AS A CONDITION OF EMPLOYMENT, PROSPECTIVE EMPLOYMENT, OR CONTINUED EMPLOYMENT, THAT AN INDIVIDUAL SUBMIT TO OR TAKE A LIE DETECTOR OR SIMILAR TEST. AN EMPLOYER WHO VIOLATES THIS LAW IS GUILTY OF A MISDEMEANOR AND SUBJECT TO A FINE NOT EXCEEDING $100.”


    I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts called for is cause for dismissal. Further, I understand and agree that my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without any previous notice.


    I accept this disclaimer


    Date



    Add Resume and/or Cover Letter




    Pevco upgrades existing pneumatic tube systems, even those made by other manufacturers.

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