Employment Application Form | Professional Fire Systems, Inc.

Personal Information

Name *

First

Last

Date

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

May we contact you at work?

Yes
No

Driver's License Number

Drivers License State

Driver's License Expiration Date

Position

Position Applying For *

How did you hear about this position?

Date Available *

Are you interested in:

Full Time
Part Time
Temporary
Summer

Education

High School Name

Degree / Area of Study

# Years Attended

Graduated

Yes
No

College Name

Degree / Area of Study

# Years Attended

Graduated

Yes
No

Other School Name

Degree / Area of Study

# Years Attended

Graduated

Yes
No

List any seminars, classes or other education not listed above which may help qualify you for this position

Employment History

List employment starting with your most recent position. You may include a description of verified work performed on a volunteer basis.

Employer 1

Employer Name *

Currently employed with this employer? *

Yes
No

From Date (MM/YYYY) *

To Date (MM/YYYY) *

Employer Address

Address Line 1

Address Line 2

City

State

Zip Code

Employer Phone

Position Held *

Essential job functions of final position

Supervisor Name *

Reason(s) for leaving *

Employer 2

Employer Name

From Date (MM/YYYY)

To Date (MM/YYYY)

Employer Address

Address Line 1

Address Line 2

City

State

Zip Code

Employer Phone

Position Held

Essential job functions of final position

Supervisor Name

Reason(s) for leaving

Employer 3

Employer Name

From Date (MM/YYYY)

To Date (MM/YYYY)

Employer Address

Address Line 1

Address Line 2

City

State

Zip Code

Employer Phone

Position Held

Essential job functions of final position

Supervisor Name

Reason(s) for leaving

Employer 4

Employer Name

From Date (MM/YYYY)

To Date (MM/YYYY)

Employer Address

Address Line 1

Address Line 2

City

State

Zip Code

Employer Phone

Position Held

Essential job functions of final position

Supervisor Name

Reason(s) for leaving

Additional Information

Formal Training, Skills or Certifications

Final Questions

Have you ever been employed with this company before? *

Yes
No

When? *

Do you have any friends or relatives employed by this company? *

Yes
No

Please provide their names and relationship to you *

Are you currently employed? *

Yes
No

May we contact your present employer? *

Yes
No

If you are under 18 years of age, can you provide proof of your eligibility to work? *

Yes
No

If hired, can you provide proof of U.S. citizenship or proof of your legal right to work in the U.S.? *

Yes
No

Are you able to perform all of the essential functions of the job for which you are applying with or without reasonable accommodation? *

Yes
No

Please explain *

If hired, are there any accommodations the company would need to provide so that you can perform all those essential functions and duties of the position being applied for? *

Yes
No

Please explain *

If hired, do you have a reliable means of transportation to and from work? *

Yes
No

If hired, would you be able to travel or work overtime as needed? *

Yes
No

What are your salary expectations? *

In Massachusettes an application for employment with a sealed record on file with the commissioner of probation may answer "No Record" with respect to any inquiry herein relative to prior arrests, criminal court appearances or convictions. An applicant for employment with a sealed record on file with the commissioner of probation may answer "No Record" to an inquiry herein relative to prior arrests or criminal court appearances. In addition, any applicant for employment may answer "No Record" with respect to any inquiry relative to prior arrests, court appearances and adjudications in all cases of delinquency or as a child in need of services which did not result in a complaint transferred to the superior court for criminal prosecution.

Business References

(please do not list relatives)

Business Reference 1

Reference Name

First

Last

Reference Address

Address Line 1

Address Line 2

City

State

Zip Code

Reference Phone

Occupation

Relationship to You

Years Known

Business Reference 2

Reference Name

First

Last

Reference Address

Address Line 1

Address Line 2

City

State

Zip Code

Reference Phone

Occupation

Relationship to You

Business Reference 3

Reference Name

First

Last

Reference Address

Address Line 1

Address Line 2

City

State

Zip Code

Reference Phone

Occupation

Relationship to You

Years Known

Please Read Carefully

Please read each statement closely and initial each (by entering your initials in the box) acknowledging your understanding.

Equal Employment Opportunity Statement

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 harassment 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 reasonable efforts to accommodate those physical or mental limitations of an otherwise qualified employee unless undue hardship would result for the company.

I have read and understand the "Equal Employment Opportunity Statement" above. *

Discrimination and Sexual Harassment Policy Statement

This Company will not tolerate any form of unlawful discrimination, including sexual harassment. Any employee who engages in unlawful discrimination or sexual harassment will be subject to appropriate discipline, up to and including termination. Prohibited sexual harassment is defined as follows: Unwelcome sexual advances, requests for sexual favors and other verbal or physical conduct of a sexual nature constitutes sexual harassment when (1) submission to such conduct is made whether explicitly or implicitly a term or condition of an individual’s employment; (2) Submission to or action of such conduct by an individual is used as the basis for employment decisions affecting such individuals; or (3) Such conduct has the purpose or effect of unreasonably interfering with an individual’s work performance or creating an intimidating, hostile or offensive work environment.

I have read and understand the "Discrimination and Sexual Harassment Policy Statement" above. *

Complete and Accurate Information

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 or misstatement of material fact on 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.

I have read and understand the "Complete and Accurate Information" statement above. *

At-Will Employment

I understand and agree that if I am employed, 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. I further understand that any prior representation, whether expressed or implied to the contrary is hereby superseded and that no promise or representation contrary to the foregoing is binding on the Company unless made in writing and signed by the Company’s president.

I have read and understand the "At-Will Employment" statement above. *

Investigation Authorization

I authorize investigation into all statements and references contained in this application. Said investigation may include credit, driving, criminal background, references and other background checks. By applying for this job, I also authorize post-hire investigation into my credit, driving and criminal background.

I have read and understand the "Investigation Authorization" statement above. *

Company Obligation

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.

I have read and understand the "Company Obligation" statement above. *

I HAVE READ AND UNDERSTAND THE ABOVE POLICY STATEMENTS AND AGREE TO BE BOUND BY THEM IF EMPLOYED BY THE COMPANY. *

Applicant's Signature *

This field should be signed in person if you are selected to interview with the Professional Fire Systems Human Resources Department.

Date Signed *

Please note, this application shall be considered valid for a period of not more than thirty days from the date the application was received. If upon the expiration of this application, you still wish to be considered for a position with the company, you must reapply.

Employment Application

Think you’re the right fit? Let us know! Submit an application today.

Personal Information

Position

Education

Employment History

Additional Information

Final Questions

Business References

Please Read Carefully