List your last 2 employers, or the last 3 years of employment starting with the most recent
Self-Identification information for EEOC *
Self-Identification information for EEOC
(Applicants are considered for all positions without regard to age, citizenship, color/race, disability, ethnic background, gender identity, genetic information, marital status, national origin, pregnancy, race, religion, religious beliefs, sex, sexual orientation, or veterans’ status. As an Affirmative Action/Equal Opportunity Employer, Absolute Caulking and Waterproofing Inc., complies with government regulations and affirmative action responsibilities. You are invited to complete the Applicant Self-Identification Form to assist us with government record keeping, reporting, and other legal requirements. That data is for analysis and affirmative action purposes. Submission of information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information will be kept confidential and will only be used in accordance with the provisions of applicable laws, executive orders, and regulations, including those that require the information to be summarized and reported to the federal government for civil rights enforcement. When reported, data will not identify any specific individual. Completion of information below is voluntary. Thank you for your cooperation.)
“I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.
I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.
I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.
This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.
I understand that a consumer credit report or criminal records check may be necessary prior to my employment. If such reports are required, I understand that, in compliance with federal law, the company will provide me with a written notice regarding the use of these reports and will also obtain a separate written authorization from me to consent to these reports. I also understand that a poor credit history or conviction will not automatically result in disqualification from employment.”
In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document upon hire.