Job Application PERSONAL INFORMATION SECTIONName(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code How Long Have You Lived At This Address?(Required)Home Phone(Required)Cell Phone(Required)Do You Have An Alternate Phone Number To Reach You?Secondary Contact Person (Optional)If we cannot reach you at your primary contact number, do you have a another person we could contact? Please List Their Name:Secondary Contact Person's Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Secondary Contact Person's Phone NumberSecondary Contact Person's Relationship To You:Personal Reference (Optional)Note: Personal References Cannot Be Family Members.Name First Last Relationship To ApplicantYears Known Personal ReferencePersonal Reference Phone NumberPrevious Employment HistoryNote: List a minimum of three employers or last 10-yearsCurrent or Most Recent - Employer's Name(Required)Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Start Date / End Date(Required)Title Or Position Held:(Required)Position Duties:(Required)Starting Salary / Ending Salary:(Required)Supervisor's Name:(Required)Supervisor's Phone Number(Required)Do we have your permission to contact this employer?(Required) Yes No Previous Employer #11) Employer's Name(Required)Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Start Date / End Date(Required)Title Or Position Held:(Required)Position Duties(Required)Starting Salary / Ending Salary:(Required)Supervisor's Name:(Required)Supervisor's Phone Number:(Required)Do we have your permission to contact this employer?(Required) Yes No Previous Employer #2:2) Employer's Name(Required)Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Start Date / End Date(Required)Title Or Position Held:(Required)Position Duties(Required)Starting Salary / Ending Salary:(Required)Supervisor's Name:(Required)Supervisor's Phone Number:(Required)Do we have your permission to contact this employer?(Required) Yes No Educational ExperienceDo You Have A High School Degree?(Required) Yes No Date Graduated High School:(Required)Do You Have Any College Experience?(Required) Yes No 2-Year Degree From College?(Required) Yes No Degree Earned:Date Graduated:Name Of 2-Year College:4-Year Degree From University Or College?(Required) Yes No University Or College Degree Earned:Date Earned 4-Year Degree:Name of 4-Year Degree University Or College:Advanced Degree (Masters Or Higher)? Yes No Date Graduate (Masters or Higher):Name Of University Or College (Masters or Higher):Advanced Masters Or Higher Degree Earned:Specific Job Related Skills For This Classification:Please Check All That AppplyAre You Proficient With Microsoft Office Programs?(Required) Yes No (Answering this question "YES" means you are proficient in Word / Excel / Outlook)Have You Ever Worked With VIEWPOINT Construction Software? Yes No If Yes, for how long did you use VIEWPOINT? Less Than A Year 1-3 Years 3-5 Years 5-10 Years Over 10 Years Where Did You Use VIEWPOINT?Do You Have A Commercial Driver's License (CDL Class A)(Required) Yes No Have You Ever Served As A Purchasing Manager?(Required) Yes No (If Answer Yes, Please Give Details in Attached Uploaded Resume file)Do You Have Experience Working In Or Supervising A Warehouse?(Required) Yes No Have You Ever Managed Or Assisted In Taking Inventory?(Required) Yes No (If Answer Yes, Please Give Details in Attached Uploaded Resume file)Do You Have Experience In Shipping And Receiving?(Required) Yes No If Answered Yes To Previous Question, Can You Provide A Brief Description As To What And Where?Have You Ever Filed DOT/IFTA Paperwork And Permits?(Required) Yes No If Answered Yes To Previous Question, Please Provide Details If Possible:Has Your Experience Been With A Construction Or Equipment Firm?(Required) Yes No If Answered Yes To Previous Question, Please Provide Details If Possible:General Employment Information(Must Answer All Questions And Explain If Necessary)Do You Have A Current And Valid Driver's License?(Required) Yes No (Yes means it is not currently revoked or suspended for any reason)Has Your Driver's License Ever Been Suspended Or Revoked?(Required) Yes No If The Answer Is Yes, Was It For DUI/DWI Or Reckless Driving?(Required) Yes No Are You Legally Eligible For Employment In The United States Of America?(Required) Yes No Have You Ever Worked For This Company Before?(Required) Yes No If The Answer Above Is Yes, Provide Dates Of Previous Employment:What Job Are You Applying For?(Be Specific)Do You Currently Have Reliable Transportation To Meridian, MS?(Required) Yes No Have You Ever Been Convicted Of A Crime?(Required) Yes No If The Answer Above Is Yes, Please Give Details, Including Sentence, When & Where:If The Answer Above Is Yes, Are You Currently On Probation? (Give Details)Have You Even Been Disciplined Or Fired By Previous Employer?(Required) Yes No If The Answer Above Is Yes, Please Explain:Have You Been Disciplined For Unacceptable Attendance At Work?(Required) Yes No If The Answer Above Is Yes, Please Explain:Are You A Member Of The Guard Or Reserve Or Do You Have Other Employment That May Restrict Your Ability To Be At Work?(Required) Yes No If The Answer Above Is Yes, Please Explain:Can You Perform With Reasonable Accommodation(s), The Essential Functions Of The Job For Which You Are Applying?(Required) Yes No If You Require Accommodations To Perform Your Job Please Be Specific As To What Those Accommodations Would Be:Agreement By ApplicantWe hire applicants solely based upon merit. We do not discriminate on the basis of race, sex, color, age, national origin, disability, or any other protected status. Completion of an application does not necessarily imply that there are openings available and we review applications only when we intend to fill a position. Any applicant who knowingly submits incorrect, false or misleading information will be immediately rejected and not considered in the future. All applicants by signing the form below agree that this information is given voluntarily for the purpose of seeking employment and that Webster Electric is granted permission to use the information to review, evaluate and judge the applicant for the position(s) for which they are applying. Webster Electric agrees to the following: 1) Keep all information confidential and not knowingly disclose the information contained herein to any third party who is not involved in the review, and confirmation of employee data for hiring reasons. 2) Not contact any former or current employer without the permission of the applicant. All applications must be submitted through the Webster Electric Website at www.webster-electric.com/employment opportunities. Hiring decisions are based on a variety of factors, including bit not limited to, skills and ability to perform the job, prior employment history, employment references as to character and willingness to work, attendance record with previous employers, willingness to accept level of pay offered, personal interview, and willingness to work when needed and perform duties to which employee is assigned by management. I authorize the management of Webster Electric co., Inc., and their authorized employees, to conduct an investigation and any inquires it deems necessary, reasonable, or appropriate, to verify the information submitted. My signature below is authorization to contact any and all parties contained on this application, including prior work references (when authorized by applicant), verify education, contact the DMV or any law enforcement organization and personal character references. If information of an important nature arises during this investigation that would bear directly on my hiring, I authorize the management of Webster Electric Co., Inc., to investigate that information to the extent that it would bear on a hiring decision. As a condition to hire and of continued employment, I agree to submit the physical exams (including blood, urine, and other necessary tests) by persons designated by Webster Electric co., Inc. Whenever the employer requests as a condition of hiring or continued employment, I agree to promptly submit to any lawful exam or test (including polygraph) as deemed necessary by the employer. I agree that my hiring or continued employment may be contingent on the results of these exams. I agree that any false or misleading information, misrepresentation or other false statement may be grounds for withdrawal of a hiring offer, or may result in immediate termination of employment without obligation or any other liability to the employer with the exception of payment of agreed upon wages up to and including the last day of employment. If employed, I agree to abide by all rules, regulations, and policies as established or amended by Webster Electric Co., Inc. I acknowledge and agree the employer has the absolute and unilateral right to change its rules, regulations, policies, procedures, benefits and compensation arrangements at any time. This application will be saved for a minimum of 1 year from the date of submission. After that point the application may be retained or considered to be inactive and will not be given further consideration. The applicant may submit additional information or updated resumes and Webster Electric agrees to remove any applications from its data base upon request in writing from the applicant. I certify that the information given on this application is true and correct and is subject to the verification by Webster Electric Co., Inc. I certify that I have read the above Agreement by Applicant. I understand that incorrect or misleading statements on this application would be cause for dismissal if employed and grounds for rejection of hiring.I Certify That I Have Answered All Questions On This Application Truthfully.(Required) Yes No LOAD RESUME FILE:Max. file size: 512 MB.CAPTCHA
