Position Applying For

Personal Information

Criminal History

Military Background

Education

Background & Skills

References

Please list three (3) non-relatives who are familiar with your qualifications and actual work history and ability. Do not list former employers in this section.

PERSONAL REFERENCE #1

PERSONAL REFERENCE #2

PERSONAL REFERENCE #3

Employment Experience

CURRENT EMPLOYER/EMPLOYER #1

EMPLOYER #2

EMPLOYER #3

Additional Comments

Read Carefully Before Submitting

I certify that the answers I have given in this application are true and accurate to the best of my knowledge, and understand that any false or misleading answers or any omission or concealment of facts will disqualify me from consideration for employment or may result in immediate dismissal.

In making this application for employment it is understood that an investigation may be made whereby information is obtained from former employers, State court records, and others. I hereby authorize all employers, educational institutions which I have attended, credit agencies, and references to give Hillsboro Equipment any and all information concerning my previous employment and any pertinent information they may have (personal or otherwise). I also authorize Hillsboro Equipment to use means to do a state background check, which would include court records and conviction/felony documents. I hereby release all parties from all liability for any damage that may result from furnishing same to you. I understand that if such investigation should reveal a false statement or derogatory reports, I will be disqualified from employment or may be subsequently dismissed.

I agree to conform to the rules and regulations of the company and, if employed, I understand and agree that my employment is at will. I also understand and agree that my employment may be terminated at any time with or without just cause.