Maintenance Technician

First name*

Last name*

Email address*

Location

Phone number*

Resume*

Do you have a valid Florida driver's license?*

What class license do you possess?

Have you held a driver's license for at least 5 years?

Have you ever been convicted of a crime? If yes, please explain*

In the last 5 years, do you have a violation for DUI or DWI or Refusal to take an alcohol or drug test?*

In the last 5 years, do you have a Reckless Driving violation?

In the last 5 years, do you have a Hit and Run violation?

In the last 5 years, do you have a violation for Racing on a Public Road?

In the last 3 years, do you have an Aggressive Careless Driving violation?

In the last 3 years, do you have a Leaving the Scene of an Accident that Involves an Injury or Damage or Both violation?

In the last 3 years, do you have a violation for Permitting an Unlicensed Person to Operate a Motor Vehicle?

In the last 3 years, do you have a violation for Speeding - 25 MPH or more Over the Posted Speed Limit?

In the last 3 years, do you have a violation for Driving with a Canceled or Revoked Driver's License?

In the last 3 years, do you have a violation for Driving a Commercial Motor Vehicle with a disqualified Commercial Driver's License?

In the last 3 years, do you have a violation for Driving with a Suspended License (when the suspension resulted from moving violations and/or safety violations)?

List any work related certifications or licenses you currently possess.

How did you hear about us?
If referred by current employee please include their name!*

ADDITIONAL COMMENTS
Please comment on how your prior education and experiences qualify you for the type of employment you are seeking.*

Have you ever applied for a position with North Florida Sales?*

Have you ever worked for North Florida Sales?*

If Yes, indicate previous dates of employment.

Do you now, or will you in the future, require immigration sponsorship for work authorization (e.g.H-1B)?*

Are you related to anyone currently employed by North Florida Sales?*

Please list three (3 ) Professional references (other than those listed as current/former supervisor) that we may contact

Please list their NAME, EMAIL, PHONE NUMBER, and COMPANY*

I have disclosed all information that is relevant and should be considered applicable to my candidacy for employment.
I understand, where permissible under applicable state and local law, I may be subject to a preemployment drug test after receiving a conditional offer of employment, and must receive a negative result for illegal drug use before being permitted to commence work with Company.
I understand, where permissible under applicable state and local law, I may be subject to a pre-employment medical examination after receiving a conditional offer of employment, and must meet the qualifications for the
position, with or without reasonable accommodation, before being permitted to commence work with Company.
I understand, where permissible under applicable state and local law, I may be subject to a pre-employment background check after receiving a conditional offer of employment to investigate my criminal background and other matters related to my suitability for employment*

I hereby certify that the information given by me is true in all respects. I authorize Company and its representatives to contact my prior employers and all others (with the exception of my current employer, only if I have marked "May we contact your present employer" on this application as "No") for the purpose of verification of the information I have supplied and release same from any liability resulting from the information released. I authorize employers, schools and other persons named on this application to provide any information or transcripts requested.*

I understand employment with Company is also contingent on my providing sufficient documentation necessary to establish my identity and eligibility to work in the United States.
If employed, I understand that as a condition of employment that I may be required to agree to and sign a non-solicitation, non-disclosure, and/or other similar agreements.
I also agree to notify the organization during the pre-employment process of any non-solicitation, non-disclosure, and/or other similar agreements that I may have already signed with current and former employers.
I expressly understand and agree that, if employed, my employment, having no specified term, is based upon mutual consent and may be terminated at-will, with or without cause, by either party (Company or me) without prior notice to the other, unless otherwise prohibited by law.
I understand that no representation, whether oral or written, by any representative or agent of Company, at any time, can constitute an implied or express contract of employment.
I further understand no representative or agent of Company has the authority to enter into an agreement for employment for any specified period of time or to make any change in any policy, procedure, benefit or
other terms or condition of employment other than in a document signed by an authorized representative.
I understand that the technical processing and transmission of the application, including my personal information, may involve (a) transmissions over various networks, including the transfer of this information to the United States and/or other countries for storage, processing and use by Company, its affiliates, and their agents; and (b) changes to conform and adapt to technical requirements of connecting networks and devices. Accordingly, I agree to permit such parties to make such transmissions and changes, and hereby provide the necessary consent for the same.*

Gender

Race/Ethnicity

Human Check*