Application for Employment

 

Adena Corporation is proud to be a drug free workplace

 

Name

 

Address

 

 

Are you at least 18 years of age?

Have you ever applied for a job with the Company before?

Have you ever worked at the Company before?

 

 

The normal working hours of the company vary and encompass different shifts, including Saturdays. Without indicating the need for any absences for religious practices during the normal working hours, are you otherwise available to work during these hours?

 

Education

 

Did you graduate?

 

Did you graduate?

 

Did you graduate?

 

Did you graduate?

 

Employment Record
Please list most recent position first

 

 

 

 

 

Personal References
Not former employers or relatives

 

Reference 1

 

Reference 2

 

Years of Experience

 

Laborer

Rough Carpentry

Iron Work

Masonry

 

Heavy Equipment


CDL


Welding



Dry Wall Finishing

 

Concrete Finishing

Flooring

Finish Carpentry

 

PLEASE READ THE LANGUAGE BELOW CAREFULLY. SHOULD YOU HAVE ANY QUESTIONS REGARDING THIS LANGUAGE, PLEASE SEEK ASSISTANCE PRIOR TO SIGNING THIS DOCUMENT.

I certify that the information contained in this application is true, accurate and complete. I understand that falsification of this Employment Application in any detail may result in disqualification from further consideration, or, if hired, immediate dismissal without notice from employment. As a condition of employment, I understand that Adena reserves the privilege to thoroughly investigate and verify all information contained in this Employment Application, including but not limited to contacting any of the aforementioned employers, supervisors and references. I agree to indemnify and save harmless Adena from and against any liabilities, claims, attorney fees, costs, causes of action or other liability arising directly or indirectly from, or associated with, this Employment Application.

I agree to conform to the rules and regulations of Adena, and I understand that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at the option of either Adena or myself. I further understand that no personnel recruiter or interviewer other than an authorized representative of Adena, 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.

 

 

Equal Employment Opportunity Information

The information supplied below is strictly voluntary and will in no way affect the processing of your employment status with this company. This information sheet will only be used for statistical purposes. Thank you for your cooperation.

 

Sex

 

Race

 

Disability

Are you an individual with a physical or mental impairment which substantially limits one or more of your major life activities?

 

Veteran Status

Are you a Veteran?