Employment Application

1. Personal Data

Please fill in the fields below to submit. Required Field indicated by a *

First *

Last *

Email *

Confirm *

Daytime Phone *

Evening Phone *

Address *

City *

State *

Zip Code *

Address *

City *

State *

Zip Code *

2. General Information

Please fill in the fields below. Required Field indicated by a *




(If yes, please give dates of employment and position held):



(Birth Certificate or Social Security Card)

3. Education

Please fill in the fields below. Required Field indicated by a *

Name of School Attended *
Did you Graduate?

Name of School Attended
Did you Graduate?
Degree/Major:

4. References (Other Than Family)

Please fill in the fields below. Required Field indicated by a *

Name *

Address *

Phone *

Occupation *

Name *

Address *

Phone *

Occupation *

Name *

Address *

Phone *

Occupation *

5. Employment History

Please fill in the fields below. Required Field indicated by a *

Name

Supervisor

Address

Phone

Date of Employment

Job Title & Duties

Equipment/Machines Operated

Reason for Leaving

Name

Supervisor

Address

Phone

Date of Employment

Job Title & Duties

Equipment/Machines Operated

Reason for Leaving

Name

Supervisor

Address

Phone

Date of Employment

Job Title & Duties

Equipment/Machines Operated

Reason for Leaving

6. Resume (optional)

Please cut-and-paste your resume in text format.

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Agreement
I understand the Fisher Group requires physical screenings, in order to determine my ability to perform the essential functions of the position for which I am applying. The examination includes drug use analysis. I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts called for on my employment application materials is cause for dismissal. I also understand I may be assigned to positions other than that for which I initially made application and that my work hours may be changed, I agree that if employed by the Fisher Group, in consideration for such employment, I shall become familiar with and comply with policies, procedures, and safety practices of the Fisher Group and may be terminated by the Fisher Group at any time for any reason or no reason. I understand that I have not been promised or assured of employment for any specific period of time. I authorize persons, schools, current employer (if applicable) and previous employers or organizations named in this application (accompanying resume, if any) to provide the Fisher Group with any relevant information which may be required to arrive at an employment decision. I authorize the reference sources, including previous employers, listed in this application to provide the Fisher Group with ALL information pertinent to this application and I release all parties from liability for any damages and any claims that may result from the release of any information as a part of the employment verification process.

Important Notice
All applicants are herby notified that the Fisher Group requires candidates to undergo a post job offer screening which includes a urine test to detect drug use. Any offer of employment is expressly contingent upon appropriate results from such a physical screening. Qualified applicants receive equal consideration. No question is asked for the purpose of excluding any applicant due to race, creed, color, religion, sex, national origin, age, veteran status, physical disability, or mental disability, or any other legally protected status as prohibited by statute or regulation. The Fisher Group will not discriminate against a qualified individual with a disability because of the individual's disability in regard to job application procedures, hiring or any other term, condition or privilege of employment. The Fisher Group hires only United States citizens and aliens authorized to work in the United States. We require that all new employees complete verification of identity and a work eligibility form when they report to work. Fisher Group is a non-smoking workplace.



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