Shadco, LLC.

6260 Route 119 Highway North, Home, PA 15747

Application For Employment

Shadco, LLC. is an equal opportunity employer and does not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion, ancestry, age, sex, marital status, national origin, disability or handicap, or veteran status.

Name

First

Last

Phone

Date of Birth

day

month

year

Address

Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Country

Are you currently employed?

If yes, where?

Position Sought

Have you ever been convicted of a criminal offense (felony or misdemeanor)?

If yes, please explain fully: (A conviction will not necessarily disqualify you from employment. Rather, such factors as age and date of conviction, seriousness and nature of the crime and rehabilitation will be considered.)

Do you have a valid driver's license?

Do you have a CDL License?

Driver's License Number

Drivers License Class

Driver's License Endorsements

Upload resume

Please indicate education or training which you believe qualifies you for the position you are seeking.

High School Years Completed

Received G.E.D

Received Diploma

High School Name

City & State of High School

College/Vocational Years Completed

School Name(s)

City & State of School(s)

Degree(s) Earned

Major(s)

Special Training, Certificiations, Licenses, and Additional Skills

Please list any additional information that may be valuable

Have you operated heavy equipment?

If yes, list what equipment and how many years experience

Please list your most recent employer first.

[1.] Employer

[1.] Address

Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Country

[1.] Phone

[1.] Position Held

[1.] Full or Part Time?

[1.] Date of Employment

[1.] Final Salary

[1.] May we contact your supervisor?

[1.] Supervisor Name

First

Last

[1.] Phone Number of Supervisor

[1.] Description Of Work Done At This Job

[1.] Reason For Leaving

[2.] Employer

[2.] Address

Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Country

[2.] Phone

[2.] Position Held

[2.] Full or Part Time?

[2.] Date of Employment

[2.] Final Salary

[2.] May we contact your supervisor?

[2.] Supervisor Name

First

Last

[2.] Phone Number of Supervisor

[2.] Description Of Work Done At This Job

[2.] Reason For Leaving

[3.] Employer

[3.] Address

Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Country

[3.] Phone

[3.] Position Held

[3.] Full or Part Time?

[3.] Date of Employment

[3.] Final Salary

[3.] May we contact your supervisor?

[3.] Supervisor Name

First

Last

[3.] Phone Number of Supervisor

[3.] Description Of Work Done At This Job

[3.] Reason For Leaving

Please list relevant references.

[1.] Reference Name

First

Last

[2.] Reference Name

First

Last

[3.] Reference Name

First

Last

[1.] Relationship

[2.] Relationship

[3.] Relationship

[1.] Reference Number

[2.] Reference Number

[3.] Reference Number

[1.] Reference Email

[2.] Reference Email

[3.] Reference Email

Applicant's Statement

I CERTIFY THAT ALL THE INFORMATION SUBMITTED BY ME ON THIS APPLICATION IS TRUE AND COMPLETE, AND I UNDERSTAND THAT ANY FALSE INFORMATION, OMISSIONS, OR MISREPRESENTATIONS THAT ARE DISCOVERED, WILL ENTITLE MY APPLICATION TO BE REJECTED AND IF I AM EMPLOYED MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME.IN CONSIDERATION OF MY EMPLOYMENT, I AGREE TO CONFORM IN WRITING TO THE COMPANY’S RULES AND REGULATIONS AS OUTLINED IN THE EMPLOYEE HANDBOOK AND ANY ADDENDUM'S, ALTERATIONS, AND/OR AMENDMENTS THAT MAY OR MAY NOT BE PROVIDED IN WRITING. FURTHER I AGREE THAT MY EMPLOYMENT AND COMPENSATION CAN BE TERMINATED, WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE, AT ANY TIME EITHER MY OR THE COMPANY’S OPTION. I ALSO UNDERSTAND AND AGREE THAT THE TERMS AND CONDITIONS OF MY EMPLOYMENT MAY BE CHANGED, WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE, AT ANY TIME BY THE COMPANY. I UNDERSTAND NO COMPANY REPRESENTATIVE, OTHER THAN ITS PRESIDENT, AND THEN ONLY WHEN IN WRITING AND SIGNED BY THE PRESIDENT HAS AUTHORITY TO ENTER INTO ANY AGREEMENT FOR EMPLOYMENT FOR ANY SPECIFIC PERIOD OF TIME, OR TO MAKE ANY AGREEMENT CONTRARY TO THE FOREGOING.

Signature: *

Shadco, LLC.

6260 Route 119 Highway North, Home, PA 15747

Application For Employment

Education, Training & Skills

Please indicate education or training which you believe qualifies you for the position you are seeking.

Special Training, Certificiations, Licenses, and Additional Skills

Former Employment

Please list your most recent employer first.

References

Please list relevant references.

Applicant's Statement

Employment Application

Shadco, LLC.

6260 Route 119 Highway North, Home, PA 15747

Application For Employment

Education, Training & Skills

Please indicate education or training which you believe qualifies you for the position you are seeking.

Special Training, Certificiations, Licenses, and Additional Skills

Former Employment

Please list your most recent employer first.

References

Please list relevant references.

Applicant's Statement