Online Resume - DE Pump Sales & Service

North Brevard: 321-267-8287 | South Brevard: 321-725-9355

Please Fill Out Application

Proceed to the Application for Employment Process below

Personal Information

First Name

Last Name

Address

Address Line 2

City

State / Province / Region

Zip / Postal Code

Phone Number

Referred By

Do you have any friends, relatives, or acquaintances working for DE Pump Sales & Service?

Yes No

Are you 18 years of age or older?

Yes No

Do you have any condition which would require job accommodations? If so, Please describe below.

Have you ever been convicted of a criminal offence (felony or misdemeanor)?
(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offence. The date of the offence, the nature of the offence, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offence to the position(s) applied for may, however, be considered.)

Yes No

Employment Desired

Position Desired

On what date can you start working if hired?

Do you have reliable transportation to and from work?

Yes No

Salary Desired

Are you employed now?

Yes No

If so, May we inquire of Your Present Employer?

Yes No

Ever applied to this company before?

Yes No

If so, Where?

If so, When?

Education History

High School
Name and location of school.

Years Attended

Did you Graduate?

Yes No

Subjects Studied

College
Name and location of school

Years Attended

Did you Graduate?

Yes No

Subjects Studied

Trade, Business, or Correspondence School
Name and location of school

Years Attended

Did you Graduate?

Yes No

Subjects Studied

General Information

Subject of Special Study/Research Work

Special Training

Special Skills

U.S. Military or Naval Service

Rank

Former Employers

(List below the last four employers, starting with the most recent.)

Name & Address of Employer

Date Started

Date Ended

Salary

Position

Reason For Leaving

Name & Address of Employer

Date Started

Date Ended

Salary

Position

Reason For Leaving

Name & Address of Employer

Date Started

Date Ended

Salary

Position

Reason For Leaving

Name & Address of Employer

Date Started

Date Ended

Salary

Position

Reason For Leaving

References

(Give below the names of three persons who you have known at least one year.)

Name

Relationship

Phone Number

Name

Relationship

Phone Number

Name

Relationship

Phone Number

Attachments

Resume Accepted file types: pdf, rtf, txt, jpg, gif, and png.

Authorization

"I certify that the facts contained in this application are true and accurate to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.

I also understand and agree that no representative of the company 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, unless it is in writing and signed by an authorized company representative.

This waver does not permit the release or use of disability-related or medical information in any manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.

I understand that consumer credit report or criminal records checks may be necessary prior to may employment. If such reports are required, I understand that, in compliance with federal law, the company will provide me with a written notice regarding the use of these reports and will also obtain a separate written authorization from me to consent to these reports. I also understand that a poor credit history or conviction will not automatically result in disqualification from employment."

In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.

Date

Signature

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