Application

PERSONAL INFORMATION

JOB DESCRIPTIONS

EDUCATION:

HIGH SCHOOL

COLLEGE

VOCATIONAL

Apprentice Courses

EMPLOYMENT HISTORY:

Your application will not be considered unless every question in this section is answered.  Since we will make every effort to contact previous employer, the correct telephone numbers of past employers is critical.  You should include Military Service Assignments.

MOST RECENT EMPLOYER:

Date Employed:

  SECOND MOST RECENT EMPLOYER:  

Date Employed:

THIRD MOST RECENT EMPLOYER:

Date Employed:

REFERENCES:

List at least two (2) persons familiar with your work record and/or abilities.  Do not include relatives.

JOB RELATED SKILLS AND REQUIREMENTS:

OTHER QUALIFICATIONS:

NOTICE TO APPLICANTS:

REPRESENTATIONS AND WAIVERS:

Read the following conditions. If you have any questions regarding the conditions, you should ask for an explanation or clarification from the employment interviewer. Signify your understanding and specific acceptance of each condition by your signature in the space provided at the end of the conditions.

I hereby authorize Foster Electric Corporation  to investigate any and all statements contained in this application. I hereby consent to Foster Electric Corporation conducting any checks concerning my background which are deemed necessary, advisable, or helpful by Foster Electric Corporation, except contacting my current employer, unless permission is granted above. I understand that if hired, I will receive a copy of Foster Electric Corporation rules, regulations and policies, including its drug policy. I will read and understand the rules, regulations and policies; and I acknowledge that I will be required to abide by them. I understand that if hired, I will be required to submit to a drug test as part of this application procedure. I hereby consent to that drug test, agree to cooperate fully with that drug test, and waive any and all objections I might otherwise have to such drug testing. I understand that I may be required to submit to a medical examination, if I am advised of a favorable employment decision. I hereby consent to such medical examination, and will fully cooperate with any required examination. I understand and agree that if this application results in employment, my employment can be terminated with or without cause and with or without notice, at any time, at the option of either Foster Electric Corporation or myself. I understand that no manager or representative of Foster Electric Corporation 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. I understand that due to the cyclical nature of the construction industry that Foster Electric Corporation is not in a position to employ field personnel on a permanent basis.

I certify and guarantee that all statements made on this application are true and complete to the best of my knowledge and without mental reservations. I understand that falsification of this application may result in my not being considered for employment or, in the event I become employed by Foster Electric Corporation, in my dismissal.

VOLUNTARY DISCLOSURE AND STATEMENT:

SPECIAL EMPLOYMENT NOTICE TO DISABLED VETERANS, VIETNAM ERA VETERANS, AND INDIVIDUALS WITH PHYSICAL OR MENTAL HANDICAPS

Government contractors are subject to Section 402 of the Vietnam Era Veterans Re-adjustment Act of 1974 that requires they take affirmative action to employ and advance in employment qualified disabled veterans and veterans of the Vietnam Era, and Section 503 of the Rehabilitation Act of 1973, as amended, which requires government contractors to take affirmative action to employ and advance in employment qualified handicapped individuals. Also, Foster Electric Corporation complies with the Americans with Disabilities Act, and is willing to make reasonable accommodations to aid the employment of handicapped or disabled applicants.

Although you are not required to disclose information about physical or mental limitations that you believe will not interfere with your capability to do the job, if you want Foster Electric Corporation to consider special arrangements to accommodate a physical or mental impairment, you may identify that impairment in the space provided below and suggest the kind of accommodation that you believe would be appropriate.

If you are a disabled veteran, or have a physical handicap, you are invited to volunteer this information. The purpose is to provide information regarding proper placement and appropriate accommodations to enable you to perform the job in a proper and safe manner. This information will be treated as confidential. Failure to provide this information will not jeopardize or adversely affect any consideration received for employment.

If you wish to identified, please sign below.