First name *
Last name *
Email *
Address
City
State
Position you are applying for *
Phone *
Mobile
Are you 18 years of age?
Yes       No      
Positions Previously Applied For, if "none" then leave blank.
Are you legally eligible for employment in this country?
Yes       No      
Do you have a valid driver's license?
Yes       No      

WORK PREFERENCE
Date available for work
Type of employment desired
Full-time       Part-time       Temporary/Seasonal      
Are you able to meet the attendance requirements of the position?
Yes       No      
Will you work overtime (more than 40 hours in a week)?
Yes       No      

EDUCATION
High School
City
State
Years Completed: Did you graduate?
College/Technical School, City/State # of Years Course of Study
Degree /Certificate

EMPLOYMENT HISTORY
Employer #1
Telephone #
Address
Starting Job Title/Final Job Title
Immediate Supervisor and Title
Reason for Leaving
May We Contact for Reference?
Dates Employed
From
To
Summerize the type of work performed and job responsibilities


Employer #2
Telephone #
Address
Starting Job Title/Final Job Title
Immediate Supervisor and Title
Reason for Leaving
May We Contact for Reference?
Dates Employed
 
From
To
Summerize the type of work performed and job responsibilities


Employer #3
Telephone #
Address
Starting Job Title/Final Job Title
Immediate Supervisor and Title
Reason for Leaving
May We Contact for Reference?
Dates Employed
 
From
To
Summerize the type of work performed and job responsibilities
Comments, including explanation of any gaps in employment
Skills and Qualifications
Summarize any special training, skills, licenses, and/or certificates that may qualify you as being able to perform job-related functions in the position for which you are applying for.

List name and telephone number of three business/work references that are not related to you. If not applicable, list three school or personal references that are not related to you.

NAME TELEPHONE NUMBER # OF YEARS KNOWN
I certify that all the information I have provided in order to apply for and secure employment with the BACHMANN TRAINS is true, complete, and correct.

I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) cancel further consideration of this application or (ii) immediately discharge me from BACHMANN TRAINS, when it is discovered.

I understand I am required to submit to a post-offer, pre-hire physical examination in order for BACHMANN TRAINS to determine my physical ability to perform the job. I understand my employment is contingent upon the results of a drug screen for illegal drugs. A confirmed positive screen will result in my disqualification from employment.

I authorize and consent to my references, employers and/or employer representatives, public agencies, licensing authorities, and educational institutions and persons or organizations named in this application and/or accompanying resume to release any information to BACHMANN TRAINS that may be required to make an employment decision.

I understand this application remains current for one year. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to reapply and complete a new application. A new application must be completed for each job I wish to be considered for.

I understand my employment is not guaranteed for any term, and my employment may be terminated by BACHMANN TRAINS or myself at any time and for any reason. No manager, supervisor or representative of BACHMANN TRAINS is authorized to make an oral or written assurance or promise of continued employment.

Do not sign until you have read the above APPLICANT STATEMENT. I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement.

EQUAL EMPLOYMENT OPPORTUNITY POLICY
It is the policy of Bachmann Industries, Inc. (BACHMANN TRAINS) to be an Equal Opportunity Employer. The Cooperative affords employment to those qualified persons without regard to race, color, religion, age, sex, national origin, sexual orientation, creed, disability, marital status or status with regard to public assistance. We have directed all managers and supervisors to emphasize this attitude in recruiting, hiring, and promoting persons in all job classifications. A fair and unbiased opportunity to advance within BACHMANN TRAINS is offered to all qualified persons.

NOTICE TO HANDICAPPED/DISABLED APPLICANTS
BACHMANN TRAINS will not discriminate against any applicant for employment because of physical or mental disability in regard to any position for which an applicant is qualified. The Cooperative agrees to employ, advance in employment, and otherwise treat qualified individuals with disabilities without discrimination based upon their physical or mental disability in all employment practices.

EMPLOYMENT OF RELATIVES
In order to control potential conflict of interest, the Cooperative will not hire close relatives of current employees. A close relative is defined as parent (including step or in-law), child (including step or in-law), brother or sister (including step, in-law, or half), grandparent or grandchild.

PRE-EMPLOYMENT EXAMINATIONS
To ensure the continued health and safety of all employees and members of BACHMANN TRAINS., all applicants who have been given an offer for employment must complete a physical examination and test for illegal drugs. Employment is contingent upon satisfactory completion of a physical examination and a negative drug test. The examination and testing are conducted by a BACHMANN TRAINS approved physician at no cost to the applicant. The physical examination will ensure the applicant can perform the essential physical requirements of the position.

EMPLOYMENT ELIGIBILITY
Within three (3) days of starting employment with BACHMANN TRAINS., an employee must complete an Eligibility of Employment Form (Form I-9). The purpose of the form is to ensure all employees are eligible to work in the United States.

Your Full Name: Date:







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