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APPLICATION FOR EMPLOYMENT

Application must be filled out completely, in order to be considered for employment.

Please print application & submit to our front office.

APPLICANT INFORMATION:

Name

Address

POSITION APPLYING FOR (check all that apply):

EMPLOYMENT ELIGIBILITY:

Are you legally eligibile for employment in this country?

Are you able to meet the attendance requirements for this position?

Have you ever filed or received compensation for any work related accident?

Have you ever or are you currently in litigation for any work related accident?

Do you have a valid driver's license?

Have you ever pled "guilty" or "no contest" to, or been convicted of a crime? (Answering "yes" does not constitute an automatic bar to employment posibilities. Factors, such as, offense date, seriousness and nature of the violation, rehabilitation and position applied for will be taken into consideration.)

EDUCATIONAL HISTORY: List high school, college, trade or vocation school information.

YEARS ATTENDED

YEARS ATTENDED

PERSONAL REFERENCES:

Dates Employed:

Start

End

Dates Employed:

Start

End

Dates Employed:

Start

End

EMPLOYMENT POLICIES & RELEASE FORM

Aluminum Contractors, Inc. is an equal employment opportunity employer and does not discriminate because of age, sex, race,

color, national origin, disability or religious preference.


It is the policy of Aluminum Contractors, Inc. not to refuse to hire a qualified individual with a disability because of that person's

need for reasonable accommodations as required by the ADA. Aluminum Contractors, Inc. does not unlawfully discriminate

employment and no questions on this application are used for the purpose of limiting or excusing any applicant from

consideration for employment on a basis prohibited by local, state or federal law.


Aluminum Contractors, Inc. is a drug and alcohol free workplace. To ensure worker safety and integrity of the workplace,

Aluminum Contrractors, Inc. prohibits the use, possession, distribution or sale of chemical substances, drugs, drug paraphernalia

or alcohol at its facilities or project sites by its employees or persons who engage or seek to engage in business and/or

employment with Aluminum Contractors, Inc.


Smoking is not permitted inside the office area at any time. For the safety and health of its employees, Aluminum Contractors,

Inc. is committed to a smoke-free environment and smoking will be allowed only in designated areas.


This application is current for a period of sixty (60) days. At the conclusion of this time, if you have not heard from Aluminum

Contractors, Inc. and still wish to be considered for employment, it will be necessary to fill out a new application.


If I am hired, I understand and agree that employment is for no definite period, and may be terminated at any time without

previous notice, regardless of the date of payment of wages and/or salary.


If I am hired, I understand any misrepresentation or material omission made by me on this application may be sufficient cause for

immediate termination, whenever such information is discovered.


If I am hired, I understand I will be required to provide proof of identify and legal authority to work in the United States and that

federal immigration law requires me to complete an I-9 Form in this regard.


If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice. Aluminum

Contractors, Inc. reserves the same right to terminate my employment at any time, with or without cause and without prior

notice, except as may be required by law.


If for any reason my job is terminated for substandard performance, misconduct, not showing up for work, etc. or I choose to quit

without notice, I understand that my last paycheck may be paid at the current governing minimum wage rate.


If I am hired, I understand that I will be placed on probation for a period of 90 days, which begins on the first day that I report to

work. I agree that under appropriate circumstances, particularly if I am involved in an accident during work hours, I may be

required to submit to a test administered by a qualified authority that will determine if alcohol or chemical substances are

present. I understand that positive results of this test can effect my eligibility for my workers' compensation benefits.


Additionally, I understand that refusal to submit voluntarily to such tests or that detection of the presence of alcohol or chemical

substances (drugs) by such a test will result in my immediate discharge.


I authorize Aluminum Contractors, Inc. to contact and obtain information from all references, employers and schools to verify the

accuracy of the information contained in this application, in addition to investigative activites as part of the background review

of prospective employees. I hereby release Aluminum Contractors, Inc. and its representatives from liability for seeking,

gathering and/or using such information. Additionally, I hereby release, all others persons, corporations or organizations for

furnishing such information to Aluminum Contractors, Inc.


This application does not constitute an agreement or contract for employment for any specified period or definite duration. I

understand that no representative of Aluminum Contractors, Inc., other than an authorized officer has the authority to make any assurances to the contrary.


I have read and fully understand the above and seek employment under these policies and conditions.


I hereby certify that the information provided and contained in this application is true.

PRIOR INJURY AND DISABILITY QUESTIONNAIRE

STATEMENT OF PURPOSE:

The purpose of this questionnaire is to provide the employer with knowledge about the employee - specifically about any preexisting

condition or disability, which may entitle the employer to reimbursement from Florida's Special Trust Fund (Florida Statute 440.49).

The disability of a qualified individual shall not be used as a discriminatory factor in regard to job application procedures, including,

but not limited to the hiring, advancement or discharge of an employee, employee compensation, job training, and/or other terms, conditions and privileges of employment.

Applicant Name

Do you now have or have you ever had any of the following conditions? Please enter YES or NO in each box.

PLEASE WRITE IN WHAT THE FOLLOWING MEASUREMENTS ARE THAT CORRESPOND WITH THE LETTER MARKED.

Measurement — Leesburg, FL — Aluminum Contractors Inc

Ready to begin your career in aluminum contracting? Apply to work for Aluminum Contractors, Inc today!

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