Employment
Application


 
Application for Employment

We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status.

Please bring or mail a copy of your driving records to:
        Wil Fischer Companies    ATTN: HR Department     3539 W. Farm Rd. 142      Springfield, MO 65807

 :: APPLICATION INFORMATION
Position(s) Applied For:
 
Date of Application:
 
How Did Your Learn About Us:
Advertisement Relative Inquiry
Employment Agency Friend Other   
 :: APPLICANT INFORMATION
Last Name
 
First Name
 
Middle Initial
 
Street Address
 
Apt #
 
City
 
State
 
Zip Code
 
Social Security Number
 
E-Mail Address
 
Telephone #
 
 :: EMPLOYMENT INFORMATION
When would you be available to begin work?
Are you legally eligible to be employed in the United States?
(Proof of identity and eligibility will be required upon employment.)
Yes      No
Are you over the age of 18 years?
(If no, you may be required to provide authorization to work.)
Yes      No
Have you ever been convicted of a felony or a misdemeanor? Yes      No
If yes, please explain: (A conviction will not necessarily result in the denial of employment.)
Have you ever worked for this company before?
Yes      No
Do you have any relatives or friends who work for the company? Yes      No
If yes, what is their full name?  
Are you presently employed? Yes      No
What is your desired salary range?
 :: EDUCATION
  Name Location Course of Study Years
Completed
Degree/Diploma
High School
Undergraduate/
College
Graduate/
Professional
Professional/
Other
  Please list any academic honors, scholarships, offices held, etc...
  Describe any specialized training, apprenticeships, licenses, and/or skills.
 
 :: EMPLOYMENT EXPERIENCE
 EMPLOYER 1 May we contact employer 1?  Yes No 
Employer
 
Dates Employed

From To
   
Work Performed
 
Address
 
Telephone Number
 
Hourly Rate/Salary

Starting Final
   
Job Title
 
Supervisor's Name
 
Please explain your reason(s) for leaving:
What did you like MOST about this position:
What did you like LEAST about this position:
 EMPLOYER 2 May we contact employer 2?  Yes No 
Employer
 
Dates Employed

From To
   
Work Performed
 
Address
 
Telephone Number
 
Hourly Rate/Salary

Starting Final
   
Job Title
 
Supervisor's Name
 
Please explain your reason(s) for leaving:
What did you like MOST about this position:
What did you like LEAST about this position:
 EMPLOYER 3 May we contact employer 3?  Yes No 
Employer
 
Dates Employed

From To
   
Work Performed
 
Address
 
Telephone Number
 
Hourly Rate/Salary

Starting Final
   
Job Title
 
Supervisor's Name
 
Please explain your reason(s) for leaving:
What did you like MOST about this position:
What did you like LEAST about this position:
 :: REFERENCES
Name Address Relationship/
Occupation
Phone Years
Known
 :: RESUME UPLOAD
(we accept .doc, .pdf, .txt, .rtf, .xls, and .wpd files)
 :: APPLICANT'S STATEMENT
Please read carefully before initialing.

I hereby certify that the above information provided by me in this application (or any other accompanying or required documents) is correct, accurate and complete to the best of my knowledge. I understand that the falsification, misrepresentation or omission of any facts in said documents will be cause for denial of employment or immediate termination of employment regardless of the timing or circumstances of discovery.

I understand that submission of an application does not guarantee employment. I further understand that, should an offer of employment be extended by Wil Fischer Companies (hereinafter, referred to as "Wil Fischer") that such employment with Wil Fischer is at will, for no specified duration and may be terminated by either Wil Fischer or myself at any time, with or without cause or notice. I understand that none of the documents, policies, procedures, actions, statements of Wil Fischer or its representatives used during the employment process is deemed a contract of employment real or implied.

I understand that if offered a position with Wil Fischer, I am required to submit to a pre-employment drug screening and a background check as a condition of employment. I understand that unsatisfactory results from, refusal to cooperate with, or any attempt to affect the results of these pre-employment tests and background check will result in withdrawal of any employment offer or termination of employment if already employed.

I hereby authorize any and all schools, former employers, references, courts and any others who have information about me to provide such information to Wil Fischer and I release all parties involved from any and all liability for any and all damage that may result from providing such information.

By initialing below I acknowledge that I have read, understood and agree to the above statements.

Initials:          Date:
WIL FISCHER COMPANIES IS AN EQUAL OPPORTUNITY EMPLOYER