Employment Application for Big Country Equipment

Employer Information

Employer
BIG COUNTRY RENTALS AND SALES LLC
Address
6333 US HWY 277 S
City/State/Zip
SAN ANGELO, TX 76904
Telephone
(325) 347-7898
Fax
(325) 294-4544

It is the policy of BIG COUNTRY RENTALS AND SALES LLC to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability or veteran status.

Date of Birth*:

Today's Date*:

Your Name*:

Social Security Number*:

Your Email*:

Mobile Phone*:

Driver's License (State/Number)*:

Which location are you applying for?*

Current Address*

Street*:

City*:

State*:

Zip Code*:

Number of Years at this Address:

Emergency Contact*

Who should be contacted if you are involved in an emergency?

Your Name*:

Relationship to You*:

Daytime Phone*:

Evening Phone*:

Emergency Contact Address*

Street*:

City*:

State*:

Zip Code*:

General Information

Job Position Applied For*:

Salary Desired*:

Full or Part-Time*?

Are you at least 18 years old?*

If applicable, are you available to work overtime?*

How will you get to work?*

If you are offered employment, when would you be available to begin work?*

If hired, are you able to submit proof that you are legally eligible for employment in the United States?*

Are you able to perform the essential functions of the job position you seek with or without reasonable accommodation?*

What reasonable accommodation, if any, would you request?

Have you ever been convicted of a felony or misdemeanor?*

I was convicted of:

Date of Conviction:

In the Following City:

State*:

THE EXISTENCE OF A CRIMINAL RECORD DOES NOT CONSTITUTE AN AUTOMATIC BAR TO EMPLOYMENT UNLESS RELEVANT TO THE TYPE OF EMPLOYMENT.

Applicant's Skills

Check those skills that you have. List any other skills that may be useful for the job you are seeking. Enter the number of years of experience, and circle the number which corresponds to your ability for each particular skill. (One represents poor ability, while five represents exceptional ability.)

Applicant's Employment History

List your current or most recent employment first. Please list all jobs (including self-employment and military service) which you have held, beginning with the most recent, and list and explain any gaps in employment. If additional space is needed, continue on the back page of this application.

Employer Name:

Job Duties:

From:

Supervisor Name:

Reasons for Leaving:

To:

Address

Street:

City:

State:

Zip Code:

Employer Name:

Job Duties:

From:

Supervisor Name:

Reasons for Leaving:

To:

Address

Street:

City:

State:

Zip Code:

Employer Name:

Job Duties:

From:

Supervisor Name:

Reasons for Leaving:

To:

Address

Street:

City:

State:

Zip Code:

Applicant's Education & Training

College/University Name & Address

Did you receive a degree?

Please List, Degree's Recieved:

Highschool/GED Name & Address

Did you receive a degree?

Other Training (Graduate, Technical, Vocational)

Please indicate any current professional licenses or certifications that you hold:

Awards, Honors, Special Achievements:

Military Service*:

Branch:

Specialized Training:

References

List any two non-relatives who would be willing to provide a reference for you.

Reference Name:

Telephone:

Relationship:

Street:

City:

State:

Zip Code:

Reference Name:

Telephone:

Relationship:

Street:

City:

State:

Zip Code:

Additional Information

Please provide any other information that you believe should be considered, including whether you are bound by any agreement with any current employer:

Max Character Limit: 500

Submit Resume

Max File Size: 4MBAccepted File Types: pdf|doc|docx|png|jpg|jpeg

Certification

I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination.

I authorize BIG COUNTRY EQUIPMENT, LLC to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.

If an employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by its Manager, the employment relationship will be "at-will." In other words, the relationship will be entirely voluntary in nature, and either I or my employer will be able to terminate the employment relationship at any time and without cause. With appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer will have the right. Moreover, no agent, representative, or employee of BIG COUNTRY EQUIPMENT, LLC, except in a specific written contract of employment signed on behalf of the organization by its Manager, has the power to alter or vary the voluntary nature of the employment relationship.

This is also certifies that I have carefully read the above certification and I understand and agree to its Terms.

I Agree with the Statement Above

Employment Application for Big Country Equipment

Employer Information

Employer

Address

City/State/Zip

Telephone

Fax

Additional Information

Certification