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Personal Information

Name *

First

Middle

First

Last *

Last

Telephone

Email

Current Address *

Current Address

City

State/Province

Zip/Postal

Country

Former Address *

Former Address

City

State/Province

Zip/Postal

Country

Position Information

Position applying for: *

Are you available to work overtime? *

Yes

No

Are you at least 18 years of age? *

Yes

No

Acceptable Salary Range: *

Are you willing to travel, if required by this position? *

Yes

No

What percentage of time? *

Are you willing to relocate? *

Yes

No

Can you perform the essential functions of the position for which you are applying, with or without reasonable accommodation? *

Yes

No

Are you legally authorized to work int he United States? (Proof of identity and eligibility will be required upon employment offer). *

Yes

No

List any friends or relatives currently employed by this company:

Have you ever applied before or been employed by this company? *

Yes

No

If yes, please list job(s) and date(s):

Employment History

Are you employed now? *

Yes

No

If yes, may we contact your present employer? *

Yes

No

An Equal Opportunity Employer

Current/Most Recent Employer

Employer #1: Name, Address, Telephone, Employment (Month & Year), Name of Supervisor, Supervisor's Title, Your Job Title, Reason For Leaving *

Employer #2: Name, Address, Telephone, Employment (Month & Year), Name of Supervisor, Supervisor's Title, Your Job Title, Reason For Leaving

Employer #3: Name, Address, Telephone, Employment (Month & Year), Name of Supervisor, Supervisor's Title, Your Job Title, Reason For Leaving

Please explain any gaps in your employment history.

Have you ever been employed under any other name (maiden, alias, etc.)? *

Yes

No

If yes, please list them below

Education

High School: Name, City, State, # of years, degree/diploma

Did you graduate High School? *

Yes

No

College: Name, City, State, # of years, degree/diploma

Did you graduate College?

Yes

No

Graduate Study: Name, City, State, # of years, degree/diploma

Did you graduate?

Yes

No

Other (Specify): Name, City, State, # of years, degree/diploma

Are there any other experiences, skills or qualifications which you feel would equip you to work for this company?

List any professional or civic organizations/activities relevant to the position for which you are applying:

Background

Are you a veteran of the U.S. Military Service? *

Yes

No

If yes, which branch of military?

Person to be notified in case of an emergency

Name (Emergency) *

First

Name (Emergency) *

Last

Emergency Contact Address

City

State/Province

Zip/Postal

Country

Relationship *

Phone *

Please email any documents that you feel will be helpful to us in considering your application. These may include: your resume, and/or any safety or trade certifications you currently hold, etc. to info@oreair.com

NOTICE TO APPLICANTS:

Our Company complies with the Americans with Disabilities Act of 1990.  During the interview process, you may be asked questions concerning your ability to perform job-related functions.  If you are given a conditional offer of employment, you may be required to undergo a post-hire medical examination.  If required, all entering employees in the same job category will be subject to the same examination and all information will be kept confidential and in separate files.  Additionally, you may be required to complete a full background screening including credit, criminal, drug, and/or motor vehicle report, if applicable to position.

I understand that misrepresentation, omissions of facts, or incomplete information requested, may result in my not being considered for employment.

I certify all statements given herein are true and complete and if employed, understand that false and misleading statements given in my application or interview(s) may result in dismissal, regardless of the time they are discovered.

I understand that I am required to abide by all rules and regulations of the Company, and that my offer of employment is contingent upon successfully passing a background check, drug screen, and other screens. After a conditional job offer, I may be required to complete a post-job offer medical history questionnaire and/or undergo a medical examination. I understand that if I am employed, I will be subject to a 90-calendar day introductory period.

I understand that my employment with the Company is for no specific term and may be terminated by me with or without notice or cause at any time and the Company has a similar right. I further understand that no oral promise, Company policy, custom, business practice or other procedure constitutes an employment contract or modification of the at-will employment relationship between me and the Company.

By clicking 'submit' below certifies that I have read and understand the contents of the statement.

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