Careers Application for Employment:Name* First Name Middle Name Last Name Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email* Phone*Upload Resume / Cover Letter Drop files here or Previous Place of EmploymentName of Employer:Address of Employer:Dates Employed: From Month/Year: To Month/Year: Pay Rate: Starting: Final: Supervisor Name and Telephone Number: May we contact your employer?YesNoJob Title & Duties / Reason for Leaving Job Title & Duties: Reason for Leaving? Employer #2Name of Employer:Address of Employer:Dates Employed: From Month/Year: To Month/Year: Pay Rate: Starting: Final: Supervisor Name and Telephone Number: May we contact your employer?YesNoJob Title & Duties / Reason for Leaving Job Title & Duties: Reason for Leaving? Employer #3Name of Employer:Address of Employer:Dates Employed: From Month/Year: To Month/Year: Pay Rate: Starting: Final: Supervisor Name and Telephone Number: May we contact your employer?YesNoJob Title & Duties / Reason for Leaving Job Title & Duties: Reason for Leaving? Have you ever been involuntarily terminated or asked to resign from any job?*YesNoIf 'Yes' please explain:Please list any other experience, job related skills, additional languages, or other qualifications that you believe should be considered in evaluating your qualifications for employment:Education:Please describe your educational background in the table provided below.School NameYears CompletedDiploma/Degree (Yes or No)Describe Course of Study or MajorDescribe Specialized Training, Experience, Skills and Extra- Curricular Activities References:Please list three references of individuals who are not related to you.Name & TitleBusiness RelationshipTelephone Number or Email General Information:Have you ever worked for Pace American Trailers before?YesNoDo you have friends and/or relatives working for this company?YesNoPlease list your friends and/or relatives working for this company:On what date are you available to begin work?Days/Hours available to work:Are you available to work?Full-timePart-timeAny-timeMinimum Salary Required:Salary Requirements: Per Hour: Per Month: If hired, would you have a reliable means of transportation to and from work?YesNoAre you at least 18 years old?YesNo( Note: If under 18, hire is subject to verification that you are of minimum legal age. )If hired, can you present evidence of your identity and legal right to live and work in this country?YesNoAre you able to perform the essential job functions of the job for which you are applying with or without reasonable accommodations?YesNoNote: We comply with the ADA and consider reasonable accommodation measures that may be necessary for qualified applicants/employees to perform essential job functions.APPLICANT STATEMENT AND AGREEMENT:I hereby authorize the Company to thoroughly investigate my references, work record, education and other matters related to my suitability for employment and, further, authorize the prior employers and references I have listed to disclose to the Company any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the Company, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure. In the event of my employment with the Company, I understand that I am required to comply with all rules and regulations of the Company. If hired, I understand and agree that my employment with the Company is at-will, and that neither I, nor the Company is required to continue the employment relationship for any specific term. I further understand that the Company or I may terminate the employment relationship at any time, with or without cause. I understand that safety of employees is extremely important to the Company and that the Company is committed to ensuring a safe working environment. I understand that I, and every employee, have a responsibility to prevent accidents and injuries by observing all safety procedures and guidelines and following the directions of my site supervisor. I understand and agree to comply with federal, state, and local regulations related to on-the-job safety and health. I hereby certify that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery. I understand that if I am selected for hire, it will be necessary for me to provide satisfactory evidence of my identity and legal authority to work in the United States, and that federal immigration laws require me to complete an I-9 Form in this regard.CHECKING THE BOX BELOW ATTESTS TO THE FACT THAT I HAVE READ, UNDERSTAND, AND AGREE TO ALL OF THE ABOVE TERMS.* I agree to the privacy policy.