EMPLOYMENT APPLICATION

Personal Information

Are You 18 years old or older ?
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?

Availability

Have you ever applied to or worked for Briteline before?
Have you been convicted* of a felony.
(*Conviction will not necessarily disqualify an applicant from employment)

Education

Recent Employment

Dates Worked

May we contact?

Recent Employment

Dates Worked

May we contact?

General

References

Please list two persons who can tell us about your work. They should NOT be relatives.

Reference 1
Reference 2

I CERTIFY THAT ALL OF THE INFORMATION SUBMITTED BY ME ON THIS APPLICATION IS TRUE AND COMPLETE, AND I UNDERSTAND THAT IF ANY FALSE INFORMATION, OMISSIONS OR MISREPRESENTATIONS ARE DISCOVERED, MY APPLICATION MAY BE REJECTED AND, IF I AM EMPLOYED MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME. IN CONSIDERATION OF MY EMPLOYMENT, I AGREE TO CONFORM TO THE COMPANY’S RULES AND REGULATIONS, AND I AGREE THAT MY EMPLOYMENT AND COMPENSATION CAN BE TERMINATED, WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE, AT ANY TIME, AT EITHER MY OR THE COMPANY’S OPTION. I ALSO UNDERSTAND AND AGREE THAT THE TERMS AND CONDITIONS OF MY EMPLOYMENT MAY BE CHANGED, WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE AT ANY TIME BY THE COMPANY. I UNDERSTAND THAT NO COMPANY REPRESENTATIVE, OTHER THAN IT’S PRESIDENT OR VICE-PRESIDENT, AND THEN ONLY WHEN IN WRITING AND SIGNED BY THE PRESIDENT OR VICE-PRESIDENT, HAS ANY AUTHORITY TO ENTER INTO ANY AGREEMENT FOR EMPLOYMENT FOR ANY SPECIFIC PERIOD OF TIME, OR TO MAKE ANY AGREEMENT CONTRARY TO THE FOREGOING. MY SIGNATURE, BELOW, GRANTS PERMISSION TO BRITELINE EXTRUSIONS, INC, TO CONTACT ANY OF MY PAST EMPLOYERS (EXCEPT FOR ANY THAT I HAVE INDICATED THEY MAY NOT CONTACT) AND OBTAIN INFORMATION ABOUT MY PAST EMPLOYMENT. I HOLD HARMLESS BRITELINE EXTRUSIONS, INC, AND ANY PAST EMPLOYER FROM WHOM BRITELINE EXTRUSIONS, INC REQUESTS INFORMATION ABOUT MY PAST EMPLOYMENT HISTORY.

I UNDERSTAND THAT ANY OFFER OF EMPLOYMENT IS DEPENDENT UPON PASSING A DRUG SCREEN AND BACKGROUND CHECK.

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Type your name to sign the application