Briquettes, LLC - Application for Employment

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

Position You're Applying For

Position You're Applying For
How did you find out about this job?

Applicant Information

Address
If hired, do you have a reliable means of transportation to get to work?
Are you at least 18 years old?
If the job you are applying for requires driving:
Are you legally eligible for employment in the U.S.?
(Proof of U.S. citizenship or immigration status is required if hired.)
Have you been convicted of a crime?
(Massachusetts applicants should not include misdemeanor convictions; California applicants should not include marijuana-related convictions that occurred more than 2 years prior to the application date.)
(NOTE: The existence of a criminal record does not constitute an automatic bar to employment.)
Are you a veteran?
If yes, give dates of service:

Employment Information

Are you willing to work overtime?
Weekends?
Holidays?
Are you currently employed?
Have you ever worked for this organization before?
Have you ever been discharged or asked to resign from any position?
If applicable, please refer to the attached job description for the position for which you are applying. Are you able to perform all these tasks with or without reasonable accommodation?

Education

If in high school, are you enrolled in a recognized co-op program?

Work History (please begin with most recent)

Your Previous Employers
Please list your previous employers, the dates you worked and the position you held
Company
Phone
Address
City
Date of Employment
Salary
Supervisor
Title
Job Duties
 
For references purposes: Have you worked for any of these organizations or attended school under a different name?
May we contact the employers listed above?

File Upload

Upload your resume in .pdf, .doc or .docx format
Accepted file types: pdf, doc, docx, Max. file size: 25 MB.

Authorizations & At-Will Employment Agreement

(please read carefully, then sign and date below)
Signature