Franklin Service, Inc.

POSITION APPLIED FOR

APPLICATION FOR EMPLOYMENT

Applying for:
ANSWER EACH QUESTION FULLY
PLEASE PRINT CLEARLY
AN EQUAL OPPORTUNITY EMPLOYER

Pursuant to the Fair Credit Reporting Act, you are advised that an inquiry may be made by Franklin Service, Inc. during the processing of your application for employment, which will furnish pertinent information concerning but not limited to, character, general reputation, personal characteristics, and mode of living. Upon written request, full details as to the nature and scope of the inquiry (if made) will be provided to you. Applicants are required to furnish proof of identity and legal work authorization prior to hire. All information will be kept strictly confidential. This application will remain active for 60 days. You must reapply for further consideration.

General Information
(Proof of citizenship or immigration status will be required upon employment)
(A conviction will not necessarily result in the denial of employment)
Personal References (Not former employers or relatives)
Name and Occupation Address Phone Number
Education & Experience
Level School (City & State) # Years Completed Major Subjects Degree
Prep or High School
College or University
Other Schooling
Employment Experience
(Start with your present or last job. Account for all time.)
1 Date Employed
From Mo/Yr To Mo/Yr
Salary
2 Date Employed
From Mo/Yr To Mo/Yr
Salary
3 Date Employed
From Mo/Yr To Mo/Yr
Salary
Professional Activities

List professional, trade, business, or civic activities and offices held.
You may exclude memberships which may reveal sex, race, religion, national origin, age, or disability or other protected status:

Emergency Contact

I certify that the information contained in this application is correct to the best of my knowledge and understand that falsification of this information is grounds for dismissal in accordance with Franklin Service, Inc. policy. I authorize the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you.

I understand and agree that if employed by Franklin Service, Inc. the compensation (and so-called "fringe benefits") I will receive as a Franklin Service, Inc. employee will constitute full satisfaction for any and all services I render to or on behalf of Franklin Service, Inc. in any capacity.

In consideration of my employment, I agree to conform to the rules and regulations of Franklin Service, Inc. and my employment is at will and can be terminated, with or without cause, and with or without notice, at any time, at the option of either Franklin Service, Inc. or myself. I understand that no manager or representative or Franklin Service, Inc. other than the President or Vice-President of Franklin Service, Inc. has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing.

I understand that Franklin Service, Inc. has a drug and alcohol policy that provides for preemployment testing as well as testing after employment. I understand that consent to and compliance with the policy is a condition of my employment and that continued employment is based on the successful passing of testing under the policy.

I understand that if I am hired at Franklin Service, Inc., I may be privy to sensitive information. Upon hire, I also understand that I may be asked to execute a non-compete agreement.

I hereby warrant that I have read and fully understood the foregoing and seek employment under these conditions of my own free will and in accordance with my own judgment.