Job Application

Fields marked with an asterisk (*) must be filled out before submitting.

Personal Details

First Name *
Middle Name
Last Name *
Birth Date *
Email

Contact Details

Address *
City/State
Postal/Zip Code
Country
Telephone
Cell Phone

Position Applied For

Position Applied For
Salary Desired
Days Available for Work No Preference
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
How many hours can you work weekly?
Can you work nights?
When are you available for work?
Do you have a degree? Yes
No
Where did you complete your degree?
Title of Your Degree

Military

Have you ever been in the armed forces? Yes
No
Are you now a member of the national guard? Yes
No
Specialty
Date Entered
Discharge Date

MVR

Do you have a drivers license? Yes
No
What is your means or transportation to work?
Drivers License Number/State of Issue
Drivers License Type Operator
Commercial (CDL) Chauffeur
Expiration Date
Have you had any accidents during the past three years? Yes
No
How many?
Have you had any moving violations during the past three years? Yes
No
How many?

Work Experience

1. Name of Employer
Street Address
City
State / Province
Postal/Zip Code
Phone Number
Name of Last Supervisor
Employment Start Date
Employment End Date
Pay or Salary Start
Pay or Salary End
Last Job Title
Reason for Leaving (be specific)
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.
2. Name of Employer
Street Address
City
State/Province
Postal/Zip Code
Phone Number
Name of Last Supervisor
Employment Start Date
Employment End Date
Pay or Salary Start
Pay or Salary End
Last Job Title
Reason for leaving (be specific)
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

References

1. Name
Position
Company
Street Address
City
State/Province
Postal/Zip Code
Phone Number
2. Name
Position
Company
Street Address
City
State/Province
Postal/Zip Code
Phone Number

File Upload and Optional Information

An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying.
File Upload

Controlled Substance Testing Program

Zimmerman Equipment Company, Inc. requires all individuals working on the premises (whether their own regular staff or temporary employees) to take a test for controlled substances to ensure a work environment free from the abuse of controlled substances. You will be required to take a test for controlled substances randomly or post-incident. All employees working on the premises will be required to take the controlled substance test, whether or not a controlled substance test was required at the time of employment. By ACCEPTING the consent portion below, you voluntarily agree to a controlled substance test, as a part of a random or post-incident testing program. Samples, which have been diluted or adulterated in any way, will be grounds for immediate dismissal. The controlled substance testing policy does not apply to the use of controlled drugs within the limits of a valid prescription. Any use of a prescription should be discussed with the attending test technician. And listed in writing at the time the test is administered. Confirmed positive test results not followed by a adequate explanation, (such as a valid prescription) will result in employee dismissal. Testing may be required if there is some indication of drug or controlled substance use. Also, periodic retesting is a part of the policy of ZECO. AECOP also reserves the right to test employees where a liability risk or the safety of others is involved. Remember, you must report to a designated medical care facility within 24 hours of the report of an on-the-job incident (accident, injury, or occurrence) for a drug and alcohol test. Failure to do so is a violation of ZECO safety policy and will result in your immediate termination. ZECO had a drug-free workplace program and will not employ individuals who voluntarily admit to current drug use or who test positive for drug use. A negative result on a drug test does not guarantee employment. Temporary positions are not permanent and are not guaranteed to last for any specific period of time. Employment can end at any time for any or no cause and can be terminated at will. I have read and understand the above statements and voluntarily agree to undergo controlled substance testing and, further, agree to periodic retesting, if required.
Acceptance Accept
Decline

ZECO

Please Read Carefully

I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contract.I also understand that (1) the Company has a drug and alcohol policy that provides for pre-employment testing as well as testing after employment; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy.I understand that, in connection with the routine processing of your employment application, the Company may request from a consumer reporting agency and investigative consumer report including information as to my credit records, character, general reputation, personal characteristics, and mode of living. Upon written request from me, the Company, will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act.
Acceptance Accept
Decline