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State / Province / Region
ZIP / Postal Code
Date of Birth
Drivers License State
District of Columbia
Drivers License Number
Post Applying For
Date Available for Work
Are you eligible to work in United States
Graduation/Last Date Attended
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License, Registration or Certification
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May we contact your current employer?
It will be necessary to contact your current employer before an offer of employment can be made.
Have your ever been discharged or asked to resign from a position?
If yes, please provide full explanation including employer's name and contact information.
Please attach a cover letter and or resumer here
Drop files here or
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Bird Electric Enterprises, LLC may, with your consent, obtain a consumer report (as defined by the Fair Credit Reporting Act) from Imperative Information Group, Inc., a Consumer Reporting Agency, related to your prospective, current, or future employment. This may include procurement of an investigative consumer report (defined as a report that includes information as to your character, general reputation, personal characteristics, or mode of living). You may request that the nature and scope of any investigative consumer report be disclosed to you along with a summary of your rights under the Fair Credit Reporting Act. On request, this information will be provided within five days of our receipt oft he request from you or five days after the date the investigative consumer report was first requested, whichever is later. Please list each city/county and state in which you have lived, worked or attended school during the last ten years.
By typing your name below, I authorize Bird Electric Enterprises, LLC or any of it's affiliated or successor companies to obtain the consumer reports described above at any time in connection with my prospective or continued employment. I also grant permission to all parties to release information regarding my previous or current military service, employment, education, criminal, or other matters to Imperative Information Group, Inc., including information which may be deemed negative.
The disclosure of prior criminal justice system involvement will not necessarily adversely affect your employment opportunity. The nature and severity of the offense(s), the relevance of the offense(s) to the position sought, the time that has passed since the offense(s), and the entirety of your background and experience will be evaluated along with any other criteria mandated by state or federal law. Failure to answer this question accurately and fully may be considered fraud and result in the elimination of your consideration for this position or your termination from employment. The ComP-any conducts very thorough background investigations. Within the state/municipal-specific exceptions noted below, please list all misdemeanor and felony criminal matters, including any active cases, other than minor traffic safety violations for which no arrest was made, in which you were charged, regardless of disposition (outcome), or for which you participated in a pre-trial diversion or other programs to avoid prosecution. Also provide information about any arrests in the prior twelve months, including information as to whether charges are pending or other information concerning the outcome of the arrest, or investigations which may result in prosecution. Please exclude any sea led, expunged, annulled, or erased records. Please provide dates, offense information, city and state, and disposition information, including the status of the case; if the case was dismissed, the reason for the dismissal; whether a conviction occurred; or describe any other outcome. You may provide this information on a separate document bearing your signature and the date if desired
Date ·Jurisdiction (City, County, State) Offense· Dispostion (Outcome) & Sentence (if applicable)
If you believe that the criminal history information listed on the previous page does not adequately reflect the circumstances surrounding your criminal history or if there is additional information not included elsewhere on this application that you believe the Company should be aware in evaluating your fitness for this position, please provide that information below. You may provide this information on a separate document bearing your signature and the date, l! desired.
I authorize Bird Electric Enterprises, LLC ("the Company") to make any and all legal inquiries it deems necessary to evaluate this application for employment. I authorize Bird Electric Enterprises, LLC or any of its affiliated or successor companies to obtain the consumer reports described above at any time in connection with my prospective or continued employment. I also grant permission to all parties to release information regarding my previous or current military service, employment, education, criminal, or other matters to the Company or Imperative Information Group, Inc., including information which may be deemed negative. I hereby affirm that my statements and answers to questions herein are true and correct to the best of my knowledge. I have not knowingly withheld any fact or circumstance that might, if disclosed, affect the Company's consideration of me for employment. I understand that any misrepresentation, deception, omission, or false statement made in this Employment Application or in any other information provided to the Company may result in my not being considered for employment. and if not discovered by the Company until after my becoming employed, is grounds for, and may result in, my immediate termination. I agree to hold in strictest confidence any information concerning the Company, its products. services or processes, its clients, or its employees which may come to my knowledge. I understand that completion of this Application For Employment, the Consumer Report Disclosure Form, or any other paperwork, exam, or communication concerning my qualification or fitness for a position does not mean that I have been or will be employed by this Company.
Sign by writing your full name here
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