Application

If you are interested in being employed by EBY please fill out the application below. Thanks!


Yes

Yes

Yes

Yes

Education Name and Location of School Years Completed Did you Graduate?
Grammer School:

Yes

High School:

Yes

College:

Yes

Additional Education:

Yes

Subjects Studied:
Job Related Skills:
Activites:
Former Employers
Dates Name and Address of Employer Salary Position Reason for Leaving

From:

To:

From:

To:

From:

To:

Which of these jobs did you like best, why?:
Which of these jobs did you like least, why?:
References
Name Phone Number Business Years Knonw
Authorization

I certify that all the information submitted by me on this application is true and complete and to the best of my knowledge 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.

I understand that any employment is conditioned on a background check. I authorize M.H. Eby, inc. to thoroughly investigate all statements contained in my application and resume, and I authorize my former employers and references to disclose information regarding my former employment, character and general reputation to M.H. Eby, Inc., without giving me prior notice of such disclosure. I release M.H. Eby, Inc., any former employers and all references listed above from any and all claims, demands or liabilities arising out of or related to such investigation or disclosure.

I understand and agree that nothing contained in this application or conveyed during any interview is intended to create an employment contract. I further understand and agree that if I am hired my employment will be “at will” and without fixed terms and may be terminated at any time with or without cause and without prior notice at the option of either myself or the Company. No promises regarding employment have been made to me and I understand that no such promise or guarantee is binding upon the Company unless made in writing.

If I am offered employment I agree to submit to a medical examination and drug test before starting work. If employed, I also agree to submit to a medical examination or drug test at any time deemed appropriate by M.H. Eby, Inc. and as permitted by law. I consent to such examinations and tests, and I request that the examining doctor disclose to M.H. Eby, Inc. the results of the examination, which results shall remain confidential and separate from my personnel file. I understand that my employment and continued employment, to the extent permitted by law, is contingent upon satisfactory medical examinations and drug test and if I am hired a condition of my employment will be that I abide by the company’s Drug and Alcohol policy.

I understand that filing out this form does not indicate there is a position open and does not obligate the Company to hire. If hired, I agree to abide by all Company work rules, policies and procedures. M.H. Eby, Inc. retains the right to revise its policies or procedures, in whole or in part, at any time.