Employment Application

The following employment application and related information is very important for the consideration of your qualifications for employment. All information requested is to be accurately completed in detail. Sundance Mechanical & Utility, Corp. reserves the right to cease consideration of any application for which there are questions regarding accuracy and/or lack of complete detail. If any individual is hired before any falsification or omission is discovered, he/she is subject to termination.

This application will be considered to fill available positions for which you are qualified for a period of 30 days after we first receive it. If you choose to be considered for employment opportunities with Sundance beyond that time, a new application for consideration will be required.

We hire applicants solely based upon merit. We do not discriminate on the basis of union affiliation, race, religion, sex, gender, color, age, national origin, disability, or any other protected status.

We base our hiring decisions on a variety of factors, including skills and ability to perform the job, prior employment with us, employment references as to character and willingness to work, willingness to accept the offered pay and personal interviews.

Full time employees are expected to work only for us and acceptance of a full time position serves as an unconditional statement that they will not be employed by any other employer while they work for us.

Signature(Required)

Date(Required)

MM slash DD slash YYYY

Sundance Mechanical & Utility Corporation

EMPLOYMENT APPLICATION

Position Applied For(Required)

Date(Required)

MM slash DD slash YYYY

Name(Required)

First Middle Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Permanent Address

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Email(Required)

Referral Source (How did you hear about us?)

HAVE YOU BEEN EMPLOYED HERE BEFORE?(Required)

YES

ARE YOU 18 YEARS OR OLDER?(Required)

YES

ARE YOU LEGALLY AUTHORIZED TO WORK IN THE UNITED STATES?(Required)

YES

As required by law, documents that prove identity and eligibility to work must be provided at time of hire.

DATE AVAILABLE TO START WORK(Required)

MM slash DD slash YYYY

SALARY DESIRED(Required)

ARE YOU EMPLOYED NOW?(Required)

YES

MAY WE INQUIRE OF YOUR PRESENT EMPLOYER?(Required)

YES

EDUCATION

High School(Required)

(Include City & State)

Years Attended(Required)

Please enter a number from 1 to 8.

Did you graduate?(Required)

Yes

Subjects Studied(Required)

College(Required)

(Include City & State)

Years Attended(Required)

Please enter a number from 1 to 20.

Did you graduate?(Required)

Yes

Subjects Studied(Required)

Trade/Business School(Required)

(Include City & State)

Years Attended(Required)

Please enter a number from 1 to 20.

Did you graduate?(Required)

Yes

Subjects Studied(Required)

Special Skills

Second Language?(Required)

Yes

Second Language

US Military or Naval Service?(Required)

Yes

Date of Service (Start)

MM slash DD slash YYYY

Date of Service (End)

MM slash DD slash YYYY

Branch of Service

Military Rank

Are you a member of the National Guard or Reserves?(Required)

Yes

Rank

Do you have a current driver's license?(Required)

Yes

Driver's License Number

State

Do you have a current CDL?(Required)

Yes

Commercial Driver's License (CDL) Number

CDL Issuing State

References

Please list names and telephone numbers of persons who are not related to you, whom you have known at least one year.

Name

First Last

Phone

Business

Years Acquainted

Please enter a number from 1 to 20.

Name

First Last

Phone

Business

Years Acquainted

Please enter a number from 1 to 20.

Name

First Last

Phone

Business

Years Acquainted

Please enter a number from 1 to 20.

Employment History

List below at least your last three employers, starting with the present or most recent one first.

Employer #1

(Required)

Date From

MM slash DD slash YYYY

Date To

MM slash DD slash YYYY

Employer Name & Address

Position

Salary

Reason for Leaving

Employer #2

(Required)

Click here if this field is Not Applicable

Not Applicable (Employer #2)

Date From

MM slash DD slash YYYY

Date To

MM slash DD slash YYYY

Employer Name & Address

Position

Salary

Reason for Leaving

Employer #3

(Required)

Click here if this field is Not Applicable

Not Applicable (Employer #3)

Date To

MM slash DD slash YYYY

Date From

MM slash DD slash YYYY

Employer Name & Address

Position

Salary

Reason for Leaving

Employer #4

(Required)

Click here if this field is Not Applicable

Not Applicable (Employer #4)

Date From

MM slash DD slash YYYY

Date From

MM slash DD slash YYYY

Employer Name & Address

Position

Salary

Reason for Leaving

Which of these jobs did you like best?(Required)

Why did you like that job best?(Required)

Do you have any limitations that prevent you from performing any work for which you are being considered?(Required)

Yes

If yes, please describe:

In case of an emergency notify:(Required)

First Last

Emergency Contact Phone:(Required)

Emergency Contact Address(Required)

Street Address Address Line 2 City State ZIP Code

Emergency Contact Relationship(Required)

Consent(Required)

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

I certify that all of the information submitted by me on this application is true and complete, 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.

In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause and/or notice, at any time by Sundance Mechanical & Utility, Corp. I understand that no company representative, other than the President, and only when in writing and signed by the President, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the forgoing.

I understand that an offer of employment is contingent on my providing sufficient documentation necessary to establish my identity and eligibility to work in the United States.

I understand that if selected I may have access to or work with sensitive, proprietary, trade secrets and confidential information and agree not to disclose it unless there is a legitimate business reason to do so and only to those with a need to know.

I hereby authorize Sundance Mechanical and Utility Corp to inquire as to my ability to perform the position offered, with my former employers and personal references.

By signing below, I acknowledge that I have read, understand, and agree with the above statements.

Signature(Required)

Date(Required)

MM slash DD slash YYYY

DRIVERS LICENSE INFORMATION - Please list all citations received and accidents involved in during the past three (3) years:

DRIVERS LICENSE CITATION AND ACCIDENT INFORMATION

I certify the above statements to be true and correct to the best of my knowledge.

I authorize investigation of all statements listed above. I understand that falsified
statements listed above shall be grounds for immediate termination.

As a condition of employment, I will agree to immediately notify Sundance Mechanical
& Utility about any traffic citation received by me during any period of employment
offered by the Company.

Signature(Required)

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Date(Required)

MM slash DD slash YYYY

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