Can you, upon hire, verify your identity and submit verification of your legal right to work in the United States in compliance with
federal law by completing the required employment verification document (I-9)? Y N
Have you ever been convicted of a felony? (Do not include marijuana related convictions which occurred more than two years prior
to the date of this application? Y N
If yes, please explain:
If you are under 18 years of age, can you, upon hire, supply proof of age and/or a Work Permit? Y N
If hired, do you have reliable means of transportation to get to work? Y N
How were you referred to the Company? Advertisement Employee Referral Walk-in Agency Other
Please list source:
F&S complies with The Americans With Disabilities Act and State Law. If you feel that you require reasonable accommodation, at any step of
the interview/application process please notify us within a reasonable time. We may request that you support your request with medical
Please list in order of most recent employment first.
If currently employed may we contact your present employer about this application? Y N
Please list professional/work references who are familiar with your work experience we may contact.
Additional Education, Vocational and/or Professional Information
Please Read Carefully, Initial Each Paragraph, and Sign Below.
I certify that I have answered truthfully and have not knowingly withheld any information relative to my application. I understand that
any misrepresentation of this application may result in my being eliminated from further consideration. I further understand that, if
accepted for employment, any misrepresentation which becomes known to F&S may be cause for termination. I understand that
nothing contained in this application, or conveyed in the interview, creates an employment contract.
Fairn and Swanson Inc. welcomes diversity in the workplace and is an Equal Employment Opportunity employer. We conduct all employment-related activities without regard to race, color, religion, gender identity, marital status, age, disability, veteran status, sexual orientation, national origin, or other classification protected by applicable State and Federal employment discrimination laws.
To assist F&S in maintaining accurate employment records and comply with Federal government reporting requirements, your assistance is requested. The information you provide, below, is considered entirely voluntary and confidential, and will be used only for data reporting requirements. If you choose not to self-identify, your employment status will not be affected in any way. Your form will be separated from your application and will not be considered in connection with your application.
Race/Ethnic Group: Please check one of the descriptions below corresponding to the race/ethnic group with which you identify.
Veteran Status: Please check all which describes your veteran status.