Complete all blanks. Attach a resume if available.

Personal Information


Have you ever applied with this company?
Have you ever been employed by this company?



Years completed
Diploma or GED


Have you ever served in the Armed Forces? (If yes, please provide the following information.)
If yes, please provide the following information.

Employment History

List your three most recent employers (current or most recent first).


Please provide (3) PROFESSIONAL references (no friends or family.) These references should be able to attest to your work performance.
Reference 1
Reference 2
Reference 3


Have you ever pleaded to or been found guilty of a felony or misdemeanor?

Convictions are not an absolute bar to employment and will be considered only if there is a substantial relationship to the circumstances of the particular job or bondability is an issue. Failure to disclose any and all felony or misdemeanor convictions may be considered falsification of the application and be a bar to your employment. Applicants are not required to disclose expunged or sealed records of conviction or arrest.

Drivers License

To comply with the Federal Immigration Reform and Control Act, EMPLOYER requires all new hires to show proof of their eligibility to work in the United States (Form I-9). Failure to produce the required documents will cause EMPLOYER to withdraw its job offer and terminate an individual's employment. (Most common documents to provide are a copy of your driver’s license and social security card, but there are other options.) 
Print as it appears on your driver's license:
License is valid & unrestricted
Do you have a CDL?
Previous Driver Licenses Information List any other licenses/permits you may have held in different states in the past three years.
In the past three years have you worked in a position that required a CDL?
In the past three years, have you applied for a position that required a CDL, but were not hired for that position?
If you answered yes, have you tested positive on any Federal DOT pre-employment drug or alcohol test?
Have you refused to take a Federal DOT pre-employment drug or alcohol test?
If you answered YES to either of the questions above, you are required to provide documentation that you have successfully completed the return to-duty process required by Part 40 Subpart O.
I agree that evidence of driving while under the influence of alcohol or illegal drugs during my employment will be grounds for immediate termination without recourse. I hereby authorize the release and delivery of all motor vehicle driving records relating to the undersigned, including but not limited to personal information, to Fox Structures, Inc. and/or its representative and its insurance agent. This authorization will remain in effect during the course of my employment. A photocopy of this executed authorization shall be as valid as an original. *
Hover mouse over box above, left click and hold button down to sign.

Drug & Alcohol Testing

I understand that participation in the anti-drug and alcohol program is a requirement of employment and therefore, a condition of employment. Employees who work for Fox Structures, Inc. will be deemed to have implied their consent to cooperate in its efforts to maintain a workplace free from the effects of alcohol and controlled substances. This does not alter the at-will employment relationship between the Company and its employees. It is not meant to create a contract or expectation of future employment and is merely one condition of continued employment.

I understand that I may undergo pre-employment testing and testing throughout my employment for controlled substances, illegal drugs and alcohol. I understand that the results of testing will be used in determining my eligibility for hire and continued employment. A photocopy of this executed authorization shall be as valid as an original. *
Hover mouse over box above, left click and hold button down to sign.


- I certify that answers given herein are true and complete to the best of my knowledge.

- I authorize the company to investigate my responses on this application and contact any or all of my former employers or any individuals familiar with me or my employment background for the purpose of verifying any information I have provided and/or for the purpose of obtaining any information, whether favorable or unfavorable, about me or my employment. I voluntarily and knowingly fully release and hold harmless any person or organization that provides information pertaining to me or my employment.

- I understand that as part of the processing procedure for my employment application an investigative report regarding my criminal record, including misdemeanors and traffic violations, may be completed. I also understand that if I am denied a job based on information included in that report, I will be supplied with a copy of that report.

- I hereby understand and acknowledge that unless otherwise defined by applicable law, any employment relationship with this organization would be of an “at will” nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

- In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in denial of employment or discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

- I understand that as a condition of employment, I may have to undergo a drug/alcohol test and/or a physical examination.

- I agree that if I become indebted to the Company, I will be responsible for repaying the total owed upon termination from the Company. If I do not repay the sum prior to my final paycheck being received, the money owed will be deducted from my pay.

- This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period must apply again. *
Hover mouse over box above, left click and hold button down to sign.
A photocopy of this executed authorization shall be as valid as an original.
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