Position Applying for: (Required) Experienced Conveyor Service Tech Apprentice Conveyor Service Tech Field Foreman - Fabrication and Mechanical Welder/Fabricator Inside Sales - Customer Service Industrial Sales Coordinator Outside Sales - Orlando - East FL Outside Sales - Miami - Southeast FL Outside Sales - North, FL Outside Sales - Panhandle FL Operations Manager Met at tradeshow Former Employee Name (Required)
Enter Full Legal Name
(Required) Availability (Required) How many days of work have you missed during the past year? (required; Exclude absences due to disability or those covered by FMLA) (Required) Are you currently employed? (Required) Are you currently on "Lay off" status and subject to recall? (Required) Are you at least 18 years of age? (Required) Employed by Davis Industrial before? (Required) Do you have a relative working here? Do you have reliable means of transportation? Do you have a valid driver's license? (Required) State Issued (Required) Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Americas Armed Forces Europe Armed Forces Pacific Have you had your driver's license suspended or revoked in the last 3 years? (Required) Do you have a valid CDL license? (Required) If employment is offered, can you submit TWO of the following: birth certificate, social security card, U.S. Passport, state issued drivers license, or other verification of your identity and authorization to work in the U.S. ?* (Required) Have you ever been convicted of a felony within the last 7 years?* (Required) Have you ever been discharged from any employment or been asked to resign? (Required) Are you bound by any agreement(s) (including signing a non-competition, non- disclosure, or non-piracy agreement) that would limit your ability to work for Davis Industrial? (Required) If YES, please explain (Required) EDUCATIONAL DATA High School Did you graduate High School? (Required) High School Address
(Required) College Did you graduate college? (Required) College Address
Please explain "other". (Required) Trade or other Schooling Trade or Other Schooling (Required) Trade or Other School Address
Special Skills and Qualifications
Please include any other information you think would be helpful to us in considering you for employment, such as additional work experience, skills, abilities, articles/books published, activities, foreign languages, accomplishments, professional/trade/business/or civic activities and offices held, etc. (You may exclude all information indicative of age, sex, religion, national origin, handicap, or disability or any relationship with any labor organization).
What machines and/or equipment can you operate that are related to the job for which you are applying? MILITARY EXPERIENCE Have you ever served in the U.S. Armed Forces? (Required) If you answered YES please include the information below (Required)
Rank at Discharge (if applicable) /
Type of Discharge (if applicable)
Please list 3 professional references.
1. Reference (Required)
2. Reference (Required)
3. Reference (Required)
EMPLOYMENT HISTORY 1. Employer 2. Employer 3. Employer Only 3 employers are required on this form. You may attach your full resume at the end of this application for any additional employers you want to provide. May we contact your present employer? (Required) Please identify any exceptions and reasons for not contacting this employer. (Required) May we contact your previous employer(s)? (Required) Please identify any exceptions and reasons for not contacting this employer(s). (Required) DISCLAIMER AND SIGNATURE Consent (Required)
It is BMG Conveyor Service of Florida Inc DBA Davis Industrial’s (DAVIS) policy to afford equal opportunity to all employees and applicants for employment without regard to age, race, religion, color, sex, national origin, marital status or sexual orientation, individuals with a disability, or any other characteristic protected by applicable Federal, State or Local law.
I authorize the investigation of all statements and information contained in this application. I release from liability anyone supplying such information and I also release DAVIS from all liability that might result from making an investigation.
If employed, I agree to not engage in any outside activity that would involve a material conflict of interest with or could reflect adversely on DAVIS. I understand that DAVIS retains the right to solely decide· when such conflict exists. If employed, I agree to hold in strictest confidence any information concerning DAVIS’s business that may come to my knowledge.
In consideration of my employment, if I am employed, I agree to conform to the employment policies of DAVIS and understand that my employment and compensation can be terminated, with or without notice, at any time, at the option of either DAVIS or myself. I understand that no representative DAVIS other than the President, has the authority to enter into any agreement for employment for any specified period, or to make any agreement contrary to the foregoing.
I understand that completion of this employment application does not guarantee that I have been employed by DAVIS.
I certify that all answers given by me are true, accurate and complete, I understand that the falsification, misrepresentation or omission of fact on this application (or any other accompanying or required documents) will be cause for denial of employment or immediate termination of employment, regardless of when or how discovered.
In connection with my ongoing employment or my application for employment, should I have or secure a position with DAVIS, I understand that a motor vehicle record, which contains public record information, may be requested. I further understand that such report(s) will contain personal information and public record information concerning my driving record from federal, state, and other agencies that maintain such records, as well as independent services that provide driving record information.
I authorize, without reservation, any party or agency contacted to furnish the above-mentioned information to DAVIS’ Insurance Agency or its agent.
I hereby authorize procurement of my motor vehicle report. If hired, this authorization shall remain on file and shall serve as ongoing authorization for you to procure such reports at any time during my employment. DAVIS’ commercial auto insurer and agent will also use this information in conjunction with loss control and safety review efforts.
I hereby authorize BMG Conveyor Services of Florida Inc DBA Davis Industrial to conduct any and all reference and background checks it desires that are listed under the terms of the Background Check Policy, and with this I authorize the Company to speak with my acquaintances, personal and professional, to gather information about me.
I authorize all former employers and references to provide any information about me to the Company and release them of all liabilities and damages of all kinds for providing this information. I authorize the Company to verify the accuracy of all information that I have provided, and also release my educational transcripts to the Company for education verification purposes.
I understand and agree that the results of my reference and background checks may affect the employment decision of BMG Conveyor Services of Florida Inc DBA Davis Industrial, and I hereby release BMG Conveyor Services of Florida Inc DBA Davis Industrial from all claims which may result from my reference and background check results.
I also understand that the Background Check Policy is subject to change without notice, in order to maintain compliance with government and industry standards, and Company policy. I hereby acknowledge that I have read, understand and agree to the preceeding statements. Consent Signature (Required)
ATTACH RESUME (Required)
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