Modern Builders Supply, INC.

Modern Builders Supply, Inc. Application for Employment


Want to mail an application or apply in person? Click here to download a PDF form that you can print and return to us through the mail or at our home office in Austintown.


GENERAL INFORMATION:




Are you eligible for employment in the U.S.?*


Are you of legal age to work full-time?*


Valid?


What position are you applying for?*


What is your shift preference?


Have you ever been previously employed by MBS or any of its divisions?


If the answer to question above is yes, please explain below:


EDUCATION HISTORY:


PROFESSIONAL REFERENCES:

Please list two references, other than relativs or previous employers, who have knowledge of your work experience and/or education.


WORK EXPERIENCE AND TRAINING:

Please list your work experience for the past five (5) years beginning with your most recent job held. If you were self-employed, give the firm name.

Dates of Employment

Start Date

End Date


Dates of Employment

Start Date

End Date


Dates of Employment

Start Date

End Date


Dates of Employment

Start Date

End Date


Dates of Employment

Start Date

End Date


Do you have any qualifications that relate to the position you are applying for:


ADDENDUM FOR OVER-THE-ROAD DRIVER APPLICANTS:

Have you ever held a position where you were subject to the Federal Motor Carrier Safety and Administration regulations?


Have you ever held a position designated as safety-sensitive
and required Department of Transportation mandated drug and
alcohol testing?


Have you ever been denied a license, permit, or privilege to operate a motor vehicle?


Have you ever had a license, permit or privilege suspended
or revoked?


PROFESSIONAL DRIVING EXPERIENCE:


ACCIDENT RECORD:

List all accidents you were involved in in the last 10 years regardless of whether fault was assigned.


TRAFFIC CITATIONS:

List all moving and non-moving violations (other than parking violations) for the past 10 years.


States you have operated in for the past 10 years:


AUTHORIZATION, DISCLAIMER & ELECTRONIC SIGNATURE:

I hereby authorize the investigation of all statements contained in this application and on my resume, if provided. I certify that all statements made on this application (and on my resume if provided) are true. I understand that misrepresentations or omissions of facts are cause for termination of employment without notice, regardless of when the misrepresentation or omission might be discovered. I also understand that this application is not intended to, nor does it, create a contract of employment, and if this application leads to employment, my employment will be at-will. I also understand that this application does not obligate the employer in any way, should the employer decide to employ me.

It is Modern Builders Supply's policy to comply with all applicable state and federal laws prohibiting discrimination in employment based on race, age, color, sex, disability, religion, national origin, or any other protected classification.

Modern Builders Supply, INC.

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APPLICANT EEO INFORMATION:

It is the policy of Modern Builders Supply, Inc. to provide equal employment opportunity to all qualified applicants for employment without regard to race, color, religion, national origin, sex, age, veteran status or disability. Various agencies of the government require employers to invite applicants to identify themselves as indicated below.

COMPLETION OF THIS PORTION IS VOLUNTARY AND IN NO WAY AFFECTS THE DECISION REGARDING YOUR APPLICATION FOR EMPLOYMENT. THIS FORM IS CONFIDENTIAL AND WILL BE MAINTAINED SEPARATELY FROM YOUR EMPLOYMENT APPLICATION.


What is your sex?


What is your race/ethnic origin?


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