Wragg Brothers Employment Application Personal InformationName* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Phone*Cell Phone*Email* Employment DesiredPosition Desired*Date You Can Start* Month Day YearSalary Desired*Are you currently employed?*YesNoMay we contact your current employer?*YesNoHave you ever applied to this company before?*YesNoEducation HistoryGrammar School Name*School Address*Years Attended*Subject Studied*High School Name*School Address*Years Attended*Subject Studied*College Name*College Address*Years Attended*Subject Studied*Trade School Name*Trade School Address*Years Attended*Subject Studied*General InformationSubjects of special study/research work or special training/skillsU.S. Military Service (Branch)Military RankFormer Employer #1Employer #1: Name*Employer Company NameEmployer #1: Address*Street, City, State, ZipEmployer #1: Position*Your PositionEmployer #1: Salary*Your annual salaryEmployer #1: Date Started* Month Day YearEmployer #1: Date Ended* Month Day YearFormer Employer #2Employer #2: Name*Employer Company NameEmployer #2: Address*Street, City, State, ZipEmployer #2: Position*Your PositionEmployer #2: Salary*Your annual salaryEmployer #2: Date Started* Month Day YearEmployer #2: Date Ended* Month Day YearFormer Employer #3Employer #3: Name*Employer Company NameEmployer #3: Address*Street, City, State, ZipEmployer #3: Position*Your PositionEmployer #3: Salary*Your annual salaryEmployer #3: Date Started* Month Day YearEmployer #3: Date Ended* Month Day YearReferencesReference #1: Name*Reference #1: Address*Reference #1: Phone*Reference #2: Name*Reference #2: Address*Reference #2: Phone*Reference #3 Name*Reference #3: Address*Reference #3: Phone*Authorization Consent* I agreeEmployment Verification I understand that I have a right to receive a copy of this authorization on request and that a photographic, scanned, faxed, or emailed copy of this authorization shall be as valid as the original. I certify that the answers given herein are true and complete to the best of my knowledge. I authorize the investigation of all statements in this application and give the Company permission to contact schools, previous employers, references, and others and release the Company from any liability because of such contact. I understand that any false information, omission, or misrepresentation of information requested or provided in connection with this application may remove me from further consideration for employment. I also understand that false information, omissions, or misrepresentations at any time may be cause for termination of employment. At Will Employment If accepted for employment, the Company will make every effort to provide steady continuous work, although the Company has no employment contracts and cannot guarantee the permanence of any position. Job tenure can be affected by many factors (business, economic conditions, changes in laws or Company policies, conformity to work rules, job performance, etc.) in addition, employees may elect on their own accord to seek jobs in other fields or with other employers. I understand that my employment with the Company is for no specific term and may be terminated by me or the Company with or without notice or cause at any time. I further understand that no oral promise, Company policy, custom, business practice or other procedure (including Company handbook or personnel manuals) constitutes an employment contract or modification of the at will employment relationship between me and the Company. The contents of any employment handbook or personnel manuals, as well as other Company policies and practices are subject to change or modification by the Company, solely at its discretion, without notice. I also understand that no supervisor or other official of the Company (except its Chief Financial Officer in writing) has the authority to enter into any agreement with me or to make any agreement contrary to the foregoing. Consent to Pre-Employment Drug Testing I acknowledge that, together with my Application, the Company has provided me with a copy of its written Preemployment Drug Testing Policy Statement. I understand that, by signing the Application below, I consent to the Company’s right to require me to submit to a test for the presence of drugs in my system prior to employment and at any time during my employment, to the extent permitted by law. I further understand that a Drug-Free Workplace program is in effect and that a positive result for the drugs tested may be grounds for termination from employment. I understand that any offer of employment may be contingent upon satisfactory drug testing. I understand that should I decline to sign this consent, the Pre-Employment Drug Testing Policy Statement, or take any of the required drug tests, my application may be rejected.Signature*Sign with a touch screen device or your mouse.PhoneThis field is for validation purposes and should be left unchanged.