Personal Information

First Name *

Middle Name *

Last Name *

Address 1 *

Address 2

City *

State *

Zip Code *

Phone *

Email Address *

Social Security Number *

Position(s) Applying For *

Hourly Rate/Salary Desired

Are you 18 years or older? *

Yes

No

Are you legally authorized to work in the United States? *

Yes

No

Have you ever been convicted of a felony or misdemeanor? (Other than traffic violations.) *

Yes

No

If yes, please explain.

NOTE: A conviction will not necessarily be a bar to employment. Factors such as date, nature, and number of offenses, age at the time of the offense, and rehabilitation will be considered.

How did you hear about Bulldog Rack Company? *

Are you related to anyone employed at Bulldog Rack Company? *

Yes

No

Availability

Are you currently employed? *

Are you currently on "layoff" status and subject to recall? *

When would you be able to begin work? *

Are you available to work: *

Full Time

Part Time

Shift Work

Temporary

Are you available to work overtime? *

Yes

No

Employment History

Employer 1

Company Name

Address

Phone

Start Date +

End Date +

Position

Salary

Supervisor/Manager

Reason for Leaving

May we contact? *

Yes

No

Employer 2

Company Name

Address

Phone

Start Date +

End Date +

Position

Salary

Supervisor/Manager

Reason for Leaving

May we contact? *

Yes

No

Employer 3

Company Name

Address

Phone

Start Date +

End Date +

Position

Salary

Supervisor/Manager

Reason for Leaving

May we contact? *

Yes

No

Education

Name of High School *

Years Completed *

Diploma/Degree *

Honors Received

Name of College/University

Diploma/Degree

Years Completed

Course of Study

Honors Received

Name of Graduate/Professional School

Diploma/Degree

Years Completed

Course of Study

Honors Received

References

Reference 1

Name *

Title *

Email Address

Phone *

Reference 2

Name

Title

Email Address

Phone

Reference 3

Name

Title

Email Address

Phone

Special Skills and Training

Other than English, are you fluent in any languages? Please list: *

In what computer programs do you feel you have proficiency? *

Do you have any other advanced training, continuing education, or special study experience that you think would be helpful in the position for which you are applying? Please list: *

List any additional skills that you would like to mention.

Please submit a copy of your resume. *

Applicants' Agreement

APPLICANT’S AGREEMENT

I understand and agree that, if I am employed by Bulldog Rack Company, my employment and compensation is entirely “at will,” which means neither are guaranteed for any definite period of time, and either can be modified or terminated, with or without cause, and regardless of the date of payment of my wages and salary, and with or without prior notice at any time, at the option of either the company or myself. I understand and agree that the company reserves the right to establish and/or change any of the terms or conditions of any aspect of my employment at its discretion at any time with or without notice. I understand and agree that no other individual oral or written agreements of any kind pertaining to the terms of my employment and/or my compensation exist outside this agreement between the company and myself, and if I believe that any type of previous agreements between any company representative and myself have been made, I agree they are superseded by the contents of this agreement. I understand and agree that no representative of the company, other than the President, the Chairman of the Board, or the Board of Directors as a whole, have any authority to enter into any other agreement with me personally or provide me with assurances relating to any aspect of my employment with the company, except that above-mentioned officials of the company may do so in writing.

In addition to the wages I am paid by the company, I also agree that my continued employment and $1.00 of the wages I am paid when I first report to work will serve as sufficient consideration to bind this agreement.

I authorize the company to investigate my background, qualifications and/or other information on me as it deems appropriate. I also authorize anyone the company contacts as part of its investigation to release any information they have regarding me or my employment to the company representatives. Further, I authorize the company to release the results of any background checks conducted on me and any information related to me or my employment as it deems appropriate. I also agree to release all parties, including the company and its representatives, from all liability for any damage that may result from either releasing or furnishing any such information. I agree that if I breach or threaten to breach this agreement, I will indemnify all parties from any loss or expenses incurred by my breach, including, but not limited to, all of their attorney’s fees and administrative costs deemed necessary and reasonable by the other party.

I also certify that the facts contained in this application are true and complete to the best of my knowledge and understand that if I am employed, any statements I have falsified on this application shall be grounds for dismissal. I further certify that I have read all of the foregoing, understand the same and do hereby voluntarily agree to all the provisions contained herein.

New Hire Testing

(Drug Test Only) - As part of the Company’s employment procedures, all new hires will be required to undergo a drug test at a time determined by the Company and prior to the end of the first 90 days of employment (Introductory Period). Any offer of continued employment beyond the first 90 days is contingent upon, among other things, satisfactory completion of a drug test. The Company shall make this Policy available to the new hires for review and offer an opportunity for the new hires to ask questions concerning the Policy. Testing must be undertaken as soon after notification as possible, but no later than 48 hours. The Company will not continue to employ any person who refuses to take or fails the drug test or medical examination, and such person shall not be permitted to re-apply for a minimum of ninety (90) days.

READ CAREFULLY BEFORE SIGNING

“I agree that any claim or lawsuit relating to my service with Bulldog Rack Company or any of its subsidiaries must be filed no more than six (6) months after the date of the employment action that is the subject of the claim or lawsuit. I waive any statute of limitation to the contrary.”

If you are hired, this employment application will become part of your official employment record.

Applicant's signature *

Date *