Mold Removal Worx LLC

Employement Application

All questions with * must be answered. 

Name
Email

Identification& Employment Eligibility

Are you legally authorized to work in the United States?
Will you now or in the future require sponsorship for employment.
Have you ever worked for this company before?
If Yes, when?
Do you have reliable transportation?
This position will include company specific training, are you willing to sign a two year non-competition contract that will cover Page, Shenandoah, Rockingham, and Augusta counties.
Education Check All That Apply

Work Experience

Name
Address
Do we have permission to contact this previous employer?
Name Previous Employer #2
Address
Do we have permission to contact this previous employer?

Skills and Qualifications

Can you read, write and speak English?
Can you follow verbal and written instruction?
Can you work independently with minimal or no supervision?
Choose All That Apply Do you have experience in any of the following areas?
Please list other experience that would be pertinent to this position.
This position requires working in confined spaces and wearing a respirator. Can you perform these essential job functions with or without reasonable accommodation?
This position requires lifting and moving up to 50 pounds. Can you perform this function with or without reasonable accommodation?

APPLICANT CERTIFICATION & AT-WILL EMPLOYMENT

By typing my full name below, I certify that all information provided in this application is true and complete to the best of my knowledge. I understand that any false or misleading information may result in disqualification from employment or termination if employed. I further acknowledge that my typed name constitutes my legal electronic signature and is binding to the same extent as a handwritten signature under applicable law.

NOTICE REGARDING SENSITIVE INFORMATION

Information provided in this application will be used solely for employment evaluation purposes and will be handled in accordance with applicable laws. However, do not provide any sensitive information.

Thank you for applying with Mold Removal Worx LLC