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                         

                                      Myers...Since 1884

                                       

                                       

                                       

                                       

                                       

                                      B.L. Myers Bros. is currently seeking qualified Well Drillers and Pump Installers for all of our four office locations (see contact info). Please contact us via telephone (1-800-947-5552) or email and we will send you an employment application. B.L. Myers Bros. is an equal opportunity employer.
                                       

                                      Application for Employment
                                      We are an equal opportunity employer and do not unlawfully discriminate in employment. No question on this application is used for the purpose of limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Equal access to employment, services, and programs is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the organization.

                                       

                                       

                                       

                                       

                                       

                                       

                                       

                                       

                                       

                                       

                                       

                                       

                                       

                                       

                                       

                                       

                                      Online Application

                                       

                                      Required information

                                      Name

                                       

                                       

                                      Email

                                       

                                       

                                      Phone

                                       

                                       

                                        Address 1

                                       

                                       

                                        Address 2

                                       

                                       

                                      City

                                       

                                       

                                      State

                                       

                                       

                                      Zip Code

                                       

                                       

                                       

                                      Position(s) applied

                                       for or type of work

                                       desired

                                       

                                       

                                        Employment

                                       status desired

                                       

                                       

                                        Desired start date

                                       

                                       

                                       

                                      Your comments

                                       

                                       

                                        

                                       

                                      Are you able to meet the attendance requirements?

                                        

                                       

                                      Are you able to work overtime, if required?

                                       

                                       

                                      Can you travel if required by this position?

                                          

                                       

                                      Have you ever been previously employed by our organization?

                                          

                                       

                                      Can you submit proof of legal employment authorization and ID?

                                        

                                       

                                      If you are under 18, can you furnish a work permit if it is required?

                                          

                                       

                                      Can you safely lift 100 pounds?

                                       

                                       

                                       

                                      Have you ever had a back injury?

                                           

                                       

                                      Do you have a clean driving record?

                                         

                                       

                                      Do you have transportation to and from work, if hired?

                                        

                                       

                                      Can you drive a standard/stick-shifting vehicle?

                                       

                                       

                                      Are you able to work outdoors all year round?

                                       

                                       

                                      Do you have a problem with heights?

                                       

                                       

                                      Do you consider yourself to be mechanically inclined?

                                           

                                       

                                      Have you been convicted of a crime or pleaded guilty or nolo contendere to a felony within the past 7 years? 

                                       

                                      If yes, please explain

                                       (a conviction will not

                                       automatically bar

                                       employment)

                                       

                                       


                                      Summarize any

                                      job-related training

                                      , skills, licenses,

                                       certificates, and/or

                                       other qualifications

                                       

                                       

                                      Employment History 

                                       

                                      Please provide all employment information for you past 3 employers starting with the most recent.

                                      1 Employer name

                                       

                                       

                                      Position held

                                       

                                       

                                      Start date

                                       

                                       

                                      End date

                                       

                                       

                                      Salary

                                       

                                       

                                      Supervisor name

                                       

                                       

                                      Supervisor title

                                       

                                       

                                      Employer phone

                                       

                                       

                                       Address 1

                                       

                                       

                                        Address 2

                                       

                                       

                                      City

                                       

                                       

                                      State

                                       

                                       

                                      Zip code

                                       

                                       

                                       

                                      Job summary

                                       

                                       

                                       

                                      Reason for leaving

                                       

                                       

                                      2 Employer name

                                       

                                       

                                      Position held

                                       

                                       

                                      Start date

                                       

                                       

                                      End date

                                       

                                       

                                      Salary

                                       

                                       

                                      Supervisor name

                                       

                                       

                                      Supervisor title

                                       

                                       

                                      Employer phone

                                       

                                       

                                       Address 1

                                       

                                       

                                        Address 2

                                       

                                       

                                      City

                                       

                                       

                                      State

                                       

                                       

                                      Zip code

                                       

                                       

                                       

                                      Job summary

                                       

                                       

                                       

                                      Reason for leaving

                                       

                                       

                                      3 Employer name

                                       

                                       

                                      Position held

                                       

                                       

                                      Start date

                                       

                                       

                                      End date

                                       

                                       

                                      Salary

                                       

                                       

                                      Supervisor name

                                       

                                       

                                      Supervisor title

                                       

                                       

                                      Employer phone

                                       

                                       

                                       Address 1

                                       

                                       

                                        Address 2

                                       

                                       

                                      City

                                       

                                       

                                      State

                                       

                                       

                                      Zip code

                                       

                                       

                                       

                                      Job summary

                                       

                                       

                                       

                                      Reason for leaving

                                       

                                       

                                      Educational History

                                       

                                      Provide names and locations of educational instructions attended.

                                      High school

                                       

                                       

                                      City

                                       

                                       

                                      State

                                       

                                       

                                      Dates attended

                                       

                                         to   

                                      Course of study

                                       

                                       

                                      Degree earned

                                       

                                       

                                      College 

                                       

                                       

                                      City

                                       

                                       

                                      State

                                       

                                       

                                      Dates attended

                                       

                                         to   

                                      Course of study

                                       

                                       

                                      Degree earned

                                       

                                       

                                      Technical training

                                       

                                       

                                      City

                                       

                                       

                                      State

                                       

                                       

                                      Dates attended

                                       

                                         to   

                                      Course of study

                                       

                                       

                                      Degree earned

                                       

                                       

                                      Other education

                                       

                                       

                                      City

                                       

                                       

                                      State

                                       

                                       

                                      Dates attended

                                       

                                         to   

                                      Course of study

                                       

                                       

                                      Degree earned

                                       

                                       

                                       

                                      Education comments

                                       

                                       

                                      References 

                                       

                                      List 3 references (do not include relatives or employers):

                                      1 Name

                                       

                                       

                                      Phone

                                       

                                       

                                       2 Name

                                       

                                       

                                      Phone

                                       

                                       

                                      3 Name

                                       

                                       

                                      Phone

                                       

                                       

                                      Online signature

                                       

                                      By entering my name in the online signature box below, I hereby authorize B.L. Myers Bros of PA and its representatives, to contact, obtain and verify the accuracy of information contained in this application from all previous employers, educational institutions, and references.  I also hereby release from liability B.L. Myers Bros of PA and its representatives, for seeking, gathering, and using such information to make employment decisions and all other persons or organizations for providing such information. 

                                       

                                       

                                      Online signature

                                       

                                        I Accept

                                       

                                      Please read the

                                      following before

                                      submitting your

                                      online application

                                       

                                      By selecting the I Accept button below, I understand that any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate termination of employment if I am employed, whenever it may be discovered.


                                      If I am employed, I acknowledge that there is no specified length of employment and that his application does not constitute an agreement or contract for employment. Accordingly, either the employer or I can terminate the relationship at will, with or without cause, at any time, so long as there is no violation of applicable federal or state law.


                                      I understand that it is the policy of this organization not to refuse to hire or otherwise discriminate against a qualified individual with a disability because of that personís need for a reasonable accommodation as required by the ADA.


                                      I also understand that if I am employed, I will be required to provide satisfactory proof of identity and legal work authorization within three days of being hired. Failure to submit such proof within the required time shall result in immediate termination of employment.


                                      I represent and warrant that I have read and fully understand the foregoing, and that I seek employment under these conditions.

                                              Copyright  ?2006 B.L. Myers Bros.  Email info@www.zhuguoping20091103.cn  Tel: 800-947-5552

                                       

                                                                    
                                                                    

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