Personal Information

    Are you authorized to work in the U.S.?

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    Education

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    Employment

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    References

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    WHICH LOCATION ARE YOU APPLYING FOR?
    Include: Driver's license number, state, and type.
    If you do not have a drivers license, enter "N/A"
    Enter as: street address, city, state, zip code, and county.
    Enter as: Street address, city, state, zip code, and county.
    If no previous address, enter "None".
    Example: 9-11am and 2-5pm
    Choose from list below.
    Skip this question if you did not choose "Other".
    EMPLOYMENT INFORMATION
    What type of employment are you seeking?
    Choose all that apply.
    EMPLOYMENT INFORMATION
    If you are under 18 years of age, can you provide required proof of your eligibility to work?
    EMPLOYMENT INFORMATION
    Have you ever filed an application with us before?
    Enter as: MM/DD/YYYY
    EMPLOYMENT INFORMATION
    Do you have a friend or relative, other than spouse, that works with us?
    EMPLOYMENT INFORMATION
    Are you currently on "Lay-Off" status and subject to recall?
    EMPLOYMENT INFORMATION
    Can you travel if a job requires it?
    JOB-RELATED SKILLS
    Do you have specialized job-related skills?
    Select all that apply.
    No file attached.
    Skip this question if you do not have any job-related skills.
    If none, skip this question.
    If none, skip this question.
    If none, skip this question.
    APPLICANTS STATEMENT
    I, the applicant, certify that answers given herein are true and complete.

    I authorized investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

    This application for employment shall be considered active for a period of time no exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

    I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by the President and CEO of Spike Enterprise.

    In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge, I understand also, that I am required to abide by all rules and regulations of the employer.
    AT WILL EMPLOYMENT
    In the event that the applicant agrees to accept a position with Spike Enterprise, the applicant and Spike Enterprise agree that employment relationship between Spike Enterprise and the employee is an at will relationship and that the employment relationship and compensation can be terminated, with or without cause, and with or without notice at any time, at the option of either Spike Enterprise or the employee.
    APPLICANT FCRA DISCLOSURE STATEMENT
    In connection with your employment or application for employment (or contract for services) and any future employment (or contract for services) with Spike Enterprise, Inc. ("Spike Enterprise") and any subsidiary, you may have information requested about you from a consumer reporting agency in connection with your application, employment, promotion, reassignment or retention as an employee, for employment purposes. This information may be obtained in the form of background reports and/or investigative reports. These reports may be obtained at any time after receipt of your signed authorization and, if you are hired by Spike Enterprise, throughout your employment if permissible under applicable Spike Enterprise policy and/or state law.

    These reports may contain information about your character, general reputation and/or mode of living. The types of information that may be obtained include, but are not limited to: social security number verifications; address history; criminal records checks; public court records checks; driving records checks; employment history verifications; and professional licensing/certification checks. This information may be obtained from private and/or public records sources, including, as appropriate, governmental agencies and courthouses; educational institutions; former employers; or other information sources.
    AUTHORIZATION OF BACKGROUND INVESTIGATION
    I have carefully read, and understand, this Authorization of Background Investigation form and acknowledge receipt of the separate document entitled "A Summary of Your Rights under the Fair Credit Reporting Act" (a copy provided by Spike Enterprise or at https://www.comsumer.ftc.gov/articles/pdf-0096-fair-credit-reporting-act.pdf) and the "Applicant FCRA Disclosure Statement" and certify that I have read and understand both documents. By my signature below, I consent to the release of background reports and/or investigative background reports prepared by a consumer reporting agency, to Spike Enterprise and its designated representatives and agents for the purposes of determining my eligibility for employment, retention, or other lawful employment purposes. I further consent to the release of such background reports and/or investigative background reports to essential partners of Spike Enterprise, including but not limited to: industrial safety councils, and owners and/or operators of industrial facilities for which I may be asked to work on the premises of such industrial facility. I understand that if Spike Enterprise offers me a conditional offer of employment, my consent will apply, and Spike Enterprise may obtain background reports throughout my employment if permissible under applicable Spike Enterprise policy and consistent with applicable state and federal law.

    I understand that information contained in my employment application, or otherwise disclosed by me before, or during, my employment, if any, may be used for the purpose of obtaining background reports and/or investigative background reports. I also understand that nothing herein shall be construed as an offer of employment. I hereby authorize law enforcement agencies, educational institutions (including public and private schools/universities), information service bureaus, consumer reporting agencies, record/data repositories, courts (federal, state, and local), motor vehicle records agencies, my past or present employers, the military, and other information sources to furnish any, and all, information on me that is requested by the consumer reporting agency.

    California Applicants Only:
    I acknowledge receipt of a copy of California Civil Code 1786.22.
    Pursuant to Section 1786.22 of the California Civil Code, you may view the file maintained on you by the consumer reporting agency during normal business hours. You may also obtain a copy of this file, upon submitting proper identification by appearing at the consumer reporting agency's offices in person, during normal business hours and on a reasonable notice, or by mail. You may also receive a summary of the file by telephone, upon submitting proper identification. The consumer reporting agency will have trained personnel available to explain your file to you, including any coded information. By signing below, you acknowledge receipt of California Civil Code 1786.22, available from Spike Enterprise Human Resources Department or
    http://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=CIV&sectionNum=1786.22

    New York Applicants Only:
    I acknowledge receipt of a copy of Article 23-A of New York Correction Law.
    By signing below, you acknowledge receipt of Article 23-A of the New York Correction Law, available from Spike Enterprise Human Resources Department or at
    https://www.labor.ny.gov/formsdocs/wp/correction-law-article-23a.pdf

    By my signature below, I certify the information I provided on, and in connection with, this form is true, accurate, and complete. I agree that this Authorization form in original, facsimile, photocopy, or electronic (including electronically signed) formats, will be valid for any reports that may be requested by, or on my behalf of, Spike Enterprise.
    AUTHORIZATION OF BACKGROUND INVESTIGATION
    *California, Minnesota or Oklahoma applicants only.
    You have the right to receive a copy of your background/investigative report by checking the box on the Authorization of Background Investigation form.
    To receive a free copy of any consumer report or investigative consumer report obtained on you if you check the box below.
    To receive a free copy of any consumer report or investigative consumer report obtained on you enter your first name, middle initial, and last name below.
    To receive a free copy of any consumer report or investigative consumer report obtained on you enter your street address, city, state, and zip below.
    To receive a free copy of any consumer report or investigative consumer report obtained on you enter your social security number below.
    To receive a free copy of any consumer report or investigative consumer report obtained on you enter your date of birth below.
    To receive a free copy of any consumer report or investigative consumer report obtained on you enter your driver's license number followed by state of issue below.
    To receive a free copy of any consumer report or investigative consumer report obtained on you enter your email address below.
    AUTHORIZATION OF BACKGROUND INVESTIGATION
    *Massachusetts, New Jersey, Minnesota, and Washington State applicants only.
    Massachusetts and New Jersey Applicants:
    If we request an investigative background report, you have the right, upon written request, to a copy of the report.

    Minnesota and Washington State Applicants:
    If Spike Enterprise requests an investigative background report, you have the right, upon written request made within a reasonable period of time after your receipt of this disclosure, to receive from Spike Enterprise a complete and accurate disclosure of the nature and scope of the investigation requested by Spike Enterprise. Spike Enterprise will provide the disclosure of the nature and scope of the investigation either five days after receiving your request or after requesting the investigative consumer report, whichever is later.
    AUTHORIZATION OF BACKGROUND INVESTIGATION
    *New York, Washington State, and Utah applicants only.
    New York Applicants:
    You have the right to request whether Spike Enterprise requested an investigative consumer report and, if so, Spike Enterprise will give you the name and address of the report's provider if other than the consumer reporting agency identified above. You have the right to inspect and receive a copy of any investigative consumer report requested by Spike Enterprise by contacting the consumer reporting agency identified above (or another organization identified by Spike Enterprise as the provider of an investigative consumer report) directly.

    Washington State Applicants:
    If Spike Enterprise requests an investigative background report, you have the right, up written request made within a reasonable period of time after your receipt of this disclosure, to receive from Spike Enterprise a complete and accurate disclosure of the nature and scope of the investigation requested by Spike Enterprise. You also have the right to request from the consumer reporting agency a written summary of your rights and remedies under the Washington Fair Credit Reporting Act.

    Utah Applicants:
    The Company will obtain written authorization from you before each time the Company obtains a separate or new consumer or investigative consumer report.
    AUTHORIZATION OF BACKGROUND INVESTIGATION
    I hereby swear that all information that I submit to S2 Verify is true and correct to the best of my knowledge and ability. I understand that any false information that I submit to S2 Verify, written or verbal, during this investigation is grounds for non-hiring, termination of a conditional offer, or termination or employment if already employed. I also agree that all investigative information and materials obtained by S2 Verify will be submitted to my prospective employers.
    AUTHORIZATION OF BACKGROUND INVESTIGATION
    I understand that my Social Security number will be used to access the above information.
    PRE-HIRE POLICY
    It is the policy of Spike Enterprise that after making a conditional offer of employment, but prior to an offer of employment the corporate office will check and verify the following information is correct and all necessary tests have been passed:
    - Pre-hire medical physical
    - Drug screen
    - Breathe alcohol test
    - Professional references
    - Education credentials
    - Employment history and past performance
    - Professional license or certification (if required)

    Following records will be checked:
    - Criminal background check for last 7 years
    - Driving record
    - Commercial driver's license (if applicable)

    Any material misrepresentation or omission on any employment application materials, including but not limited to the job application, or resume may be grounds for rejection of the application or termination of any subsequent employment with Spike Enterprise.
    NOTICE TO ALL NEW SPIKE ENTERPRISE EMPLOYEES
    It is Spike Enterprise's policy to recoup the cost of the pre-hire examinations and post hire training if your employment ends with Spike Enterprise prior to the completion of the 60 days probationary period with the Company. These costs can range from $125.00 to $735.00. All of these costs will be taken out of your final check. Your acceptance below indicates you are aware and have agreed to the following policy.
    NEW HIRE SUMMARY
    As part of Employee Orientation, engages new hires in the following:

    - We examine the general Safety Practices and Procedures.

    - The employee is given a company manual to read. We examine the manual with the employee to make sure that they understand it and answer any questions or concerns they may have, and then sign it. A current copy is available at employees request onsite.

    - The employee is informed of our random drug-testing and alcohol policies and asked to sign forms agreeing to them.

    - We advise them of our expectations while in possession of a company vehicle.

    - We explain the disciplinary program, dress code, and facial hair policies.

    - We stress the importance of a safe working environment as well as teamwork.

    - We inform the employee of the responsibilities of the individual employee.

    - We review the company policies and procedures.

    - We clarify the terms of our health insurance and benefits.

    - We advise them of the company's equipment and its safety procedures.

    - The supervisor discusses the working procedures of their responsibilities.

    Visual Safety:
    Trainees will be identified by a sticker or a different color hard hat or the procedures specific to the host facility for a period of 60 days or until the supervisor has deemed the trainee competent of fulfilling all the duties that the job entails. The trainee will also have a mentor to guide them through the working procedures of their responsibilities and answer and questions or concerns they might have. This identification will help all Spike Enterprise employees to guide the trainee through the safest day-to-day work procedures. This policy is seen to be a safety benefit not only to Spike Enterprise, but also to the companies that we are contracted to.

    Safety is Our Number One Concern:
    Here at Spike Enterprise, Safety is our number one concern. If anyone, from the trainee to the current employees, is seen using unsafe working procedures, it is everyone's responsibility to educate the employee as well as report it to their supervisor and/or the Corporate Office.

    Authorization

    AUTHORIZATION AND CERTIFICATION

    I understand and agree that:

    1. The information that I have provided on this application is true and complete to the best of my knowledge. Any misrepresentation or omission of any fact in my application, resume, or any other materials, or during any interviews, can be justification of refusal of employment, or if employed, termination from Spike Enterprise's employ.

    2. This Application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

    3. Any offer of employment I may receive from Spike Enterprise is contingent upon my successful completion of the company's screening process, including, but not limited to my completion and passing of the following:

    - Receiving the Conditional Offer to Hire
    - Required background checks;
    - Pre-employment drug and alcohol testing;
    - Signing any and all documentation required for Spike Enterprise to complete its hiring process.

    4. I understand that as a condition of employment, I may be required to undergo and successfully pass a non-DOT screening for alcohol and/or drugs. I also understand and agree that, if employed, I may be required to submit to a non-DOT alcohol or drug screening at any time in accordance with Spike Enterprise's non-DOT drug and alcohol testing policies. I hereby consent to having the results of any such non-DOT alcohol or drug screening I may be required to undergo disclosed to Spike Enterprise. I further understand that my offer of employment is contingent upon my successful completion of Spike Enterprise's non-DOT drug and alcohol screening.

    5. I authorize and request that all of my present and former employers and those individuals I have listed as personal references furnish information about my employment record, including a statement of the reason for the termination of my employment, work performance, abilities, and other qualities pertinent to my qualifications for employment, and I hereby release these individuals and my present and former employers from any and all liability for damages arising from furnishing the requested information.

    6. In consideration of my employment, I agree to comply with the policies, rules, regulations, and procedures of the company, as may be amended from time to time. I understand that my employment and compensation can be terminated with or without cause or advanced notice, at any time, at the option of either the company or myself. I further understand that no manager or representative of the company, other than the President and CEO, has any authority to enter into any agreement with me for employment for any specified period of time or to make any agreement with me for employment for any specified period of time or to make any agreement different from or contrary to the foregoing. I further understand that any such agreement, if made, shall not be enforceable unless it is in writing and signed by me and by one of the individuals designated above.

    Digital Signature