Harrison Diesel Solutions

Employment Application
Employment Application

Personal Information

Name
Name
First Name
Last Name
Address
Address
City
State/Province
Zip/Postal
Country

Position

If under the age of 18, can you provide the necessary work certificate at time of employment?
Type of Employment Desired
Are you willing to work overtime?

Education

High School

Graduate?

College

Graduate?

Graduate / Professional

Graduate?

Trade or Correspondence

Graduate?

Work Experience

Please list the names of your present and/or previous employers in chronological order with present or most recent employer listed first. Provide information for at least the most recent ten (10) year period. If self-employed, supply firm name and business references. You may include any verifiable work performed on a volunteer basis, internships, or military service. Your failure to completely respond to each inquiry may disqualify you for consideration from employment. Do not answer "see resume".

Employer

May we contact?
Have you every been terminated or been asked to resign from a job?
Has your employment ever been terminated by mutual agreement?
Have you ever been given the choice to resign rather than be terminated?

References

Please list the names of additional work-related references we may contact. Individuals with no prior work experience may list school or volunteer-related references.

Reference

Employment Application Disclaimer & Agreement

By submitting this application, I acknowledge and agree to the following:

  1. At-Will Employment – If hired, I understand that my employment is "at-will," meaning either the company or I may terminate the employment relationship at any time, with or without cause or notice. Nothing in this application or any company policy shall be construed as a guarantee of employment for any specific duration.
  2. Verification of Information – I authorize the company to investigate all statements made in this application, including contacting previous employers, educational institutions, references, and other relevant sources. I release all parties from liability for any information provided in good faith.
  3. Truthfulness of Information – I certify that all information provided in this application (and any accompanying materials) is true, accurate, and complete to the best of my knowledge. I understand that any false, misleading, or omitted information may disqualify me from employment or result in termination if discovered after hiring.
  4. Employment Eligibility – If hired, I agree to provide legally required documentation verifying my identity and authorization to work in the United States (or applicable country) as required by law.
  5. Company Policies – I understand that if employed, I will be required to comply with all company policies, procedures, and workplace rules, which may be amended at the company’s discretion.
  6. No Guarantee of Employment – Submission of this application does not guarantee an interview, job offer, or employment.

By signing below, I confirm that I have read, understood, and agreed to the terms outlined above.

Maximum file size: 33.55MB