EMPLOYMENT APPLICATION Please complete the entire application. EMPLOYER INFORMATION Employer: American Energy Restaurant Equipment Address: 7538 Fullerton Ct City/State: Springfield, Virginia 22153 Telephone: 703-644-6666 Email: employment@cleandishes.com It is the policy of American Energy Restaurant Equipment to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability or veteran status. APPLICANT INFORMATION Applicant Full Name*: Home Address*: City*: Sate*: ZIP*: E-mail*: Cell phone*: Social Security Number*: Driver's License Number*: Job Position Applied For*:Foodservice Equipment Sale ConsultantEquipment Technician and Installer Who referred you to our company?: Do you have any friends or relatives who work here?. If yes, please list here: Have you applied to our company previously?*:YesNo If yes, when?: Are you at least 18 years old?*: YesNo If you are offered employment, when would you be available to begin work?*: If hired, are you able to submit proof that you are legally eligible for employment in the United States?*: YesNo Are you able to perform the essential functions of the job position you seek with or without reasonable accommodation?*: YesNo . If you are not sure, please ask for a detailed job description. What reasonable accommodation, if any, would you request? : APPLICANT EMPLOYMENT HISTORY List your current or most recent employment first. Please list all jobs (including self-employment and military service) that you have held, beginning with the most recent, and list and explain any gaps in employment. If additional space is needed, use the back page of this application. Employer Name: Supervisor Name: Address: City: State: ZIP: Job Duties: Reason for Leaving: Dates of Employment: from to Employer Name: Supervisor Name: Address: City: State: ZIP: Job Duties: Reason for Leaving: Dates of Employment: from to Employer Name: Supervisor Name: Address: City: State: ZIP: Job Duties: Reason for Leaving: Dates of Employment: from to APPLICANT'S EDUCATION AND TRAINING College/University Name and Address: Did you receive a degree?: YesNo If yes, degree(s) received: High School/GED Name and Address Other Training (graduate, technical, vocational): Please indicate any current professional licenses or certifications that you hold: Awards, Honors, Special Achievements: Military Service: YesNo Branch: Active Service Time: from to Specialized Training: REFERENCES Name: Address: City: State: ZIP: Telephone: Relationship: Name: Address: City: State: ZIP: Telephone: Relationship: Name: Address: City: State: ZIP: Telephone: Relationship: Please provide any other information that you believe should be considered, including whether you are bound by any agreement with any current employer CERTIFICATION I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination. I authorize American Energy Restaurant Equipment to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to communicate information fully and freely regarding my previous employment, attendance, and grades. I authorize those persons designated as references to communicate information fully and freely regarding my previous employment and education. If an employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by its Vice President, the employment relationship will be "at-will." In other words, the relationship will be entirely voluntary in nature, and either I or my employer will be able to terminate the employment relationship at any time and without cause. With appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer will have the right. Moreover, no agent, representative, or employee of American Energy Restaurant Equipment, except in a specific written contract of employment signed on behalf of the organization by its Vice President, has the power to alter or vary the voluntary nature of the employment relationship. I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND AND AGREE TO ITS TERMS* Upload your resume here: Upload a cover letter here: