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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.itrustytime.cn  Tel: 800-947-5552

                         

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