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    MT Development Employment Application

    MT Development is an equal opportunity employer and considers applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, sexual orientation, disability, marital or veteran status, or any other status protected under local, state or federal laws

    Position Applied For:

    Last Name:

    First Name:
    Middle Initial:

    Street Address:
    Unit#:
    City:
    State:
    Zip:

    Telephone:
    Email:

    Social Security # and other name(s) records might be listed under:

    Best time to reach you:

    Birthday:

    Are you legally eligible to work in the United States ? yes no 
    (Proof of eligibility will be required upon offer of employment)

    Are you over 18 years of age? yes no 
    (If no, you may be required to provide authorization)

    Can you perform the essential functions of this job with or without reasonable accommodation? yes no 
    (If you have any questions about the functions of this job, please ask
    the interviewer before answering this question)

    Have you ever filed an application with us before? yes no 
    If yes, give date(s):

    Have you ever been employed with us before? yes no 
    If yes, give date(s):

    Are you related to anyone employed by MT Development? yes no 
    If yes, state name, relationship and location :

    Date Available to Work:

    Desired Salary Range:

    Desired Status: Full Time Part Time Temporary/Internship 

    Days and Hours Available:
    Monday
    AM
    PM
    Tuesday
    AM
    PM
    Wednesday
    AM
    PM
    Thursday

    AM
    PM
    Friday
    AM
    PM
    Saturday
    AM
    PM

    Are you currently employed? yes no 
    May we contact your present employer? : yes no 

    Are you on “Lay-off” Status and subject to recall? yes no 

    Have you ever been convicted of a Felony? yes no 
    If yes, please explain:
    (A conviction will not necessarily disqualify you.)

    Can you travel if the job requires it? yes no 

    Do you have a valid driver's license? (For driving positions only.): yes no 
    If yes, please provide number:

    Have you been convicted of any moving violations in the past five years? yes no 
    If yes, please explain:
    (A conviction will not necessarily disqualify you.)

    Have you ever been fired from or asked to resign from a job? yes no 
    If yes, please explain:
    (Answering yes will not necessarily disqualify you.)

    EDUCATION

    • Name & Town of School
    • Course of Study
    • # Years Completed Diploma/ Degree
        • High School:

        Undergraduate :

        Graduate/ Other :

        Please list any academic honors, scholarships, offices held, etc.

        (Please do not list any which reflect your race, color, religion, gender, national origin, age, or any items covered in Title VII of the Civil Rights Act)

        Please describe any specialized training, apprenticeships, licenses or skills, including computer skills:

        Have you received any job-related training in the United States Military? yes no 
        If yes, please give dates and explanations below:

        WORK EXPERIENCE

        Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, sexual orientation, disabilities or other protected status. Please attach another page if needed.

        • Dates Employed From and To:
        • Work Performed:
        • Employer:
        • Address:
        • Job Title:
        • Supervisor:
        • Reason for Leaving:
        • Salary Start and Finish:
        • May We Contact:

            • MT Development Employment Application

            APPLICANT ACKNOWLEDGEMENT AND AUTHORIZATION *PLEASE READ CAREFULLY BEFORE SIGNING*

            I hereby certify that all of the information provided by me in this application (or any other accompanying or required documents) is correct, accurate and complete to the best of my knowledge. I understand that the falsification, misrepresentation or omission of any facts in said documents will be cause for denial of employment or immediate termination of employment regardless of the timing or circumstances of discovery.

            I understand that submission of an application does not guarantee employment. I further understand that, should an offer of employment be extended by MT DEVELOPMENT Corporation (hereinafter referred to as "MTD") that such employment with MTD is at will, for no specified duration and may be terminated by either MTD or myself at any time, with or without cause or notice. I understand that none of the documents, policies, procedures, actions, statements of MTD or its representatives used during the employment process is deemed a contract of employment real or implied. I understand that no representative of MTD except the CEO or President has the authority to enter into any agreement guaranteeing any conditions of employment or any agreement contrary to the foregoing statements and that any such agreements must be made in writing and signed by the CEO or President of MTD.

            In consideration for employment with MTD, if employed, I agree to conform to the rules, regulations, policies and procedures of MTD at all times and understand that such obedience is a condition of employment. I understand that due to the nature of MTD business, attendance and punctuality are considered essential requirements of every job at MTD and that poor attendance or tardiness will result in disciplinary action.

            I authorize MTD to investigate my financial and credit record through any consumer reporting agency or bureau of its choice, and further to make an investigation of my personal history including, if any, a record of law enforcement activity, my character and general reputation. I understand that the company, upon my written request, will disclose the nature and scope of any credit investigation. If this application is denied either wholly or partly because of information contained in a consumer report from a consumer reporting agency, I understand that the company shall advise me and provide me with the name and address of the consumer agency making the report.

            I understand that if offered a position with MTD, I may be required to submit to a pre-employment medical examination, drug screening and background check as a condition of employment. I understand that unsatisfactory results from, refusal to cooperate with, or any attempt to affect the results of these preemployments tests and checks will result in withdrawal of any employment offer or termination of employment if already employed.

            I herby authorize any and all schools, former employers, references, courts and any others who have information about me to provide such information to MTD and/or any of its representatives, agents or vendors and I release all parties involved from any and all liability for any and all damage that may result from providing such information.

            I understand that this application is considered current for three months. If I wish to be considered for employment after this period I must fill out and submit a new application.

            BY SIGNING BELOW I ACKNOWLEDGE THAT I HAVE READ, UNDERSTOOD AND AGREE TO THE ABOVE STATEMENTS.



            Signature Date:

            Name and number of person completing this form if other than applicant: