J. F. Fick, Inc.
An Anheuser-Busch Distributor since 1936.
Online Application
J. F. Fick, Inc.
P.O. Box 7567, Fredericksburg, VA 22404
224 Industrial Ct, Fredericksburg, VA 22408
Application for Employment
We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race, color, age, sex, religion, disability or national origin. Consistent with the Americans with Disabilities Act, applicants may request accommodations needed to participate in the application process.
"THIS COMPANY REQUIRES ALL EMPLOYEES TO SUBMIT TO PRE-EMPLOYMENT AND RANDOM SUBSTANCE ABUSE TESTING!"
Date of Application...(Please use MM/DD/YY format) (ex. 01/01/01)
Position (s) applied for...
Type of employment desired   Full Time     Part-Time     Temporary     Seasonal
Date available for work...(Please use MM/DD/YY format) (ex. (01/01/01)
Name...First Middle Initial Last
Street Address
City State Zip Code -
Home Phone.. () Mobile/Pager/Other ()
Social Security --
Are you legally eligible for employment in this country?... Yes  No
Are you 18 years of age or older?...................................... Yes  No
If you are under 18, and it is required, can you furnish a work permit?  Yes  No
If no, please explain
Have you ever been employed here before?................................... Yes  No
Have you ever been convicted of a felony? ..................... ............... Yes  No
If yes, please explain
Driver's license number (if driving is an essential job function) State
SKILLS AND QUALIFICATIONS
Summarize any special training, skills, licenses and/or certificates that may qualify you as being able to perform job-related functions in the position for which you are applying. (Please stay within the boxed areas)


EDUCATIONAL BACKGROUND (if job related)
List the last three (3) schools attended, starting with the most recent. List number of years completed. Indicate degree or diploma earned, if any. Major field of study. Minor field of study (if applicable).
1) School/Location Years Completed....
Degree/Diploma.... Major Minor
2) School/Location Years Completed....
Degree/Diploma.... Major Minor
3) School/Location Years Completed....
Degree/Diploma.... Major Minor
REFERENCES
List below the name and telephone number of three business/work references who are not related to you and are not previous supervisors. If not applicable, list three school or personal references who are not related to you.
1) Name Phone Years Known
2) Name Phone Years Known
3) Name Phone Years Known
EMPLOYMENT HISTORY
Provide a ten (10) year history of employment beginning with the most recent.
1) Employer From To
Address......
Phone.........
Job Title.......
Immediate Supervisor and Title....
Summarize the nature of work.
performed and job responsibilities
Reason for leaving.......................
Hourly Rate/Salary............Start $ Per Final $ Per
2) Employer From To
Address......
Phone.........
Job Title.......
Immediate Supervisor and Title....
Summarize the nature of work.
performed and job responsibilities
Reason for leaving.......................
Hourly Rate/Salary............Start $ Per Final $ Per
3) Employer From To
Address......
Phone.........
Job Title.......
Immediate Supervisor and Title....
Summarize the nature of work.
performed and job responsibilities
Reason for leaving.......................
Hourly Rate/Salary............Start $ Per Final $ Per
4) Employer From To
Address......
Phone.........
Job Title.......
Immediate Supervisor and Title....
Summarize the nature of work.
performed and job responsibilities
Reason for leaving.......................
Hourly Rate/Salary............Start $ Per Final $ Per
5) Employer From To
Address......
Phone.........
Job Title.......
Immediate Supervisor and Title....
Summarize the nature of work.
performed and job responsibilities
Reason for leaving.......................
Hourly Rate/Salary............Start $ Per Final $ Per
If you are to be hired by the company, you will be required to attest to your identity and employment eligibility, and to present documents confirming your identity and employment eligibility. You cannot be hired if you cannot comply with these requirements.
AUTHORIZATION
I certify that the facts contained in this online application are true and complete to the best of my knowledge. I understand that any false statement, omission, or misrepresentation on this application is sufficient cause for refusal to hire, or dismissal if I have been employed, no matter when discovered by the Company.
I understand that any employment is conditioned on a background check, including a criminal check. I authorize the Company to thoroughly investigate all statements contained in my application and I authorize my former employers and references to disclose information regarding my former employment, character, and personal reputation to the Company, without giving me prior notice of such disclosure. In addition, I release the Company, any former employers and all references listed above from any and all claims, demands or liabilities arising out of or related to such investigation or disclosure.
I understand and agree that nothing contained in this application, or conveyed during any interview, is intended to create an employment contract. I further understand and agree that if I am hired, my employment will be "at will" and without fixed term, and may be terminated at any time, with or without cause and without prior notice, at the option of either myself or the Company. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon the Company unless made in writing.
If I am offered employment, I agree to submit to a medical examination and substance abuse testing before starting work and if employed, at any time deemed appropriate by Company Policy and as permitted by law. I consent to such examinations and tests, and I request that the examining doctor disclose to the Company the results of the examination. which results shall remain confidential and segregated from my personnel file. I understand that my employment or continued employment, to the extent permitted by law, is contingent upon satisfactory medical examination and substance abuse testing, and if I am hired a condition of my employment will be that I abide by Company's Substance Abuse Policy.
I understand that filling out and submitting this application does not indicate there is a position open and does not obligate the Company to hire. If hired, I agree to abide by all Company work rules, policies and procedures. The Company retains the right to revise its policies or procedures, in whole or in part, at any time.
Signature:* _______________________________________________ Date: ____/____/____
*(Please Sign and Date if you decide to fill in, print, and fax or mail this application.
Include a current copy of your Division of Motor Vehicles report (D. M. V.) )

 

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