Name

Current Addresss

Permanent Address

Phone

Cell

Desired Position

Desired Salary $

When Can You Begin? (mm/dd/yyy)

Are you over 18 Years of Age?

Are you prevented from lawfully becoming employed in this country due to visa or immigration status?

Are you currently Employed?

If so, may we contact your previous employer as a referrence?

Have you applied to work with The Supreme Group Inc. Before?

Education

Describe your educational background. For each you attended please include Name and Location, Number of years attended, whether or not you graduated, and the subject you studied

Employment

Describe past positions you have held. For each job listed please include Employment Dates, Employeer Name and Address, Salary, Position Held, and Reasons You Left.

References

List the names and phone numbers of references you would like us to consider

US Military or Naval Service

Special Skills or Licenses

Note: CDL Drivers will have to provide a copy of license and DOT medical card.

Emergency Contact

Provide Name, Address, and a Phone Number for at least one contact

BY CHECKING THE BOX BELOW I CERTIFY THAT ALL THE INFORMATION SUBMITTED BY ME ON THIS APPLICATION IS TRUE AND COMPLETE, AND I UNDERSTAND THAT IF ANY FALSE INFORMATION, OMISSIONS, OR MISREPRESENTATION ARE DISCOVERED, MY APPLICATION MAY BE REJECTED AND, IF I AM EMPLOYED, MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME. IN CONSIDERATION OF MY EMPLOYMENT, I AGREE TO CONFORM TO THE COMPANIES RULES AND REGULATIONS, AND I AGREE THAT MY EMPLOYMENT AND COMPENSATION CAN BE TERMINATED, WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE, AT ANY TIME, AT EITHER MY OR THE COMPANY’S OPTION. I ALSO UNDERSTAND AND AGREE THAT THE TERMS AND CONDITIONS OF MY EMPLOYMENT MAY BE CHANGED, WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE, AT ANY TIME BY THE COMPANY. I UNDERSTAND THAT NO COMPANY REPRESENTATIVE, OTHER THAT IT’S PRESIDENT, AND THEN ONLY WHEN IN WRITING AND SIGNED BY THE PRESIDENT, HAS ANY AUTHORITY TO ENTER INTO ANY AGREEMENT FOR EMPLOYMENT FOR ANY SPECIFIC PERIOD OF TIME, OR TO MAKE ANY AGREEMENT CONTRARY TO THE FOREGOING.

I AGREE