Job Application Management

P.I.E. Management, LLC.

Application for Employment

Equal Opportunity Employer

Personal Information

Fields which are (*) are compulsory.

First name *

Last name *

Present Address *

City *

State *

Zip Code *

Email Address *

Phone No *

Referred By

Employment Desired

Position

Date you can start

Salary Desired

Are you employed?

Yes No

If so, may we inquire of your present employer?

Yes No

Ever applied to this company before?

Yes No

Where?

When?

Education History

Name & Location of School		Years Attended	Did You Graduate?	Subjects Studied
Grammar School
High School
College
Trade, Business or Correspondence School

General Information

Subjects of Special Study/Research Work or Special Training/Skills

U.S. Military or Naval Service

Rank

Former Employers

(List your last four employers in order, beginning with the first and ending with the last.)

Date Month and Year		Name & Address of Employer	Salary	Position	Reason for Leaving
From To
From To
From To
From To

References

Give the names of threes persons not related to you, whom you have known at least one year.

Name	Phone Number	Email	Business

Information and Resume

Upload your resume

Upload your resume in Word or PDF format with a maximum size of 2MB.

Authorization

“I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damages that may result from utilization of such information.

I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) or other relevant federal and state laws.”

I agree to terms and conditions

Date:

23-Apr-2024

E-Signature: By typing your name above, you are binding yourself to the authorization.

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