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Position(s) Applied For

First Name *

Middle Name

Last Name *

Address

Address 1 *

Address 2

City *

State *

ZIP Code *

Phone Number(s)

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, disabilities or other protected status.

Employer

Employer Address

Country

Address 1

Address 2

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State

ZIP Code

Phone Number(s)

Job Title

Supervisor

Start Date

End Date

Reason for leaving

Work Performed

Additional Employers

2nd Employer
3rd Employer

2nd Employer

2nd Employer

Employer Address

Country

Address 1

Address 2

City

State

ZIP Code

Phone Number(s)

Job Title

Supervisor

Start Date

End Date

Work Performed

3rd Employer

3rd Employer

Employer Address

Country

Address 1

Address 2

City

State

ZIP Code

Phone Number(s)

Job Title

Supervisor

Start Date

End Date

Work Performed

Professional Reference

Name *

Phone *

Relationship of Reference to You *

Additional References

2nd Reference
3rd Reference

2nd Reference

Name *

Phone *

Relationship of Reference to You *

3rd Reference

Name *

Phone *

Relationship of Reference to You *

Sign

Applicant's Statement

I certify that answers given herein are true and complete.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause.

I understand that as part of the application process, B&W Custom Truck Beds, Inc. (the “Company”), aka B&W Trailer Hitches, will conduct an investigation into my background, including my criminal background. This investigation will be conducted by the Company directly, rather than through use of a consumer reporting agency or other third party. Also, criminal background checks may be repeated and/or updated during employment, when, in the Company’s sole discretion, the circumstances so warrant. I hereby authorize such investigations and consent to their being conducted. I further authorize the Company to investigate all statements contained in this application, to contact my present employer, past employers, and listed references, and to contact law enforcement agencies. I release the Company and its employees from any and all claims or legal liability related to the making of such investigation or reliance on the information obtained. I also authorize any person, school, current employer, past employer and organization named in this application form, as well as any law enforcement agency, to provide the Company with relevant information and opinions that may be useful to the Company in making a hiring/employment decision, and I release such persons and organizations from any legal liability for providing such information.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

Signature of Applicant *

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Address

Availability

Education

High School

Postsecondary Degree or Certificate

Other Education

Experience

Employer

Employer Address

Start Date

End Date

Employer Address

Start Date

End Date

Employer Address

Start Date

End Date

Professional Reference

Sign

Applicant's Statement

Turnoverball®

Single-Point Mounted Attachment

Companion®

Puck-Mounted Attachment

Companion® OEM

Rail-Mounted Attachment

Patriot & Companion®

Tow & Stow® Adjustable Ball Mount

B&W Gear

Towing Adventure

Dealer Application and Agreement