Riegl USA | Building Systems. Delivering Performance

Employment Application Form

Name

Present Address

Yes

No

Yes

No

Full-Time Only

College Internship

Education

Type of School Name of School Location Numbers of Years Completed Major & Degree
High School*
College*
Bus. or Trade School*
Professional School*
Other(Specify)*

Crime

Yes

No

Yes

No

Yes

No


Do not include convictions or adjudications that were annulled, sealed, eradicated, expunged, pardoned or dismissed. Conviction of a crime is not an absolute bar to employment. Factors such as the age of offense, evidence of rehabilitation, seriousness of violation and job relatedness are considered in all employment decisions. A Conviction record will not necessarily disqualify you from employment.

Military

Yes

No

Yes

No

Work Experience

Please list your work experience for the last 10-15 years beginning with your most recent job held. If you were self-employed, give a firm name. Attach additional sheets if necessary.

  
(Click to add more work experience)

Yes

No

Yes

No

Yes

No

Please read carefully!

I hereby authorize the potential employer to contact, obtain, and verify the accuracy of information contained in this application from all previous employers, educational institutions, and references. I also hereby release from liability the potential employer and its representatives for seeking, gathering, and using such information to make employment decisions and all other persons or organizations for providing such information.

I understand that any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate termination of employment if I am employed, whenever it may be discovered.

If I am employed, I acknowledge that there is no specified length of employment and that this application does not constitute an agreement or contract for employment. Accordingly, either I or the employer can terminate the relationship at will, with or without cause, at any time, so long as there is no violation of applicable federal or state law.


Thank you for completing this application form and for your interest in our Company.

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Please read carefully!

Application Form Waiver

In exchange for the consideration of my job application by Riegl USA, Inc. (hereinafter called "the Company"), I agree that:

Neither the acceptance of this application nor the subsequent entry Into any type of employment the relationship, either in the position applied for or any other position and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Company practices shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of Riegl USA, Inc., or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the President of the Company. Both the undersigned and Company may end the employment relationship at any time, without specified notice or reason. If employed, I understand that the Company may unilaterally change or revise their benefits, policies, and procedures and such changes may include reduction In benefits.

I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for Is cause for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contact.

I also understand that (1) the Company has a drug and alcohol policy that provides for pre-employment testing as well as testing after employment; (2) consent to and compliance with such policy is a condition of my employment, and (3) continued employment is based on the successful passing of testing under such policy. I further understand that continued employment may be based on the successful passing of job-related physical examinations.

I understand that, in connection with the routine processing of my employment application, the Company may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics, mode of living, and driving record. Upon written request from me, the Company will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act.

I further understand that my employment with the Company shall be probationary for a period of ninety (90) days, and further that at any time during the probationary period or thereafter, my employment relationship with the Company is terminable at will for any reason by either party.

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This Company is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with this Company depends solely on your qualifications.

Thank you for completing this application form and for your interest in our Company.

Qualifications:
Special Skills:

References:

Please list three professional references not related to you, with full name, address,phone number and relationship. if you do not have three professional references, then listpersonal, unrelated references.

(Click to add another reference)

Engineer Applicants

For those applying for engineering positions, please provide a brief response to the following questions.

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