410.590.3905 6711 Baymeadow Drive, Suite D | Glen Burnie, MD 21060

Employment Application

For assistance with this application, you may apply in person.
Reasonable accommodations provided upon request and as required by law.

Fill out and submit the form below and a representative will contact you.
All fields are required.

First Name
Middle Name
Last Name
Street Address
City/State
Zip Code
Phone
If hired, can you provide evidence of legal eligibility to work in the U.S.?
Any offer of employment is conditional upon verification of form I-9 and appropriate documents for identity and work authorization.
Position Desired
Wage/Salary Desired:
Full Time
Part Time
Date you can begin work?
Are you 18 years of age or older?
Have you been convicted of a felony in the last 5 years?
An affirmative answer will not in itself disqualify you from employment.
Yes   No
High school attended
City/State
Graduate?
GED?
College or techincal school
City/State
Graduate?
Degree?
Are you presently enrolled in school?
If yes, give name & address of school and expected completion date
List any job-related certifications, skills, or accomplishments, including military service:
Your availability for work
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
From
To
Total hours per week you are available to work
Do you have any special requests or needs for a work schedule?
Are you available for overtime?
Yes   No
Provide Three References - Not Former Employers or Family Members - Who We May Contact
Name Relationship to person -length of time known Phone Number


Required Fields were left blank

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Employment History

List previous employers - Current employer first.

May we contact your current employer before you are offered a position? Yes   No
Name of Employer
Job Title
Duties
Address
Dates of Employment - From
Dates of Employment - To
City, State, Zip Code
Starting Hourly Pay or Salary
Ending Hourly Pay or Salary
Supervisor Name
Supervisor Phone
Reason for Leaving


Name of Employer
Job Title
Duties
Address
Dates of Employment - From
Dates of Employment - To
City, State, Zip Code
Starting Hourly Pay or Salary
Ending Hourly Pay or Salary
Supervisor Name
Supervisor Phone
Reason for Leaving


Name of Employer
Job Title
Duties
Address
Dates of Employment - From
Dates of Employment - To
City, State, Zip Code
Starting Hourly Pay or Salary
Ending Hourly Pay or Salary
Supervisor Name
Supervisor Phone
Reason for Leaving


In case of Emergency who should we contact
Name
Relationship
Phone Number
Address
Name
Relationship
Phone Number
Address


Required Fields were left blank

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Carefully read each statement before signing at the bottom

Drug Screening

I understand and agree that Sunrise Safety Services, Inc. may request without prior notification or warning, a Drug screening to be performed for Pre-Employment testing, or if employed, a random screening at any time during my employment.

Driving Record Release

Sunrise Safety Services requires an MVA Driverís Record when considering me for employment. I authorize the MVA to release that information to Sunrise Safety Services, Inc. This release is valid as long as I am an employee or employee candidate and may only be rescinded in writing.

Authorization for MVA Review

I understand that as a potential driver of a company vehicle, it will be my responsibility to operate the vehicle in a safe manner and to drive defensively to prevent injuries and property damage. I also understand that, if employed by Sunrise Safety Services, Inc., my Motor Vehicle Record will be periodically reviewed to determine my continued eligibility to drive a company vehicle. In accordance with the Fair Credit Reporting Act, I have been informed that a Motor Vehicle Record will be periodically obtained on me for continued employment purposes.

I acknowledge that I have read the disclosure and authorize Sunrise or its designated agent to obtain a Motor Vehicle Record report. This authorization is valid as long as I am an employee or employee candidate and may only be rescinded in writing.

Print Name
Driverís License Number

I certify that all of the information provided in this employment application is true and complete to the best of my knowledge, and I authorize investigation of all statements contained in this application, including a criminal background, drug test, and credit history check (if applicable for position). I understand that any false or incomplete information may disqualify me from further consideration for employment and may result in my immediate discharge if discovered at a later date.

I authorize the investigation of any or all statements contained in this application and also authorize any person, school, current employer, past employers, and other organizations to provide information concerning my previous employment and other relevant information that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements. 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.

I understand that employment with Sunrise is at will, so that both Sunrise and I remain free to choose to end our work relationship at any time, with or without cause, and with or without prior notice.

I have read, understand, and agree to all of the above statements.

Signature:
Sign below in box with computer mouse or finger on mobile device


Date:





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