By submitting this application, I certify that the information provided is true, complete, and accurate to the best of my knowledge. I understand that any false statements, omissions, or misrepresentations may result in disqualification from consideration or, if employed, dismissal at any time. I authorize River City Hydraulics to verify any information provided and to contact references or prior employers as necessary for employment consideration. Submission of this application does not guarantee an interview or employment.

For privacy and security purposes, please do not include your social security number on this electronic application. We will ask for that later at the appropriate time.

Name
Address
Are you a Citizen of the United States?
Have you ever worked for River City Hydraulics?
Have you ever been convicted of a felony?
Do you have a valid driver's license?
Do you have a CDL?
Can you pass a drug test?
Can you pass a physical?

HIGH SCHOOL EDUCATION

Did you graduate?

SECONDARY EDUCATION

Did you attend College or a Technical School?

WORK HISTORY

Company Address

REFERENCE #1

Name
Address
Is this person a relative?

REFERENCE #2

Name
Address
Is this person a relative?

MILITARY SERVICE

Did you serve in the Military?

DISCLAIMER AND SIGNATURE

By submitting this application, I certify that the information provided is true, complete, and accurate to the best of my knowledge. I understand that any false statements, omissions, or misrepresentations may result in disqualification from consideration or, if employed, dismissal at any time. I authorize River City Hydraulics to verify any information provided and to contact references or prior employers as necessary for employment consideration. Submission of this application does not guarantee an interview or employment.

Entering your name below serves as your signature for this application.

Date / Time
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