Employment Form First Name* Last Name* Present Address* Address 2 City* Postal Code* Phone Number* Are you 18 or older?YesNo Position DesiredFull-time Service TechnicianAny Position Have you ever applied to P And D Sales and Service, LLC before?YesNo Highest Level or EducationGrammer SchoolHigh SchoolCollegeTrade, Business or Correspondance School Did you graduate?YesNo Skills State / Province / Region* Country* Email* Are you prevented from lawfully becoming employed in this country because of visa or immigration status?YesNo Desired Salary Referred by: Name of School Activities Former Employer 1 Former Employer 1 Address Former Employer 1 Address 2 City Dates of Employment State / Province / Region May we contact this employer?YesNo Former Employer 2 Former Employer 2 Address Former Employer 2 Address 2 City Dates of Employment State / Province / Region May we contact this employer?YesNo Reference 1 Name Reference 1 Email Reference 1 Number Reference 1 Business Reference 2 Name Reference 2 Email Reference 2 Number Reference 2 Business Upload Your Resume I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions or misrepresentations are discovered, my application may be rejected and if I am employed, my employment may be terminated at any time. In consideration of my employment I agree to conform to the company’s rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or cause, and with or without notice, at any time, at either my or the company’s option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company. I understand that no company representative, other than it’s president, and then only when in writing and signed by the president, has any authority to enter into any agreement for employment for any specific period of time. or to make any agreement contrary to the foregoing. Signature* Date* Submit