Lone Star Circuits Employment Application

Best Circuit Boards. Inc. D/B/A Lone Star Circuits.

Please Fill in Every Section to the best of your ability, We look forward to hearing from you!

All Sensitive Information in this Form shall be encrypted and will only go to the people applicable in ensuring proper review and the protection of applicant's credentials for the Position of Interest. If you should find any information that does not belong to you, please contact our phone or email and remove any confidential content that is within your ability to do so. 

Personal

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Position

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Education and Skills

Best Circuit Boards. Inc. D/B/A Lone Star Circuits.

please type in N/A or leave blank any that are not applicable to you

High School

Trade / Business School

Undergraduate

Other

Work History

Best Circuit Boards. Inc. D/B/A Lone Star Circuits.

Please list your employment history, starting with your most current employer or occupation. Please include any job-related military service assignments and volunteer activities. You may exclude organizations that indicate race, color, religion, gender, national origin, disabilities or other protected status.

If you do not wish your present employer to be contacted, please indicate by checking here.
 
 

Agreement and Release

Best Circuit Boards. Inc. D/B/A Lone Star Circuits.

We have a Drug Free environment. By completing and signing this Application, you understand and agree to submit to drug and alcohol screening and searches during the course of employment as provided for in Lone Star Circuits’ Drug and Alcohol Policy. You further understand and agree to release Lone Star Circuits and its directors, officers, agents, employees, parents, subsidiaries, and affiliated concerns from any and all liability, claims, demands, damages, and causes of action of every kind and nature arising out of or resulting from or in connection with submitting to drug and alcohol screening or searches and any decision concerning employment made by Lone Star Circuits in whole or in part, based upon the results of drug and alcohol screening or searches.

I consent to and authorize Lone Star Circuits to contact my former employers, and any and all other persons and organizations for information bearing upon my qualifications for employment. I further authorize the listed employers, schools and personal references to give Lone Star Circuits (without further notice to me) any and all information about my previous employment and education, along with other pertinent information they may have and hereby waive any actions which I may have against either party for providing a reference. Also, I understand my employment is contingent on Lone Star Circuits receiving satisfactory employment references.

I expressly agree and understand that, if employed, my employment is not for a specified term, is based upon mutual consent, and may be terminated at will, with or without cause or liability, by either party (Lone Star Circuits or me) without prior notice to the other. I also understand that this aspect of my employment may not change absent an individual written agreement signed by the President of Lone Star Circuits and me. Unless an agreement is executed by the General Manager of Lone Star Circuits and me, this application nor any other document or statement, can constitute an agreement or contract for employment for any specified period or definite duration or, in any way, limit the at-will nature of my employment.

I certify, under penalty of perjury, that all of the above information is true and complete, and I understand that any falsification or omission of information may result in denial of employment or, if hired, may result in termination regardless of the time lapse before discovery.

 

Background Check Disclosure & Release

Best Circuit Boards. Inc. D/B/A Lone Star Circuits.

Pursuant to the requirements of the Fair Credit Reporting Act, notice is given that a consumer report request may be made in connection with your application for employment.

If you are denied employment, either wholly or partly, because of information contained in a consumer report, a disclosure will be made to you, in writing, of this decision, as well as the name and address of the consumer reporting agency making such report. You will also receive a copy of the report and a statement of your consumer rights.

By signing below you consent to the procurement of a consumer report in connection with your application for employment.

*For consumer report purposes only

**For positions where driving is required for business reasons

+ A consumer report may consist of employment records, educational verification, licensure verification, social security number verification, previous addresses, and other public records relative to criminal charges. A credit report or driving history will not be requested unless it is deemed pertinent to the functions of the position for which you are applying. Medical records will not be requested.

 

Employment Applicant Voluntary Self-Identification Equal Opportunity Employment Data

Best Circuit Boards. Inc. D/B/A Lone Star Circuits.

It is Lone Star Circuits’ policy to provide equal employment opportunity to all persons regardless of their race, creed, religion, color, sex, age, national origin, ancestry, marital status, eligibility for military service, veteran status, or handicap. Your assistance in voluntarily completing this form will provide the information needed for us to comply with federal record keeping and reporting requirements.

If you choose not to answer any of the following questions, you will not be subject to adverse treatment. However, if you choose not to "Self-Identify," we are required under Federal Regulations to maintain race, sex and disability information on the basis of visual observation or personal knowledge. If you do not wish to furnish this information, please sign at the bottom of the page.

Please check the appropriate box in each of the following sections.

SEX
RACE
DISABLED
DISABLED VETERAN

Disabled Applicants
If your disability might affect your ability to perform the duties of this position, please explain these limitations and suggest special equipment or physical environment accommodations that may be needed for you to perform the job properly and safely.

Vietnam Era Veteran

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All Sensitive Information in this Form shall be encrypted and will only go to the people applicable in ensuring proper review and the protection of applicant's credentials for the Position of Interest. If you should find any information that does not belong to you, please contact our phone or email and remove any confidential content that is within your ability to do so. 

Best Circuit Boards. Inc. D/B/A Lone Star Circuits.