Oscar W. Larson is now a part of OWL Services (owlservices.com). Oscar W. Larson values its customers, suppliers and employees and is committed to maintaining strong relationships with all by delivering the best quality service in the industry.
(800) 482-1200

Employment Application

Personal Information

First Name
Middle Name
Last Name

Current Address

Address
Address Line 2
City
State
Zip Code

Previous Address

Address
Address Line 2
City
State
Zip Code
Phone Number
E-Mail Address
Are you 18 years or older?
Are you authorized to legally work in the United States?
Are you able to provide proof of your eligibility to work in the United States?

Employment Desired

Position
Date you can start
Salary Desired
Are you employed now?
If so, may we inquire of your present employer?
Have you ever applied to this company before?
Where?
When?

Education

Elementary School

Name
Address
City
State
Zip Code
Number of Years Attended

High School

Name
Did you graduate?
Address
City
State
Zip Code
Number of Years Attended
Subjects Studied

College

Name
Did you graduate?
Address
City
State
Zip Code
Number of Years Attended
Subjects Studied

Trade, Business, or
Correspondence School

Name
Did you graduate?
Address
City
State
Zip Code
Number of Years Attended
Subjects Studied

General

Subjects of special study or research work
U.S. Military or Naval Service
Rank
Present membership in National Guard or Reserves

Former Employers

Please list your last four employers,
starting with the most recent.

Employer 1

Name
Address
City
State
Zip Code
Start Date
End Date
Position
Salary
Reason for leaving

Employer 2

Name
Address
City
State
Zip Code
Start Date
End Date
Position
Salary
Reason for leaving

Employer 3

Name
Address
City
State
Zip Code
Start Date
End Date
Position
Salary
Reason for leaving

Employer 4

Name
Address
City
State
Zip Code
Start Date
End Date
Position
Salary
Reason for leaving

References

Give the names of three persons not related to you, whom you have known at least one year.

Reference 1

Name
Address
City
State
Zip Code
Business
Years Aquainted

Reference 2

Name
Address
City
State
Zip Code
Business
Years Aquainted

Reference 3

Name
Address
City
State
Zip Code
Business
Years Aquainted

Physical Record

Do you have any physical limitations that preclude you from performing any work for which you are being considered?

Please describe:

Electronic Signature

I understand that my filling out this application does not obligate Oscar W. Larson to offer me employment.

I certify that the facts set forth in my application for employment are true, correct and complete. I further understand and agree that any misrepresentations, omissions or false statements on this application shall be considered sufficient cause for immediate discharge.

I authorize Oscar W. Larson to investigate any of the information contained on this application, including the examination of past employment records, references and other facts stated on the application.

I understand that any offer of employment would be contingent upon my providing Oscar W. Larson with acceptable documents to establish identity and employment eligibility in compliance with law.

I understand that any offer of employment is contingent upon successful passing of a background check including review of criminal and driving record. Also, the successful completion of a medical examiner’s fit-to-work review based on employee's potential job description. Thirdly, successful completion of a DOT physical and drug alcohol screen must be obtained by earning a two-year medical certificate. Lastly, completion of the applicable pre-employment safety training shall be completed in full.

I also consent to participate in future background checks and medical examinations (including drug and alcohol testing) that Oscar W. Larson may, to the extent permitted by law, require. I understand and agree that, if hire, my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without any prior notice.

If hired, I agree to wear or use protective clothing or devices as required and to fully comply with all relevant safety rules. If hired, I agree to conform to all work rules and regulations. I further agree and understand that either Oscar W. Larson or I may terminate employment and compensation at any time, with or without cause, and with or without notice.

I further understand that no one other than an Executive Officer of Oscar W. Larson has authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, and that any such agreement must be in writing.

Signature (please type your full name)
Today's Date