Employment Application

VADAKIN, INC. is an EQUAL OPPORTUNITY EMPLOYER.  Qualified applicants receive consideration for employment without regard to their religion, color, ancestry, age, sex, disability or any other class of persons protected by applicable law. To be considered for employment, this application must be completed fully, including its addenda.  Your responses to the questions in this application form must be accurate and complete and they will be judged in relation to the requirements of the job you are seeking.  Applications remain active for six months.  Applicants selected for employment will be required to prove U.S. citizenship or a legal right to work in the U.S. as determined by the U.S. Immigration and Naturalization Service.  VADAKIN, INC. is an “at will” employer, which means employment may be terminated by the employee or the Company at any time, with or without notice, and for any reason or no reason at all.

* indicates required information

Identification

* Are you at least 18 years old?

* Have you ever been employed by VADAKIN, INC?

Essential Job Functions

Please answer questions whether you can perform these duties with or without any reasonable accommodations.

Are you available to travel out of state on a weekly basis for extended periods of time?

Are you physically capable of lifting and moving 50-100 pounds on a regular basis?

Do you have the ability to work at heights exceeding 100' on a safety guarded metal grate?

Do you have the ability to work within a confined space?

Are you capable of working indoors and outdoors in a temperature variable environment?

If no to any of the questions above, are there any accommodations that the company can provide to enable you to perform the essential functions of this job? Please specifically list needed accommodations.

General Information

List Licenses, Registrations or Certifications you possess (including Driver's License). Include issuing agency & organization, license or certification numbers, and expiration dates.

Do you have a valid Driver's License?

Do you have a valid CDL License?

Have you ever been convicted of ANY VIOLATION OF THE LAW by any court other than for a minor traffic offense?

If yes, please explain, giving date, offense, and disposition. Conviction of a crime is not an automatic bar to employment. All circumstances will be considered.

Education

Memberships & Skills

List MEMBERSHIPS in any trade or professional organizations, including offices held.

List any SKILLS from school, past work, and/or training classes you feel might be helpful to us

Employment History

List ALL employment and periods of unemployment since you left school. You are not required to list military service, but you may do so if it is related to your career and you wish to have it considered.

Employer #1

Employer #2

Employer #3

Employer #4

Employer #5

References

List three persons who have known you for at least one year. Please exclude relatives or present/former supervisors.

Reference #1

Reference #2

Reference #3

Applicant's Agreement

"I understand and agree that, if I am employed by Vadakin, Inc., my employment is entirely "at will", which means neither are guaranteed for any definite period of time, and that my employment can be modified or terminated, with or without cause, and regardless of the date of payment of my wages and salary, and with or without prior notice at any time, at the option of either the company or myself. I understand and agree that the Company reserves the right to establish and/or change any of the terms or conditions of any aspect of my employment, including my compensation, at its discretion at any time with or without notice. I understand and agree that no other oral or written agreements of any kind pertaining to the terms of my employment and/or my compensation exist outside of this Agreement, and if I believe that any such previous agreements between any Company representative and myself have been made, I agree they are superseded by the contents of this Agreement. I understand and agree that no representative of the company, other than the President, has any authority to enter into any other agreement with me or provide me with any assurances relating to any aspect of my employment with the Company, except that the above mentioned official of the Company may do so in writing, although the terms of that Agreement cannot contradict the contents of this one. The terms of this Agreement will supersede all others.

I also agree that $1.00 of the wages I am paid when I report to work on my first day of employment will serve as sufficient consideration to bind this Agreement.

I authorize the Company to investigate my background, qualifications and/or any other information from whomever it deems appropriate. I also authorize anyone the Company contacts as part of its investigation to release any information they have regarding me or my employment to the Company or its representatives. Further, I authorize the company to release the results of any background checks conducted on me for business reasons to whomever it deems appropriate. I also release all parties from all liability for any damage that may result from either releasing or furnishing this information on me for business reasons to whomever they deem appropriate.

I further agree to take any lawful medical examination, chemical, drug or alcohol test upon request by the Company at its sole discretion as a condition of my employment, or, if I am hired, as a condition of my continued employment at any time as deemed appropriate by the Company. I agree that my refusal to take any such examinations or tests immediately upon request may be cause for my not being hired, or if I am hired, may be cause for the immediate termination of my employment. Further, I authorize the Company to release the results of these tests to whomever it deems appropriate for business reasons where allowed by law. I hereby release all parties from all liability for any damage that may result from conducting, releasing or furnishing information regarding these examinations or tests.

I also certify that the facts contained in this application are true and complete to the best of my knowledge and understand that if I am employed, any statements I have falsified on this Application shall be grounds for dismissal. I further certify that I have read all of the foregoing, understand the same, and do hereby voluntarily agree to all the provisions contained herein."

READ CAREFULLY BEFORE SIGNING

"I agree that any claim or lawsuit relating to my service with Vadakin, Inc. or any of its subsidiaries must be filed no more than six (6) months after the date of the employment action that is the subject of the claim or lawsuit. I waive any statute of limitations to the contrary."

If you are hired, this employment application will become part of your official employment record.