Parker and Son, Inc.      
Atmore, AL


PO Box 616   88 Nichols Avenue  Atmore, AL 36502
PH: 251-368-3737  Fax: 251-368-4906

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Parker and Son Inc. application will be used for screening and evaluating your related job qualifications. You will need to make certain that you have clearly identified your relevant skills and job experience adequately. You are encouraged to type in or paste your resume in the space provided. If the online application does not provide adequate information from which to assess your qualifications for the open position, you will be disqualified from the applicant pool due to insufficient background data. Thank you for your interest in employment with Parker and Son Inc.
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Personal Information
*First Name   
Middle Initial 
*Last Name 
Suffix 
*Address 1 
Address 2 
*City 
*State 
*Zip 
Country 
*Preferred
Contact Phone 
Alternate Phone 
*Email 
*Willing to work: 
*Out-of-town jobs during the week 
*Jobs with night Shifts
*Holiday or Weekends


* denotes required field
*Are you over the age of 18?
*Are you a smoker of tobacco products?
*Do you have a valid drivers license?
(Only required for specific positions)
*Do you have a class A CDL?
(Only required for specific positions)
*Are you a U.S Citizen or do you have
a legal right to work in the U.S?
*Have you ever been employed by Parker and Son Inc. or any of its subsidiaries?
If yes, please list dates and name(s) used.
*Have you been convicted of a felony in the last 7 years?
If yes, please explain (may be relevant if job related, but does not bar you from employment)
List any relatives working for this company (the purpose of this question is to determine if there is a need to evaluate whether the applicant and relative could work in the same department)
*Position Applied For
Education-Training Please type None or NA for the fields that do not apply to you.
High School City State Graduated?
College/University City State Degree and Major Graduated? GPA
College/University City State Degree and Major Graduated?
Technical/Trade/Pre-Line School City State Degree and Major Graduated?  
Employment History
Please enter your most recent position first. If no employment history please enter "none"
Job 1
*Employers Name
*Employer Phone #
Address
City
State
Starting Date Mo/Year /
Ending Date Mo/Year /
Supervisor's Name
Supervisor's Phone #
*Currently Employed?
*May we contact?
Starting Title
Starting Salary
Ending Title
Ending Salary
Reason for Leaving
Name(s) used during this job
Primary Job Duties
Job 2
 
Employers Name
Employer Phone #
Address
City
State
Starting Date Mo/Year /
Ending Date Mo/Year /
Supervisor's Name
Supervisor's Phone #
Starting Title
Starting Salary
Ending Title
Ending Salary
Reason for Leaving
Name(s) used during this job
Primary Job Duties
Job 3
 
Employer's Name
Employer Phone #
Address
City
State
Starting Date Mo/Year /
Ending Date Mo/Year /
Supervisor's Name
Supervisor's Phone #
Starting Title
Starting Salary
Ending Title
Ending Salary
Reason for Leaving
Name(s) used during this job
Primary Job Duties
References - Optional
Please list three professional references - include name, company if applicable, title, relationship and contact phone number(s)
Referral Source
How did you find out about this position?

Please use the space below to copy and paste your resume or list any other job-related training, experience, or accomplishments pertinent to this position. (Please provide a resume or type N/A or None for no resume)


Voluntary Affirmative Action Information
In compliance with federal regulations, the company is required to gather and maintain statistics for use in completing its annual Affirmative Action Report. The information is voluntary, confidential, and will be filed separately from the application form. We appreciate your assistance in providing us with this information. Thank you.

Applicant Name
Gender     Male   Female

Ethnicity:
Yes   No

Hispanic or Latino.
A person of Cuban, Mexican, Puerto Rican,South or Central American, or other Spanish culture or origin, regardless of race.

Race: If you selected "No" above, please select one of the following categories
 White A person having origins in any of the original peoples of Europe, the Middle East or North America.
Black or African American A person having origins in any of the Black racial groups of Africa.
 Native Hawaiian or Other Pacific Islander A person having origins in any of the original peoples of Hawaii,Guam, Samoa, or other Pacific Islands.
 Asian A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Island, Thailand, and Vietnam.
American Indian or Alaska Native A person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.
Two or More Races All persons who identify with more than one of the above five races.
Veteran Status (please check all that apply)
Disabled Veteran (1) Entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs, or (2) discharged or released from active duty because of a service-connected disability.
Other Protected Veteran Served on active duty during a war or in a campaign or expedition for which a campaign badge has been authorized. 
Recently separated Veteran Active duty within the past 3 yrs.
Armed Forces Service Medal Veteran Participated in a United States military operation for which an Armed Forces Service Medal was awarded.
Disability Status
Disabled Government regulations define a “Disabled Individual” as any person who (1) has a physical, sensory or mental impairment which substantially limits one or more of such person’s major life activities; (2) has a record of having such impairment; or (3) is regarded as having such impairment.

IMPORTANT: Before submitting, please check this application carefully for completeness and for agreement to the conditions described below. This application is not complete until the following statements have been read and the form is submitted.


   1. EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION: Parker and Son Inc. is an equal employment opportunity employer and does not discriminate on the basis of age, race, color, national origin, sex, marital status, sexual orientation, religion, disability or veteran status or any other legally protected status. I understand that Parker and Son Inc. is committed to a program of Equal Opportunity and Affirmative Action in all its personnel practices. I agree to support the company’s efforts in ensuring Equal Employment Opportunity and Affirmative Action for all employees. If I am hired I agree to abide by all policies and regulations of this company.

   2. APPLICATION MISREPRESENTATION: I hereby affirm that the information provided on this application (and accompanying resume, if any) is true and complete to the best of my knowledge. I understand that any falsified information or omissions will disqualify me from further consideration for employment and may also result in my dismissal if discovered at a later date.


   3. IMMIGRATION REFORM ACT: I understand that according to the Immigration Reform and Control Act of 1986 all individuals who are hired must, as a condition of employment, produce certain documentation to verify their identity and their legal authorization to work in the U.S. As a consequence, I understand that any offer of employment would be contingent on my ability to produce the required documentation within the time period required by law.

   4. REFERENCES AUTHORIZED:I authorize a thorough investigation of my past employment and activities and understand that Parker and Son Inc. may request a criminal history and fingerprint security investigation in addition to verifying Social Security number, education and other certifications with continued employment contingent upon the results of that investigation. I agree to cooperate in such investigation, and release from all liability or responsibility all persons and corporations requesting or supplying such information.

   5. DRUG AND ALCOHOL SCREENING POLICY: I understand that Parker and Son Inc. has a strong commitment to a drug-free workplace and expects employees to report to work unimpaired and in condition to perform their duties. I also understand that any offer of employment is contingent on receiving a negative drug test result. If hired and consistent with applicable state and federal law, I will comply with any random, post accident, reasonable suspicion, and follow-up drug and/or alcohol testing as required by any policies of the company or regulations by law (e.g. for positions regulated by Department of Transportation). I also agree that if I am hired I will notify my supervisor of any criminal drug statute convictions within five days of conviction.

   6. EMPLOYMENT AT WILL: Except as otherwise provided by state law, I understand that employment with Parker and Son Inc. is terminable-at-will, and that if I am hired my employment will not be for any specified term, and this application is not, nor is it intended to be, a contract for continued employment. I understand that if I am hired the employer or I may terminate my employment at any time with or without cause or notice, subject to any applicable collective bargaining agreement.

   7. REASONABLE ACCOMMODATION FOR APPLICATION AND HIRING PROCESS: If I am a qualified person with a disability and need any accommodation to assist me in the application, work exercise, or interview process, I may request such accommodation. I understand that I must inform Parker and Son Inc. of my need for accommodation a reasonable time before that part of the selection process and will supply documentation supporting the need if so requested.


   8. Parker and Son Inc. strongly supports creating and sustaining a safe and healthy work environment for all its employees. Parker and Son Inc. has a policy of hiring individuals who are non-smokers of tobacco products. The non-hiring smoking policy does not apply to positions located in the states of Oregon, Montana, Nevada, New York, Rhode Island, and Wyoming.

By clicking the SUBMIT APPLICATION button below, I certify that my responses to the questions on this application are true and agree to the statements above.


*Signature  
*Date mm/dd/yyyy