Call 414-383-3970

Country Maid located in Milwaukee, WI

Employment Application

Contact Information

Position Questions



List three persons who can objectively evaluate your experience and capabilities; at least two of whom were your supervisor/manager.

Employment History

Employment Experience #1

Employment Experience #2

Employment Experience #3

Security Background

Fair Credit Reporting Act

In accordance with the provision of the Fair Credit Reporting Act, enacted for your protection, we may in the course of our normal screening procedure,conduct an investigation to obtain information through personal interviews with your neighbors, friends, or others with whom you are acquainted. Thisinquiry includes information as to your character, general reputation, personal characteristics and mode of living. You have the right to make writtenrequest within a reasonable period of time for a complete and accurate disclosure of additional information concerning the nature and scope of thisinvestigation.

I authorize all persons, schools, companies, corporations, credit bureaus and law enforcement agencies to supply any information concerning mybackground and release them from any liability and responsibility arising from their doing so.

Applicant Statement

I hereby certify that I have read and that I fully understand the foregoing questions, that I have answered them to the best of my belief and knowledge,and that all my statements have been made truthfully and without evasion.

I hereby authorize Forklift Management Specialists, LLC (“the Company”), or any agent thereof, to investigate the validity of these statements.

Any deliberate omission or misrepresentation of a material fact in my application or attachments may be justification for refusal of, if employed,separation from the Company’s employment regardless of time of discovery.

I understand that this employment application and any other Company documents are not promises of employment. Should I be employed, I furtherunderstand that, if I am employed, I can terminate my employment at any time with or without cause and with or without advance notice, and that the Company has a similar right. I understand that no leader, representative, or agent of the Company has any authority to enter into any agreement foremployment for any specified period of time, or to make any agreement contrary to the foregoing, except that a corporate officer may do so in writing.

I understand that the Company is committed to provide equal opportunity in all employment practices, including but not limited to selection, hiring,promotion, transfer, and compensation to all qualified applicants and employees without regard to race, color, religion, creed, sex, national origin,ancestry, age, marital status, sexual orientation, medical condition, physical or mental disability, veteran status, or any other category protected byfederal, state, or local law.