Job Application Personal Background InformationPosition Applying For*Legal NameFirst*MiddleLast*Address* Street Address City State / Province / Region ZIP / Postal Code Phone*Email* Date of Birth* Date Format: MM slash DD slash YYYY Are you eighteen years of age or older?*YesNoAre you legally authorized to work in the United States?*YesNoHave you ever been convicted of a crime (excluding minor traffic violations)?*YesNoExplanation:*If you answered yes, provide complete details, including the date of conviction and incarceration, if any, and disposition, including any suspended sentence, fines, probation, deferred adjudication, or similar disposition. Conviction of a crime is not an absolute bar to employment. All relevant circumstances, such as how long ago the conviction occurred and the crime involved, will be considered in relation to specific job requirements:Are you able to perform the functions of the job for which you are applying as described or demonstrated to you or as identified in the job description, if one has been provided to you, with or without any accommodations?*YesNoExplanation:*If you answered no, what accommodations would have to be made to allow you to perform the functions of the job?Do you have a Commercial Driver License?*YesNoWhat class is your CDL?*Do you have a Transportation Worker Identity Credential card (TWIC Card)?*YesNoHave you completed any other safety courses?*YesNoExplanation*If you answered yes, please describe the safety course (or courses) you've taken.Education Please describe your highest level of education completed and degree(s) earned, if applicable.List of Schools*To add new entries, please click the plus button.Name & Location of SchoolCourse of Study or MajorNumber of Years CompletedDiploma/Degree Work HistoryList all employers for whom you have worked over the last 10 years starting with the most recent employer; furnish dates and explanations for each period of employment of one month or more. If you were unemployed or self- employed, please indicate. Do not omit any employment during the last 10 years. DO NOT USE “SEE RESUME”List Previous Employment*To add new entries, please click the plus button.Position HeldDatesEmployerLocation ReferencesPlease List Below*To add new entries, please click the plus button.NameAddressPhoneRelationship Upload Your ResumeConditions of Employment“ I certify that I completed this application and that all facts and information provided by me are true and complete to the best of my knowledge. I understand that any misstatement, omission, falsification, or factual misrepresentation in this application shall disqualify me from consideration for employment by SPARTAN DIRECTIONAL, LLC, (SPARTAN) or, if hired, result in disciplinary action up to and including termination of employment. I authorize SPARTAN to evaluate me for employment purposes and to verify any and all information furnished by me, or other information that may be disclosed about me, during the evaluative process. In addition, I authorize SPARTAN to contact all law enforcement agencies; any or all of my previous employers, references, and educational institutions; and otherwise to fully investigate my suitability for employment, character, general reputation, personal characteristics, mode of living, work habits, skills, or abilities, including contacting a credit bureau, credit agency, or other consumer reporting agencies of its choice. I understand that the results of any such investigation may be disclosed to SPARTAN management personnel and other personnel involved in the employment decision, and I consent to such disclosure. I also consent to the disclosure of such information as may be required by law. In connection with and in consideration of SPARTAN’s undertaking to review my application for employment, to conduct the investigation, and to consider me for hire, I release, waive, indemnify, and hold harmless SPARTAN, and its affiliates, representatives, consultants, officers, directors, managers, supervisors, employees, and agents from and against any and all liabilities, losses, demands, claims, or suits for any injury or damage, of any kind, character, or nature. INCLUDING THOSE FOR ANY INJURY OR DAMAGE RESULTING FROM NEGLIGENCE WHETHER SOLE CONCURRENT OR GROSS that is or is alleged to be caused by or contributed to by SPARTAN, and that I may suffer or sustain as a result of the creation acquisition, dissemination, or use of any such information. I am aware that Alcohol, Drugs, and Firearms are not allowed on any SPARTAN properties or equipment. I hereby give SPARTAN or their clients’ permission to search my belongings while on any SPARTAN properties or equipment. I also voluntarily submit to a random and/or –pre-access chemical test (Drug and/or Alcohol) anytime requested by SPARTAN or their clients. SPARTAN is vitally concerned in the safety and health of its employees. It is the express policy of SPARTAN that when its employees perform their job functions without endangering themselves or their coworkers because of drug or alcohol use on or off the job site. Any employees who are taking prescribed medication or non prescribed drugs, which may impair their ability to perform their job functions, must immediately notify their supervisor. All employees are subject to drug and alcohol testing at any time. Any employee found to be using prescribed or over the counter drugs, which may impair their performance without notifying their supervisor or found to be intoxicated will be subject to immediate termination. ANY EMPLOYEES FOUND TO BE UNDER THE INFLUENCE OF ALCOHOL OR ANY NON-PRESCRIBED CONTROLLED SUBSTANCE WILL BE SUBJECT TO IMMEDIATE TERMINATION AND MAY FORFEIT ANY RIGHTS THEY MAY HAVE OTHERWISE HAD TO WORKER’S COMPENSATION, UNEMPLOYMENT COMPENSATION AND/OR CURE BENEFITS, IN ACCORDANCE WITH LOUISIANA RULES AND STATUTES. I acknowledge and agree that this employment application is not a contract or a legal guarantee of employment. If hired by SPARTAN, I understand that my employment will be at will and not for any specific term, and that either I or SPARTAN may terminate my employment at any time, with or without reason or advance notice. I further understand that no officer, director, supervisor, employee, or representative of SPARTAN, other than the President, has the authority to enter into any agreement for a specified period of employment, or to make any statement contrary to the provisions outlined above. If hired, I agree to comply with all rules, regulations, and operating procedures established by SPARTAN, including but not limited to all rules of conduct. I further agree that I will not disclose, directly or indirectly, during the term of my employment or thereafter, any proprietary or confidential information of the Company’s trade secrets, to any person, firm, or corporation or use such information other than in the course of my employment with the Company. I further agree that I will honor any presently effective secrecy agreement with former employers. SPARTAN assures that I am not and will never be required as a condition of employment to disclose any confidential information, technical know-how or trade secrets of a proprietary nature of any former employer and I agree not to disclose any such information, know-how or trade secrets to SPARTAN.* I have read in full and understand the above statements and conditions of employment.