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Application for Employment
Thank you for taking the time to apply for a position with Pioneer Balloon Company.

We are looking to add new employees to our team who are performance driven, have
a good work ethic, a positive attitude, are reliable, and are looking to become a part of
a team. This does not have to be another job, we are looking for employees who want
to grow a career with Pioneer!

We offer a variety of benefits including but not limited to affordable health and dental coverage, company paid life ins., 401K, Paid Leave, on the job training, and a variety of shifts.

Pioneer Balloon Company considers all applicants for employment without regard to race, color, religion, sex, national origin, age, ancestry, physical or mental disability, veteran status, or any other unlawful reason.

This company conducts a pre-employment drug test that identifies illegal drug use, any job offer is contingent on your passing of this drug test.
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Email *
Name *
First and last name
Address *
Street Address   Apt. or Bldg.#  City    State    Zip
Phone number *
Are you 18 or older? *
Do you have a legal right to work and remain in the U.S.? *
Federal law requires that we hire only individuals who are authorized to be lawfully employed in the U.S. We will verify your identity and employment authorization. This means you will need to submit documents required by law for our verification within 72 hours of starting work, if hired.
Do you have a latex allergy? *
Do you have a Valid DL or State ID?
Clear selection
Have you ever worked for Pioneer before?
Clear selection
Please list the names of relatives and friends working for Pioneer
Have you ever been convicted of a felony? *
(NOTE: A conviction will not necessarily bar employment)
Required
Education level completed
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Military Service
Branch of service, Responsibilities & Type of discharge
Have you been terminated for cause in the past 12 months?
(NOTE: Answering yes does not necessarily prevent you from being considered for a position.)
Clear selection
How many jobs have you held in the past 5 years?
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Most positions are physically demanding and require the ability to multi-task. The essential functions of the jobs require you to stand for 8-12 hours per day on a concrete surface, repetitively bending, and stooping. Will you be able to perform the essential functions of the job with or without reasonable accommodations?
Clear selection
Our positions may require overtime work both during the week and/or on the weekends. Will you be able to accommodate these requirements?
Clear selection
Maintenance positions require electrical and mechanical repair knowledge. Please list relevant work experience if applying for these positions.
Pay desired *
Type of employment desired
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Shift desired *
Are you currently employed? *
Former Employers
Please list the following for the last 3 jobs                                                                                                                Date of employment             Name of employer                               Position                     Salary                       Reason for leaving        
Which of the jobs listed above did you like the best? Why?
Which of the jobs listed above did you like the least? Why?
Acknowledgment *
Please read and agree or disagree the following statement: I have answered all questions to the best of my knowledge. I realize false information or omissions on this application, or during any interview, may be grounds for refusing employment, or if employed, grounds for dismissal. I authorize any necessary inquiries Pioneer must make to verify all information provided by me in this application and any interviews. I agree to release those supplying any information Pioneer uses for verification from all liability. I agree that as a condition of employment, I may be required to pass a physical examination and drug screening, and I agree for these results to be disclosed to Pioneer. I understand that if there is reasonable suspicion that I may be impaired at work or if I am involved in a work accident, I may be required to submit to a drug screen, and I agree for these results to be disclosed to Pioneer. I also understand, that if hired, my employment is “at will,” not for a specific period of time, and that my employment and compensation can be terminated at any time, with or without cause, by myself or Pioneer. I also understand that any representations made to the contrary are not authorized and are void.
Required
Electronic Signature
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