Dale E. Percy, Inc. is an equal opportunity employer that does not discriminate in hiring on the basis of race, religion, color, sex, age, national origin, veteran status, disability, or sexual orientation. No information on this application will be used for such discrimination.

Please list all employment, including military service. Begin with most recent employment. Use additional pages as necessary to give a complete history.

Please provide three references. Please do not list relatives or close friends.

If you have any questions regarding this statement, ask the employment before signing. I hereby affirm that the information provided by me in this application is true and complete to the best of my knowledge. I agree that misleading of falsified information, and/or omission may disqualify me from further consideration for employment and may be considered justification for dismissal when discovered at a later date. I hereby acknowledge Dale E. Percy, Inc. to investigate any statement in this application as may be necessary. I also authorize my former employers to release any information they may have regarding me. Further, I understand that employment at Dale E. Percy, Inc. is not employment by contract, either explicit or implied. I understand that employment is at will and may be terminated at any time by myself or Dale E. Percy, Inc. I understand that the use of alcohol or non-prescribed drugs on Dale E. Percy, Inc. property or projects and during the course of employment with Dale E. Percy, Inc. is strictly prohibited. If I am employed, I agree to comply with all explicit and implied safety rules, regulations and procedures.