FASTCO CORPORATION
675 West Broadway Ave
U.S. Route 2
Lincoln, ME 04457
Tel: (207) 794-3030
Fax: (207) 794-6126

An Equal Opportunity Employer
APPLICATION FOR EMPLOYMENT

You may select more than one position by holding down the CTRL key while clicking on your selection.
Position(s) Appling for:
                                                        Date of Application:

Last Name:       First Name:       Middle Initial:
Street Address:
City:       State:     Zip Code:
Social Security No.:
Telephone No.:      E-Mail Address:

1. Are you eighteen years or older? yes    no
2. Have you ever been employed by FASTCO before? yes    no
3. Are you legally eligible for employment in this country? yes    no
    Note: Proof of U.S. citizenship or immigration status will be required upon employment.
4. Date available for work:
5. Type of employment desired: Full Time    Part Time    Temporary    Seasonal
6. Are you able to meet the attendance requirements of the position? yes    no
7. Are you willing to provide your own transportation if neccessary for your employment? yes    no
8. Have you been convicted of a felony in the last seven (7) years? yes    no
    Note: Such convictions may be relevant if job related, but does not bar you from employment.
    If yes, please explain:
9. Are you willing to accept employment which requires you to travel? yes    no
    If yes, please check all that apply. during the day only     occational overnight     frequently overnight
    List the geographic locations in which you are willing to work.
    If anywhere in Maine and along the East Coast, write "All"

Employment History:
List your three (3) most recent employers, assignments or volunteer activities, starting wilth the most recent, including military experience.
Employer One
From:    To:    Employer:
Job Title:      Address:
Supervisor:           City:    State:    Phone No.:
Supervisors Title:          Hourly Rate / Salary: $ per
Reason for Leaving:
Summarize the nature of work performed and job responsibilities:


Employer Two
From:    To:    Employer:
Job Title:      Address:
Supervisor:           City:    State:    Phone No.:
Supervisors Title:          Hourly Rate / Salary: $ per
Reason for Leaving:
Summarize the nature of work performed and job responsibilities:


Employer Three
From:    To:    Employer:
Job Title:      Address:
Supervisor:           City:    State:    Phone No.:
Supervisors Title:          Hourly Rate / Salary: $ per
Reason for Leaving:
Summarize the nature of work performed and job responsibilities:

List any additional skills and qualifications aquired from employment or other experiences such as academic or vocational training:


Prior to an employment offer, we require that you take an employment examination. If you have a disability which affects your ability to take such a test, inform us at least one week before the examination if you require an accomadation. Requested accommadations may include accessible testing sites, modified testing conditions and accessible testing formats. We reserve the right to require medical documentation of the need for accommodation.

It is understood and agreed upon that any misrepresentation by me in this application will be sufficient cause for cancellation of this application and/or separation from the Employer's service if I have been employed.

I give the Employer the right to investigate all references and to secure additional information about me, if job related. I hereby release from liability the Employer and its representative for seeking such information, and all other persons, corporations or organizations for furnishing such information

The Employer is an Equal Opportunity Employer. The Employer does not discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant's consideration for employment on basis prohibited by local, state, or federal law.

This application is cuurent for one year. At the conclusion of this time, if I have not heard from the Employer and still wish to be considered for employment, it will be necessary to fill out a new application.

I understand that just as I am free to resign at any time, the Employer reserves the right to terminate my employment at any time, with or without cause and without prior notice. I understand that no representative of the Employer has the authority to make any assurances to the contrary.

By submitting this form, I understand and agree to the terms above.

This application will be submitted to Kevin Steward, Director of Staffing.


Return to Top of Form