Apply for General Employment

Please answer all questions truthfully in order for your application to be processed.
In compliance with Federal & State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, veteran status, non-job related disability, or any other protected group status.
Take a close look at this entire Employment Application before you start to fill it out, since you might need to retrieve some necessary information, especially about past employments and where you have lived.
Notice that you will need a valid email address.
You need to set aside enough time to answer all of the questions in one sitting, since there currently is no way to save some of your answers and allow resuming at a later time.
Required questions are marked with '(Required)' and must be answered before you can submit this application. If you forget to answer a '(Required)' question, it will be pointed out when you try to submit this Application. Please answer all '(Required)' questions to avoid loss of answers & having to start over.

Do you have a legal right to work in the United States?(Required)

We can only hire people who have a legal right to work in the United States. If you don't have that right, there is no use applying for a position with us since we can't consider you. Check back with us when your legal status has changed. Thanks.

Yes

Full Name(Required)

Specify your full name, including first, middle, last, & any suffix like "Jr", or "Sr".

What position are you applying for?(Required)

Expected Pay Rate(Required)

How did you hear about Neier employment opportunities?(Required)

Select all that apply. If you contacted Neier about job opportunities & they asked you to apply online, how did you hear about Neier before applying here?

[Referral] Who referred you?(Required)

[Other] How else did you find us?(Required)

Why are you attracted to working for Neier?(Required)

What were some of the key factors in our advertising, website, or what you have heard from others that were important to you? If you have any suggestions for improving our outreach, please explain.

Social Security Number(Required)

Date of Birth(Required)

Month

Day

Year

Can you provide proof of your age?(Required)

Yes

[No] Why can't you provide proof of your age?(Required)

Primary Phone Number?(Required)

Cell Phone

Home Phone

Work Phone

Primary Phone Number, including Area Code(Required)

(###)###-####

Secondary Phone Number?(Required)

Cell Phone

Another Phone

Secondary Phone Number, including Area Code(Required)

(###)###-####

Primary Email(Required)

We require a valid email address. You can sign up for a free email account at gmail.com or outlook.com if you don't already have an email account. Note: Do NOT use spaces before or after your email in either of the 2 entry fields, otherwise they will NOT match.

Enter Email Confirm Email

Current Primary Residence #1

We require the address of your current primary residence and any additional addresses where you have lived during the past 36 months (3 years).

Current Primary Address #1(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How many months have you lived at Residence #1?(Required)

Please enter a number greater than or equal to 1.

Calculated number of months at Residence #1

Ask for Previous Residence #2 if less than 36 months

ResidenceMonths1

Previous Residence #2

Previous Address #2(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How many months did you live at Residence #2?

Please enter a number greater than or equal to 1.

Calculated number of months at Residences #1+2

Ask for Previous Residence #3 if less than 36 months

ResidenceMonths1+2

Previous Residence #3

Previous Address #3(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How many months did you live at Residence #3?(Required)

Please enter a number greater than or equal to 1.

Calculated number of months at Residences #1+2+3

Ask for Previous Residence #4 if less than 36 months

ResidenceMonths1+2+3

Previous Residence #4

Previous Address #4(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How many months did you live at Residence #4?(Required)

Please enter a number greater than or equal to 1.

Calculated number of months at Residences #1+2+3+4

Ask for Additional Previous Residences if less than 36 months

ResidenceMonths1+2+3+4

Additional Previous Residences(Required)

If you have lived in more than 4 places during the past 36 months (3 years), please provide the full address of each additional place where you have lived and the number of months at each location.

Current Driver License

License Number(Required)

Which U.S. State or Canadian Province?(Required)

Date Issued(Required)

Month

Day

Year

Expiration Date(Required)

Month

Day

Year

List any Endorsements on your Driver License

Employment History?

Applicants must list all employers during the previous 3 years from today

Have you previously worked for Neier Inc?(Required)

Yes

[Yes] When were you previously employed by Neier Inc?(Required)

Please specify the Start Month/Year and the Last Month/Year

[Yes] What was your previous position?(Required)

[Yes] What was your reason for leaving?(Required)

Have you ever been convicted of a felony?(Required)

Yes

[Yes] Please explain felony each conviction(Required)

Describe each situation and the associated dates

Is there any reason you might be unable to perform the functions of the job for which you have applied?(Required)

Yes

[Yes] Please explain reasons(Required)

Are you currently employed?(Required)

Yes

[No] How many months have you been out of work?(Required)

Specify 1 month if less than a month

Please enter a number greater than or equal to 1.

Current/Recent Employer #1

Start with your current, or most recent, employer and then work backwards over the past 3 years from today for each previous employer.

Name of Employer #1(Required)

Address of Employer #1(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Start Date(Required)

Month

Day

Year

End Date

Leave this blank if you are still employed there, else be sure to specify the last date you worked for this employer.

Month

Day

Year

Positions held & how could that enhance your qualifications?(Required)

Last Salary/Wage?

Reasons for Leaving, if you are no longer working there?

Contact Person's Name & Position(Required)

If you are still working here, is it ok to contact this person?

Contact Phone Number, including Area Code(Required)

(###)###-####

Contact FAX Number, including Area Code

(###)###-####

==>> Previous Employers besides #1?(Required)

Did you work for any other employers than #1 during the past 3 years?

Yes

Previous Employer #2

List the employer you worked for prior to #1 during the past 3 years

Name of Employer #2(Required)

Address of Employer #2(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Start Date(Required)

Month

Day

Year

End Date(Required)

Month

Day

Year

Positions held & how could that enhance your qualifications?(Required)

Last Salary/Wage?

Reasons for Leaving?(Required)

Contact Person's Name & Position(Required)

Contact Phone Number, including Area Code(Required)

(###)###-####

Contact FAX Number, including Area Code

(###)###-####

==>> Previous Employers besides #1 & #2?(Required)

Did you work for any other employers than #1 or #2 during the past 3 years?

Yes

Previous Employer #3

List the employer you worked for prior to #2 during the past 3 years

Name of Employer #3(Required)

Address of Employer #3(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Start Date(Required)

Month

Day

Year

End Date(Required)

Month

Day

Year

Positions held & how could that enhance your qualifications?(Required)

Last Salary/Wage?

Reasons for Leaving?(Required)

Contact Person's Name & Position(Required)

Contact Phone Number, including Area Code(Required)

(###)###-####

Contact FAX Number, including Area Code

(###)###-####

==>> Previous Employers besides #1, #2, & #3?(Required)

Did you work for any other employers than #1, #2, or #3 during the past 3 years?

Yes

Previous Employer #4

List the employer you worked for prior to #4 during the past 3 years

Name of Employer #4(Required)

Address of Employer #4(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Start Date(Required)

Month

Day

Year

End Date(Required)

Month

Day

Year

Positions held & how could that enhance your qualifications?(Required)

Last Salary/Wage?

Reasons for Leaving?(Required)

Contact Person's Name & Position(Required)

Contact Phone Number, including Area Code(Required)

(###)###-####

Contact FAX Number, including Area Code

(###)###-####

==>> More Employers besides #1, #2, #3, or #4 during past 3 years?(Required)

Did you work for any other employers than #1, #2, #3, or #4 during the past 3 years?

Yes

Other employers during the past 3 years(Required)

List each additional employer that you worked for during the previous 3 years and include the following information for each:
1. Name & address of employer
2. Start & End Dates of employment
3. Position held
4. Last Salary/Wage (optional)
5. Reasons for leaving
6. Contact person's name & position
7. Contact phone# & fax#, including area code

Education

Did you graduate from High School?(Required)

Yes

[Yes] Graduated from High School(Required)

What was the name of the High School, city, & state?

[No] Didn't graduate from High School(Required)

What was the highest grade you finished, name of school, city, state? What were the circumstances surrounding why you didn't graduate from High School?

Have you pursued additional education?(Required)

Yes

[Yes] Additional Education(Required)

Please list all additional education that you have started and/or completed. Any community college, university, trade schools, correspondent courses, employer training, etc? What has been your progress with each?

Additional Information

What else would you like for us to know?

Is there anything else that hasn't already been covered in this application that we should know that could help us decide your suitability for employment at Neier? For example, why do you want to work here and what skills, capabilities, & qualities could be most helpful?

To Be Read and Signed By Applicant

I authorize Neier, Inc. to make investigations & inquiries into my personal, employment, financial, or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.) I hereby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Company.

I understand that information I provide regarding current and/or previous employers may be used, and those employer(s) will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23(d) and (e). I understand that I have the right to:

1. Review information provided by current & previous employers,

2. Have errors in the information corrected by current & previous employers and for those current & previous employers to re-send the corrected information to you, and

3. Have a rebuttal statement attached to the alleged erroneous information, if the current & previous employer(s) and I cannot agree on the accuracy of the information.

Note: You will be asked to sign a copy of this application. By entering today's date and your name below, you certify that this application was completed by you, and that all entries on it and information in it are true and complete to the best of your knowledge.

Today's Date(Required)

Month

Day

Year

Your Full Name(Required)

Specify your full name, including first, middle, last, & any suffix like "Jr", or "Sr".

Have You Answered ALL Required Questions?

If ALL '(Required)' Questions have been answered, you will be taken to a short Thanks For Your General Employment Application page when you select 'Click to Submit Application' and a copy of your General Employment Application will be emailed to you.

If you have NOT Answered ALL '(Required)' Questions, this application will NOT get submitted when you select 'Click to Submit Application'. You will then need to scroll through this application and finish answering those '(Required)' Questions that are now highlighted with a lite red background. Then you can try submitting again. Thanks...

This field is for validation purposes and should be left unchanged.