We are an equal opportunity employer, dedicated to non-discrimination in employment on the basis of race, color, age, religion, sex, national origin, handicap, disability, veteran, or marital status.

    Your Contact Information

    Are you at least 18?

    Emergency Contact Information

    Employment Desired

    Are you currently employed?
    May we inquire of your present employer?
    Have you ever applied with Encompass Enclosures before?
    Are there any days/shifts you cannot work?


    High School


    Trade, Business, Correspondence School

    Criminal History

    Have you ever been convicted of, or pled guilty, no contest, or nolo contendere to a crime?

    Have you ever been charged with a crime and either been placed on a court-ordered probation, had adjudication withheld, or entered a pre-trial intervention program?

    Have you ever been a defendant in a civil action for intentional tort(s) (e.g. assault, battery, intentional infliction of emotional distress), or an unlawful employment practice (e.g. sexual or racial harassment)?

    Employment History

    List below, sequentially, your three most recent employers or all of your employers over the last ten (10) years, beginning with your current or most recent employer.

    Job One

    Job Two

    Job Three

    Did you ever work for any of these employers under a different name?

    Have you ever received written reprimands or disciplinary suspension during any previous employment?

    Have you ever been discharged or asked to resign?

    Driving Record

    Do you have a valid drivers license?

    Have you ever had your license or driving privileges revoked, suspended, or placed on probation?

    List below all traffic violations (except parking tickets) on your record for the last five (5) years and all motor vehicle accidents in which you were involved. Include the date, location, description, and result of each ticket/accident.


    List the names of three (3) persons not related to you, whom you have known at least one (1) year.

    Reference 1

    Reference 2

    Reference 3

    Employment Application Certification

    I hereby certify that all of the facts and information listed on this employment application are true and complete. I understand that any false, incomplete or misleading information given by me on this application is sufficient cause for rejection of this application. I also understand and agree that any such false, incomplete or misleading information discovered on this application at any time after I am employed may result in my dismissal.

    I hereby authorize Encompass Enclosures, LLC, or independent contractor, to investigate all statements contained in this application, to interview the references and previous employers listed in this application, and to obtain a report from a consumer reporting agency to be used for employment purposes in accordance with the Fair Credit Reporting Act. In addition, I authorize Encompass Enclosures, LLC to access my driving record for employment purposes. I authorize the references and previous employers listed to give the Company all facts, opinions and evaluations concerning my previous employment and any other information they may have, personal or otherwise, and release all such parties from any liability which may allegedly arise from furnishing such information to the Company, including, but not limited to, any liability for defamation or invasion of privacy.

    If I am offered employment, I understand that such an offer will be conditioned upon satisfactory results of a background and driver license investigation, and medical examination or inquiry, including a drug screen test. If then employed, I understand that I will be required to serve a ninety (90) day probationary period. I further understand that my employment and compensation can be terminated, with or without cause or notice, at any time, regardless of the successful completion of my probationary period, at the option of either the Company or myself.

    I further understand and voluntarily agree as a condition of employment or my continued employment, that I may be requested by the Company to submit to a urinalysis or other drug screen test and that my failure to take such test(s) when requested to do so, or unsatisfactory test results, will disqualify me from consideration for employment, or if I am then employed, may result in my immediate dismissal.

    I certify that I have read, understand and agree with the above.