PLEASE COMPLETE ALL REQUIRED FIELDS

APPLICANTS MAY BE TESTED FOR ILLEGAL DRUGS

All required fields are marked by an asterisks *


YesNo















YesNo






YesNo


FULL-TIME ONLYPART-TIME ONLYFULL- OR PART-TIME

EDUCATION & OTHER INFORMATION


YesNo



OperatorCommercial (COL)ChauffeurNoncommercial



YesNo



YesNo



YesNo


MILITARY


YesNo

YesNo




*Job One

Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, list your firm's name.



Employment Dates



Salary









YesNo

YesNo



Job Two



Employment Dates



Salary








Job Three



Employment Dates



Salary








PLEASE READ CAREFULLY

APPLICATION FORM WAIVER

In exchange for the consideration of my job application by Omni Commercial Group, Inc. (hereinafter called "the Company"), I agree that:

Neither the acceptance of this application nor the subsequent entry into any type of employment
relationship, either in the position applied for or any other position, and regardless of the contents of
employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may
exist from time to time, or other Company practices, shall serve to create an actual or implied contract
of employment, or to confer any right to remain an employee of Omni Commercial Group, Inc., or
otherwise to change in any respect the employment-at-will relationship between it and the undersigned,
and that relationship cannot be altered except by a written instrument signed by the President /General
Manager of the Company. Both the undersigned and Omni Commercial Group, Inc. may end the
employment relationship at any time, without specified notice or reason. If employed, I understand that
the Company may unilaterally change or revise their benefits, policies and procedures and such
changes may include reduction in benefits.

I authorize investigation of all statements contained in this application. I understand that the
misrepresentation or omission of facts called for is cause for dismissal at any time without any previous
notice. I hereby give the Company permission to contact schools, previous employers (unless
otherwise indicated), references, and others, and hereby release the Company from any liability as a
result of such contract.

I also understand that (1) the Company has a drug and alcohol policy that provides for pre-employment
testing as well as testing after employment; (2) consent to and compliance with such policy is a
condition of my employment; and (3) continued employment is based on the successful passing of
testing under such policy. I further understand that continued employment may be based on the
successful passing of job-related physical examinations.

I understand that, in connection with the routine processing of your employment application, the
Company may request from a consumer reporting agency an investigative consumer report including
information as to my credit records, character, general reputation, personal characteristics, and mode
of living. Upon written request from me, the Company, will provide me with additional information
concerning the nature and scope of any such report requested by it, as required by the Fair Credit
Reporting Act.

I further understand that my employment with the Company shall be probationary for a period of sixty
(60) days, and further that at any time during the probationary period or thereafter, my employment
relation with the Company is terminable at will for any reason by either party.



This Company is an equal employment opportunity employer. We adhere to a policy of making
employment decisions without regard to race, color, religion, sex, sexual orientation, national origin,
citizenship, age or disability. We assure you that your opportunity for employment with this Company
depends solely on your qualifications.