Thank you for your interest in working at our company. Our people make us successful and the employment process is an important aspect of building our team. We appreciate your application and are glad you have shown an interest in joining our team. This page is for your information only.

Please complete the following application and authorization for release of information form. Be certain that each section is completely filled out and that you E-Sign and date the application and the Release of Employment Records form. Use the abbreviation “N/A” if a particular provision or section in the form is not applicable to you. Incomplete applications will not be considered. As part of the application you will be furnished a job description that will contain the essential functions of the job. If it has not been supplied to you, it is your responsibility to ask for one.

Please note the following:

THIS COMPANY DOES NOT SUBSCRIBE TO THE WORKERS’ COMPENSATION PROGRAM. WE HANDLE EMPLOYEE INJURIES THAT OCCUR ON THE JOB THORUGH OUR OWN NAMAGED CARE APPROACH TO HEALTH BENEFITS. YOU WILL HAVE CERTAIN RESPONSIBILITIES IN THAT REGARD IF YOU ARE EMPLOYED AND WISH TO HAVE SUCH BENEFITS AVAILABLE TO YOU.

We will keep your application on file for one (1) year. Should an appropriate opening occur, your application will be reviewed along with all others. If you are among the most qualified applicants for a position, an interview will be arranged. It is not necessary for you to contact this office regarding any job openings after you have completed your application. Please notify us in writing if your address or telephone number should change.

Employment decisions are made solely on the basis of qualifications to perform the work for which you are applying. Qualifications include education, training, work experience, and other factors which are relevant in determining job performance. Credentials and experience will be verified through schools, former employers, and licensing/certification agencies if applicable. As an Equal Opportunity Employer, decisions to hire and promote are made without regard to race, color, creed, national origin, sex, pregnancy, physical or mental disability or age (as identified by law).

Thank you again for your interest.

Employers in Texas have a legal duty in regard to each employee’s safety. Your, your fellow workers’, and our customers’ safety is of utmost importance to Modica Brothers, Inc. It is neither beneficial for you nor us to place you in a job where you have a higher risk of injury because of a physical or mental condition. As an Equal Opportunity Employer, we consider applicants for employment regardless of their disabilities; however, in addition to our own requirements, the Americans with Disabilities Act also requires us to make sure that each employee is capable of performing the essential functions of the job. Therefore, you must be honest with us in regard to your personal evaluation as to your abilities to perform the essential functions as described in the job description. If you are unable to perform the essential functions of the job, we welcome you to discuss any needs for accommodations that would allow you to perform the job in accordance with the job description.

I certify that all information given on this application is true, correct, and complete to the best of my knowledge. I also certify that I have accounted for my last ten (10) years of work experiences and any relevant training on this application, and that I have not knowingly withheld any facts or circumstances which would, if disclosed, affect my application unfavorably.

Modica Brothers, Inc. is hereby authorized to make any investigation of my past employment (Current employments, if indicated above that this would not pose any difficulty), educational, credit or criminal history through any investigative agencies of bureaus of its choice. I release all relevant parties from all liability of any damages resulting from furnishing such information.

I understand that an offer employment and continued employment with the company is contingent upon my furnishing satisfactory proof of my authorization to work in the United States.

If employed by Modica Brothers, Inc., I agree to abide by its rules and regulations. I understand that discovery of misrepresentation of omission of facts herein will make me ineligible for employment or will be cause for immediate dismissal. I agree to furnish additional information as may be required to complete my employment file. I understand that operating conditions may require me to temporarily work shifts other than the one for which I am applying and I agree to such scheduling change as directed by my supervisor.

I have received, read, and reviewed the job description of the position for which I am applying and understand that I must be capable of performing the essential functions contained herein. I also understand that my employment is subject to the completion of a Medical Examination and Mobility Evaluation and that my continued employment may be conditioned upon maintaining a favorable health evaluation. I also agree that all information concerning said health evaluation can be supplied to the authorized agent of this company, upon their request.

I understand that this is an application for employment and no employment contract, either expressed or implied, is being offered. I also understand that if employed, such employment is for an indefinite period and can be terminated at will by either party, with or without notice, at any time, for any reason, and is subject to change in wages, conditions., benefits, and operating policies.

I authorize Modica Brothers, Inc. to investigate all facts contained in my application for employment with said company, and authorize the release of any and all information by my present (if indicated on application that this would not pose any difficulty) and past employers, wherever located, which may be required for a reference check. I further authorize all my previous employers and current employer to give any and all information concerning my employment and any other pertinent information which said employer may have, personal or otherwise, and I release all parties from all liabilities for any damage which may result from the furnishing of said information.

A copy of this release shall be as valid as the original.