Field Installer Trainee - Northern CA

Overview Job Title: Installer Trainee Northern California

ID: 1043

Department: Contact Information Application for Employment form used to collect candidate information for consideration. This document contains sections for personal information, education, employment history, references, authorization, and privacy notices. Responsibilities This document is an application form and does not list job-specific responsibilities. It gathers information to evaluate suitability for the Installer Trainee role in Northern California. Personal Information * Are you legally eligible to be employed in the United States? (Proof of identity and eligibility will be required upon employment) Yes No

• Are you at least 18 years or older? (If no, you may be required to provide authorization to work) Yes No
• Have you ever worked for this Company before? Yes No

If Yes, please provide details (Where/When/Job Title) * Are you able to perform the essential functions of the job for which you are applying, without a reasonable accommodation? Yes No If no, please explain Employment Desired When would you be available to begin work? Type of employment desired: Full Time Part Time Seasonal Hourly rate/salary desired Are you currently employed? Yes No If so may we inquire of your present employer? Yes No If presently employed, why are you considering leaving? Education Give record of all High Schools, Colleges, Universities and Vocational/Technical Schools you have attended. School 1: Name Location Did you Graduate Yes No Degree Received Subjects Studied/Major Employment History Give your full employment record, starting with your current or most recent employment Employer 1: Job Title From To Company Name Company Address Company Phone May we Contact? Yes No Responsibilities Reason for Leaving References Please provide three references (not relatives). Reference 1: Name Relationship Phone Number Email Authorization The facts set forth in this application and any supplemental information are true and complete to the best of my knowledge. I understand that, if employed, falsified statements on this application shall be considered sufficient cause for immediate discharge. I hereby authorize investigation of all statements contained herein and employers listed above to give you any and all information concerning my employment, and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same. I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the company to hire me. If I am hired, I understand that either the company or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of the company has the authority to make any assurance to the contrary. I understand that I am required to abide by all rules and regulations of the company.

PLEASE READ CAREFULLY BEFORE SIGNING

I understand that I may be required to submit to a urinalysis and/or blood test for the presence of drugs and/or alcohol as a condition of my employment. I also understand that I may be required to submit to a physical examination after an offer of employment has already been made in order to determine if I can perform the essential functions of the job. I agree to such an examination and/or testing at LMI Inc.'s expense. I authorize release of the results to LMI, Inc. and its use to evaluate my suitability of employment. I also release LMI, Inc. and its agents from any and all liability incident to the examination and/or testing. I also understand that if I am accepted for employment, I may be periodically required to submit to further physical examinations and/or urinalysis and/or blood tests for the same purposes and I agree to them on the same basis. I further understand that I am not required to reveal to LMI, Inc. whether I have a disability or medical condition, or its nature or severity. LMI, Inc. is, however, entitled to ask whether I can perform the job-related functions of the position(s) I am applying for and may respond to my requests for a reasonable accommodation.

CCPA PRIVACY POLICY AND NOTICE

This Privacy Policy and Notice (“Policy” or “Notice”) for California residents is provided by Larry Methvin Installation, Inc. (the “Company” or “we” or “our”) to comply with the California Consumer Privacy Act of 2018 (“CCPA”). The Notice is directed to California residents (“consumers” or “you”) and its purpose is to advise California consumers of our Privacy Policy, the categories of personal information collected, used and shared by the Company, the purposes for doing so, and the rights they have under the CCPA. Information Collected We have collected over the last 12 months the following categories of information that identify consumers, directly or indirectly, or could reasonably be linked with a particular consumer or a device they use: Category Examples Collected

1. Identifiers Real name; alias, postal address, email address, Social Security number, driver’s license number or similar identifiers Yes
2. Personal information (categories identified in the California Customer Records act (Civil Code section 1798.80(e)) Telephone numbers; insurance policy numbers, education and employment history, bank account numbers, credit card or debit card numbers, medical information, and health insurance information. Personal information may include information referenced in other categories. Yes
3. Protected classification characteristics under California or federal law Age (40 or older), race, color, ancestry, national origin, citizenship, religious or creed, marital status, medical condition, physical or mental disability, sex (including gender, gender identity and gender expression, pregnancy or childbirth and related medical conditions), sexual orientation, veteran or military status, genetic information (including familial genetic information) Yes
4. Commercial information Records of products purchased or considered, or other purchasing or consuming histories Yes
5. Biometric information Fingerprints, voiceprints, retina scans, or other genetic, physiological, behavioral and biological characteristics No
6. Internet or similar network activity Browsing history, search history, information on interaction with a website, application or advertisement to the extent such activity involves Company computers or similar devices No
7. Geolocation data Physical location or movements No
8. Sensory data Audio, electronic, visual or similar information No
9. Professional or employment-related information. Information collected as a result of applying for or working at the Company Yes (a separate CCPA Employee Privacy Notice is provided by the Company to the extent the CCPA applies to such information)
10. Non-public education information Education records related to students that are maintained by educational institutions, such as transcripts, class lists, student financial information, or disciplinary records No
11. Inferences drawn from other personal information Profiles reflections a person’s preferences, characteristics, behavior, and attitudes No

Personal information does not include: Publicly available information from government records De-identified information Information excluded from the CCPA’s scope, such as: Health or medical information covered by the Health Insurance Portability and Accountability Act of 1996 (HIPPA) and the California Confidentiality of Medical Information Act (CMIA) Personal information covered by certain sector-specific privacy laws, including the Fair Credit Reporting Act (FRCA), the Gramm-Leach-Bliley Act (GLBA) or the California Financial Information Privacy Act (FIPA) Sources of Information The categories of information listed above are obtained by the Company from the following categories of sources: Directly from our customers or their agents (for example, from documents our customers provide when purchasing our products). Indirectly from our customers or their agents (for example, from information collected in the course of providing services to our customers) Directly and indirectly from information obtained through email and telephonic communications. Use of Personal Information The Company may use or disclose information that is collected for one or more of the following business purposes: To fulfill or meet order requests from customers. To provide you with information concerning the Company’s products and services. To carry out the Company’s obligations and to enforce the Company’s rights arising from any contracts entered into with consumers. As necessary or appropriate to protect the rights, property or safety of the Company, its employees and other persons. To respond to law enforcement requests as required by applicable law, court order or governmental regulations. As described to you when personal information is collected or as otherwise set forth in the CCPA and regulations. We will not collect additional categories of personal information or use the personal information we collected for materially different, unrelated, or incompatible purposes without providing you notice. Contact information If you have any questions or comments about this Notice, our Privacy Statement, the ways in which we collect and use your personal information, your choices and rights concerning such use, or wish to exercise your rights under California law, you may contact us at: View phone number on click.appcast.io

• Signature (type name)
• Date

General Questions * Are you authorized to work in the United States for any employer? Yes No

• Are you 18 or older? Yes No
• What minimum salary do you require?
• What type of job are you seeking? Full-time Part-time Temporary or Seasonal
• Do you have any relatives presently employed with our company?: Yes No
• Days available for work (please specify)? Sunday Monday Tuesday Wednesday Thursday Friday Saturday
• Are you willing to work overtime if required? Yes No
• Are you currently on "lay off" status and subject to recall with another employer? Yes No
• Do you have Construction background? Yes No
• Do you have Manufacturing background? Yes No

Have you had a valid Drivers License for past three (3) years? * Yes No Do you have a current DMV Report This position will require you to drive a company vehicle. Before we can continue, we will need a copy of your DMV report to verify your eligibility to drive our vehicles.

• Yes No
• Please upload your DMV Report.

Do you have any previous Glass or mirror handling experience? This is not required, however those that do will be considered favorably. * Do you have any previous Glass or mirror handling experience?: Yes No Tape Measure * Can you read a Tape Measure? Yes No Do you have any previous construction experience? #J-18808-Ljbffr Larry Methvin Installation Inc.