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Application for Employment

APPLICANT INFORMATION                                                                                                   

Are you at least 18 years of age?
Are you a U.S. Citizen?
If no, are you authorized to work in the U.S.?
Have you ever worked for this company?
Have you ever been convicted of breaking the law other than a minor traffic violation?

EDUCATION                                                                                                                           

Did you graduate?
Did you graduate?
Did you graduate?

REFERENCES                                                                                                                         

MOST RECENT EMPLOYER                                                                                                    

May we contact your previous supervisor for a reference?

NEXT MOST RECENT EMPLOYER                                                                                          

May we contact your previous supervisor for a reference?

NEXT MOST RECENT EMPLOYER                                                                                          

May we contact your previous supervisor for a reference?

DISCLAIMER AND SIGNATURE                                                                                              

  1. I authorize the investigation of all statements contained in this application and release from all liability any persons or employees supplying such information, and I also release the company from all liability which might result from making the investigation.

  2. I certify that the facts and information set forth in this application are true and complete to the best of my knowledge. I understand that any falsification, misrepresentation or omission of facts on this application (or on any required document) will be cause for denial of employment or immediate termination of employment, regardless of when or how discovered.

  3. I agree, if I am offered and accept a position, to conform to all existing and future Company rules and regulations. I understand that the Company reserves the right to change wages, hours and working conditions as deemed necessary. I ALSO UNDERSTAND THAT, IF HIRED, MY EMPLOYMENT WILL BE AT-WILL, MEANING THAT EITHER PARTY CAN END THE EMPLOYMENT RELATIONSHIP AT ANY TIME FOR AN OR NO REASON. 

  4. I understand that any employment offer is contingent upon my providing, within three (3) working days of employment, valid proof of identity and eligibility to work in order to comply with the Immigration Reform and Control Act of 1986.

  5. I have read and reviewed the information provided in this application and the above statements. By signing this application, I certify that I understand all parts of it and have answered all questions completely and fully. 

Thanks for submitting!

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