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Employment Application

  • APPLICATION FOR EMPLOYMENT

    An Equal Opportunity Employer All written statements made by applicants for employment on this application form will be checked for accuracy. We offer equal opportunity to all persons without discrimination on the basis of race, color, religion, age, sex, national origin, citizenship status, physical or mental disability, or past, present, or future service in the Uniformed Services of the U.S., or any legally protected status. The use of this form does not mean there are positions open and does not obligate us in any way.
  • MM slash DD slash YYYY
  • PERSONAL INFORMATION

    (Employment is subject to verification of minimum legal age.)
    (Examples: driver's license, Social Security card, birth certificate, and/or Citizenship and Immigration Service Documents)
  • EDUCATION

  • (A conviction will not necessarily disqualify you from employment)
  • PRIOR WORK RECORD

    (Start with most recent or present employer and complete in full.)
  • REFERENCES

    (Do not list relatives or former employers)
  • Job Applicant's Agreement and Certification

    "I certify that the information given by me in this application is true in all respects, and I agree that if the information given is found to be false in any way, it shall be considered sufficient cause for denial of employment or discharge. I authorize the use of any information in this application to verify my statements, and I authorize past employers, all references, and any other persons to answer all questions asked concerning my ability, character, reputation, and previous employment record. I release all such persons from any liability or damages on account of having furnished such misinformation." "I understand that nothing contained in this employment application or in the granting of an interview is intended to create an employment contract between the company and myself for either employment or for the providing of any benefit. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is is binding upon the company unless made in writing. If an employment relationship is established, I understand that I have the right to terminate my employment at any time and that the company retains the same right. "If I am offered employment, I agree to submit to a physical examination whenever requested, and I understand my becoming employed and/or my continued employment are subject to the results of any physical examination related to my job duties in accordance with company policies and procedures in whole or in part, at any time." "I understand that if employed, policies, and rules which are issued are not conditions of employment and that the employer may revise policies or procedures in whole or in part, at any time." "I understand that this application will be kept on active file for ___ days from the date completed after which time I would have to reapply in accordance with established company procedures."
  • Max. file size: 8 MB.
  • Max. file size: 8 MB.
  • Max. file size: 8 MB.
  • This field is for validation purposes and should be left unchanged.