application for employment

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We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, material or veteran status, sexual orientation, or any other legally protected status.


How Did You Learn About Us?




Address:








If you are under 18 years of age, can you provide required proof of your eligibility to work?*
Are you currently employed?*
Have you ever been employed with us before?*

May we contact your present employer?*
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?
Proof of citizenship or immigration status will required upon employment.

Are you available to work:*
Are you currently on "lay-off" status and subject to recall?*
Do you have a dependable means of transportation to and from work?*
Have you been convicted of a felony within the last 7 years?*

Education
High School




Undergraduate College




Graduate Professional




Other (Specify)




Additional Information
Note to Applicants: DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN
INFORMED ABOUT THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING.
Are you capable of performing in a reasonable manner the activities involved in the job or occupation for which you have applied? A description of the activities involved in such a job or occupation is attached.
Are you capable of performing in a reasonable manner the activities involved in the job or occupation for which you have applied? A description of the activities involved in such a job or occupation is attached.
WE ARE AN EQUAL OPPORTUNITY EMPLOYER
Employment Experience
Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may
exclude organizations which indicate race, color, religion, gender, national orgin, disabilities or other protected status.






Dates Employed


Hourly Rate / Salary








Dates Employed


Hourly Rate / Salary








Dates Employed


Hourly Rate / Salary


References









Applicant's Statement
I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. I hereby understand and acknowledge that, unless otherwise defined by applicable law, and employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.
I agree*