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APPLICATION FOR EMPLOYMENT



PLEASE READ BEFORE FILLING OUT THIS APPLICATION

No question on this application is intended to secure information to be used for discriminatory purpose, as this company is an equal employment opportunity employer and does not discriminate on the basis of race, color, religion, sex, citizenship, national origin, age, veteran, Reserve, National Guard, marital status, disability, genetic information, or any other legally protected status. No policy is intended to violate any protection under state or federal law.

APPLICANT'S STATEMENT OF UNDERSTANDING AND AUTHORIZATION

  1. I understand that this application will be given every consideration, but its receipt does not imply that I will be employed.
  2. I understand that I may choose to leave any portion of the application incomplete or blank and that the following information is given voluntarily.
  3. I understand and authorize the company to obtain a customer report on my financial and credit record as well as an investigative report whereby information is obtained through personal interviews with neighbors, friends, and others with whom I am acquainted. This investigative information as to my character, general reputation, personal characteristics, and mode of living. I understand that I have the right to make a written request within a reasonable period of time to receive additional, detailed information about the nature and scope of this investigative consumer report. I give my permission to the company to contact any of the former employers of references shown below to verify the information I have given and I authorize previus employers to release all records of my employment, including assessments of my job performance, ability, and fitness. (15 U.S.C.S. § 1681d(a))
  4. I authorize the company to obtain a Motor Vehicle Record (MVR) report.
  5. I understand that the company reserves the right to require a conditional offer of employment medical examination as well as periodic physical or medical examinations, a pre-employment as well as post-employment drug/alcohol test to the extent permitted by law.
  6. I hereby state that the information given by me in this application is true in all respects and I agree that if I am employed and the information is found to be false in any respect that I may be dissmissed.
  7. Should I be employed by company, I understand that such employment is at-will and will not result in an employment contract.

I. PERSONAL DATA

Present Address

Previous Address






You will be required to complete an I-9 form upon hire.














II. EDUCATION








III. CHARACTER REFERENCE




IV. RECORD OF PREVIOUS EMPLOYMENT










V. GENERAL INFOMRATION - Actual Experience in Any of the Following - Please check





































APPLICANT'S CERTIFICATION:

I certify that the information contained in this application is true and complete to the best of my knowledge and I understand that falsification, omissions, or misrepresentations of this information is a ground for rejection of my employment application and if employed by Company, cause for termination of my employment from Company. I authorize the character references, previous employers, and educational institutions listed above to give you any and all information converning my pervious employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability, claims, or for any damage that may result from furnishing same to you. I also release the Company from any and all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based on such information. I agree to conform to the rules and regulations of the Company. I understand that if an offer of employment is extended that it is conditioned upon completing the Federal I-9 form and providing documents establishing identity and work authorization. I understand that this employment application and any other company documents are not a promise or a contract of employment. I understand that my employment can be terminated with or without cause and with or without notice, at any time, at the option of either the company or myself, I understand that no manager or representative of the Company, other than the president, has the authority to enter into any agreement for employment for any specified period of time, or ro make any angreement contrary to the foregoing.

I represent that I am able to meet the attendance requirements as required by the company, I understand that maintaining a current driver's license may be necessary for insurability and continued empoyment.

I have read and fully understand the Applicant's Statement of Understanding and Authorization (see front of application) and Applicant's Certification

Please complete all required fields
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