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Employment Application

It is our policy to comply with all applicable state and federal laws prohibiting discrimination in employment based in race, age, color, sex, religion, national origin, disability or other protected classifications.

Please carefully read and answer all questions. You will not be considered for employment if you fail to completely answer all the questions on this application.

Personal Data

Are you authorized to work in the United States on an unrestricted basis?
Have you ever been convicted of a felony? Convictions will not necessarily disqualify an applicant
Have you been told the essentials functions of the job or viewed a copy of the job description?
Can you perform these essential functions of the job with or without reasonable accommodation?

Position Information

Check all that you are willing to work.
Hours
Schedule

Qualifications

Please list any education or training you feel relates to the position applied for that would help you perform the work, such as schools, colleges, degrees, vocational or technical programs, and military training.
What is the highest level of education that you have completed?

References

Please list two professional references not related to you, with full name, title/company (if applicable), phone number, and relationship. If you do not have two professional references, then list personal, unrelated references.

Work History

Start with your present or most recent employment. All fields must be complete. If no job history, answer N/A for Not Applicable in each field.
May we contact your present employer?

I certify that the facts set forth in this Application for Employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize the Employer to make an investigation of any of the facts set forth in this application and release the Employer from any liability. The employer may contact any listed references on this application.

I acknowledge and understand that the company is an "at-will" employer. Therefore, any employee (regular, temporary, or other type of category employee) may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without cause, with or without notice to the other party.
I certify and acknowledge
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