Application For Employment

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

Address

Telephone Number(s)

How Did You Learn About Us?

If you are under 18 years of age, can you provide required proof of your eligibility to work?
Have you ever been employed with us before?
If yes, give date:
Are you currently employed?
May we contact your present employer?
On what date will you be available for work?
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration status?
Proof of citizenship or immigration status will be 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?

Education

Name and Address of School Course of Study Years Completed Diploma Degree
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Additional Information

State any additional information you feel may be helpful to us in considering your application.
Summarize special job-related skills & qualifications from employment or other experience.
Example: are you bi-lingual? bi-literate? etc.


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 to 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.

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 origin, disabilities or other protected status.

Dates Employed
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References

List two persons (non relatives) who have known you for at least one year.

Applicant's Statement

I certify that answers given here in 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 should be considered active for a period of time not to exceed 30 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 herby understand and acknowledge that, unless otherwise defined by applicable law, any 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 understand that false or misleading information given in my application or interview(s) may result in my employment discharge. I understand also, that I am required to abide by all rules and regulations of the employer.

Application date: 15 May 2021