Career Application

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  • Other

Personal Information

* Indicated required field

Check All That Apply

  • (If you have a drivers license from another state, please put your license number in comments)

Employment History

Current Employer (or most recent employer)
(mm/yyyy)
(mm/yyyy)
  • Start Final

Previous Experience

Education

Professional References

Reference 1
Reference 2
Reference 3

Resumé

  • (Please submit a single PDF or Microsoft Word file)

Applicant's Statement

I understand that the Immigration Reform and Control Act of November 6, 1986, requires me to prove the legality of my residency or citizenship.  I am also aware that the failure to provide such proof at the time of request may legally force my termination.

I understand that if I am hired, my employment will be for no definite period, regardless of the period of payment of my wages.  I further understand that I have the right to terminate my employment at any time with or without notice, and the company has the same right.  No one other than the President of the company has the authority to modify this relationship or make any agreement to the contrary.  Any such modifications or agreements must be in writing.

I understand that the company reserves the right to require me to submit to a drug test at any time and also reserves the right to require me to submit to an alcohol test and/or medical examination to the extent permitted by law.  I authorize the company to investigate my driving record, criminal history, credit history and educational background, and I understand that an investigative consumer report may be prepared whereby information is obtained through personal interviews with neighbors, friends and others with whom I am acquainted.  This inquiry would include 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 investigation.

I voluntarily and knowingly authorize any former employer, person, firm, corporation, school or government agency to release any and all information concern my former employment to the company’s representative, making a written or verbal request for such information.  I understand that this information may include, but not be limited to, performance evaluations, job descriptions, disciplinary reports and opinions regarding my suitability for employment.  I also authorize the company to provide truthful information concerning my employment with it to my future prospective employers and I agree to hold it harmless for providing such information.

I certificate that the information I provide on this application and in any interview will be true, complete and accurate.  I understand that misrepresentations or omissions may be cause for rejection or may be cause for subsequent dismissal if I am hired.

By checking this box and submitting this electronic application, I affirm that I have read and I agree to the conditions of the application above, and that all information I have provided in this application is correct and complete to the best of my knowledge.

Yes, I agree.