Apply

If not, why?

Please explain any gaps in employment history:

List last three (3) schools attended, starting with most recent.

Summarize any special training, skills, licenses, certifications that may qualify you as being able to perform job-related functions in the position for which you are applying:

List professional, trade, business, or civic associations and any offices held. Please exclude memberships that would reveal race, ancestry, color, religion, sex, sex orientation, national origin, citizenship, age, mental or physical disabilities, veteran/ reserve status, marital status, arrest and court record, credit history, genetic information, status as a domestic or sexual violence victim if notice is given to us or we have actual knowledge of such status or any other similarly protected status.

List all special accomplishments, publications, awards, etc. Please exclude memberships that would reveal race, color, religion, sex, national origin, citizenship, age, mental or physical disabilities, veteran/ reserve National Guard or any other similarly protected status.

I certify that all information I have provided in order to apply for and secure work with the employer is true, complete, and correct. I understand that any information provided by me that is found to be false,incomplete or misrepresented in any respect, will be sufficient cause to (i)cancel further consideration of this application, or (ii) immediately discharge me from the employer’s service, whenever it is discovered.

I expressly authorize, without reservation, the employer,its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies,licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume, or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using such information in the employment process and all other persons,corporations, or organizations for furnishing such information about me.

I understand that the employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by local, state, or federal law.  

I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to reapply and fill out a new application.  

If I am hired, I understand that I am free to resign at anytime, with or without cause and without prior notice, and the employer reserves the right to terminate my employment at any time, with or without cause and without notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specific period or definite duration. I understand that no supervisor or representative of the employer is authorized to make assurances to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid unless they ate in writing and signed by the employer’s president.  

I also understand that if I am hired, I will be required to provide original documents establishing my identity and authorization to work in the United States and that federal immigration laws require me to complete the U.S. Citizenship and Immigration Service’s Form I-9.  

State and Federal abuse/criminal history record checks and other checks required by employer to comply with various governmental programs will be conducted and any offer of employment and continued employment will be contingent on the satisfactory return of these checks. Also, the company promotes a drug free workplace and drug screening is required.