Are you a United States Citizen?*
YesNo
If no, are you lawfully authorized to work in the United States?
YesNo

Are you 18 years of age or older?
YesNo
If under 18 years of age you will be required to submit a birth certificate or work certificate as required by federal law.

Did you graduate?
YesNo
GED?
YesNo

Did you graduate?
YesNo
Degree?

Are you presently enrolled in school ?

If so, please explain:

List any job-related skills or accomplishments, including military service:

Provide Three References Who Are Not Former Employers Who We May Contact

Reference # 1

Reference # 2

Reference # 3

Your Employment History with present or last employer listed first.

Most Recent Employer
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May we contact current employers before you are offered a position?
YesNo

Duties

Date of Employment

Reason for Leaving

Employer 2
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Duties

Date of Employment

Reason for Leaving

Employer 3
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Duties

Date of Employment

Reason for Leaving

WE ARE AN AT-WILL EMPLOYER, MEANING THAT EITHER THE EMPLOYER OR THE EMPLOYEE MAY END THE EMPLOYMENT RELATIONSHIP AT ANY TIME AND FOR ANY OR NO REASON.

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CAREFULLY READ EACH STATEMENT BEFORE CONFIRMING AT THE BOTTOM
I certify that all of the information provided in this employment application is true and complete to the best of my knowledge, and I authorize investigation of all statements contained in this application, including a criminal background, credit history check, and drug test, as applicable. I understand that any false or incomplete information may disqualify me from further consideration for employment and may result in my immediate discharge if discovered at a later date.

I authorize the investigation of any or all statements contained in this application and also authorize any person, school, current employer, past employers, and other organizations to provide information concerning my previous employment and other relevant information that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements.

I understand that, if the company employs me, either the company of I can terminate my employment with or without cause at any time and for any or no reason.

I have read, understand, and agree to the above statements.
YesNo

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