Employment

We are an equal opportunity employer.

We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, the presence of a non-job-related medical condition or handicap, or other legally protected status.

Download our Application Form or Apply Online.

Position Applying For:

How Did You Learn About Us?

First Name:

Middle Name:

Last Name:

Address:

City:

State:

Zip Code:

Phone:

E-mail:

Have you ever filed an application with us before?
YesNo

If Yes, give date:

Have you ever been employed with us before?
YesNo

If Yes, give date:

Are you currently employed?
YesNo

May we contact your present employer?
YesNo

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.
YesNo

On what date would you be available for work?

Are you available to work:

Are you currently on "lay-off" status and subject to recall?
YesNo

Can you travel if a job requires it?
YesNo

Have you been convicted of a felony within the last 5 years?
Conviction will not necessarily disqualify an applicant from employment
YesNo

If yes, please explain:

Have you ever had any job related training in the United States military?
YesNo

If yes, please describe:

Do you have any physical condition or handicap which may limit your ability to perform the position(s) for which you are applying?
YesNo

If yes, are there special methods, procedures, or devices which might qualify you for positions you might not otherwise be able to perform because of your physical condition or handicap?
YesNo

If yes, please describe:


Employment Experience - List below three employers, starting with the most recent


Employer #1


Employer:

Address:

Phone:

Job Title:

Supervisor:

Employment Start Date:

Employment End Date:

Starting Hourly Rate / Salary:

Final Hourly Rate / Salary:

Work Performed:

Reason for Leaving:


Employer #2


Employer:

Address:

Phone:

Job Title:

Supervisor:

Employment Start Date:

Employment End Date:

Starting Hourly Rate / Salary:

Final Hourly Rate / Salary:

Work Performed:

Reason for Leaving:


Employer #3


Employer:

Address:

Phone:

Job Title:

Supervisor:

Employment Start Date:

Employment End Date:

Starting Hourly Rate / Salary:

Final Hourly Rate / Salary:

Work Performed:

Reason for Leaving:


References - Give the name, address and telephone number of three references who are not related to you and are not
previous References. (e.g.: co-worker, pastor, instructor, or teacher)


Reference #1


Name:

Address:

Phone:


Reference #2


Name:

Address:

Phone:


Reference #3


Name:

Address:

Phone:


Education


High School


Name and Location of School:

Years Attended:

Did You Graduate?:
YesNo

Subjects Studied:


College


Name and Location of School:

Years Attended:

Did You Graduate?:
YesNo

Subjects Studied:


Trade, Business, or Correspondence School


Name and Location of School:

Years Attended:

Did You Graduate?:
YesNo

Subjects Studied:


General


Subjects of Special Study:

Special Training:

Special Skills:


Authorization


I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise and release the company from all liability for any damage that may result from utilization of such information.

I also understand this application does not constitute an employment contract of any kind. Should I be employed by the company, I may resign such employment at any time at my discretion with or without prior notice and the company may terminate my employment at any time at their discretion or without cause and with or without prior notice.

I accept these terms.


Comments