Employment Application Instructions

Please fill in as much of this form as possible.
All fields marked with an asterisk * are required to submit your application.
Please supply at least one high school, one previous job, and one reference to submit your application.
We are committed to a policy of Equal Opportunity and will not discriminate on any legally recognized basis, including, but not limited to, race, age, color, religion, sex, national origin, citizenship, ancestry, physical or mental disibility, veteran status or any other basis recognized by federal, state or local law.

Personal Information

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Education

Work Experience



References



Applicant Certification ~ Please Read Carefully

I understand that this application is not a contract, offer or promise of employment. I acknowledge that employment with the company is on an employment at will basis. This means that my employment with the company can be terminated at any time, with or without cause or advance notice and acceptance of employment is not a contract of employment for any specified time. Similarly I am free to terminate my employment with the company at any time for any reason. This at-will provision may be modified or waived only in a written agreement signed by the company's president and I.
I further understand that I am responsible for being familiar with the Company's policies, rules and regulations, and I understand that the company has complete discretion to modify it's policies, rules, regulations and practices at any time, to the extent permitted by federal, state and local law, except that it will not modify it's policy of employment at will. By my continued employment with the Company, I consent to any such changes.
I certify that the above information is complete and accurate to the best of my knowledge. I understand that any falsification, misrepresentation or omission of information on this form or relating to the application of employment may result in my denial of employment, or if employed, my immediate dismissal.
I hereby authorize the Company or its agents to confirm all statements contained in this application and/or resume to the extent permitted by federal, state or local law and I agree to complete any requisite authorization forms. I release all parties from any liability arising out of this provision and the use of such information.