Job Listings

Application for Employment

An Equal Opportunity Employer

We do not discriminate on the basis of race, color, religion, national origin, sex, age, disability, or any other status protected by law or regulation. It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job-related factors.

Please answer each question full and accurately. No action can be taken on this application until you have answered all questions. In reading and answering the following questions, be aware that none of the questions are intended to imply illegal preferences or discrimination based upon non-job-related information.

Job Applied for:

Are you seeking:

When could you start work?

First Name:

Middle Name:

Last Name:

Email:

Phone #:

Present Street Address:

City:

State:

Zip Code:

Are you 18 years of age or older?

If hired, can you furnish proof you are eligible to work in the U.S.?

List Name and Address of Schools

High School or GED

High School or GED (Name):

# Years Completed:

Diploma, Degree, or Certificate:

Subjects Studied:

College or University

College (Name):

# Years Completed:

Diploma, Degree, or Certificate:

Subjects Studied:

Vocational or Technical

High School or GED (Name):

# Years Completed:

Diploma, Degree, or Certificate:

Subjects Studied:

What skills or additional training do you have that relate to the job for which you are applying?

What machines or equipment can you operate that relate to the job for which you are applying?

References

Reference #1

Reference Name:

Reference Address:

Reference Phone:

Reference #2

Reference Name:

Reference Address:

Reference Phone:

Reference #3

Reference Name:

Reference Address:

Reference Phone:

Prove you are human:

PLEASE READ EACH STATEMENT CAREFULLY BEFORE SIGNING

I certify that all information provided in this employment application is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date.

I authorize the investigation of any or all statements contained in this application. I also authorize, whether listed or not, any person, school, current employer, past employers and organizations to provide relevant information and opinions 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 I may be required to successfully pass a drug screening examination. I hereby consent to a pre- and/or post-employment drug screen as a condition of employment, if required.

I understand that if I am extended an offer of employment it may be conditioned upon my successfully passing a complete pre-employment physical examination. I consent to the release of any or all medical information as may be deemed necessary to judge my capability to do the work for which I am applying.

I UNDERSTAND THAT THIS APPLICATION, VERBAL STATEMENTS BY MANAGEMENT, OR SUBSEQUENT EMPLOYMENT DOES NOT CREATE AN EXPRESS OR IMPLIED CONTRACT OF EMPLOYMENT NOR GUARANTEE EMPLOYMENT FOR ANY DEFINITE PERIOD OF TIME. ONLY THE PRESIDENT OF THE ORGANIZATION HAS THE AUTHORITY TO ENTER INTO AN AGREEMENT OF EMPLOYMENT FOR ANY SPECIFIED PERIOD AND SUCH AGREEMENT MUST BE IN WRITING, SIGNED BY THE PRESIDENT AND THE EMPLOYEE. IF EMPLOYED, I UNDERSTAND THAT I HAVE BEEN HIRED AT THE WILL OF THE EMPLOYER AND MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME, WITH OR WITHOUT REASON AND WITH OR WITHOUT NOTICE.

This application for employment will remain active for a limited time. Ask the organization's representatives for details. In order to be considered for employment, additional information will be required.

By typing my full name below, I am indicating that I have read, understand, and consent to these statements.

Signature:

Disregard This: