Application for Employment

  • APPLICANT’S STATEMENT: I understand that the Company is committed to providing equal opportunity in all employment practices, including but not limited to selection, hiring, promotion, transfer, and compensation to all qualified applicants and employees without regard to age, race, color, national origin, sex, religion, handicap or disability, citizenship status, service member status, or any other category protected by federal, state, or local law. I authorize former and present employers, and professional, work, and personal references listed in the application and any other individuals I may name, to give the Company or its designee any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release such parties from all liability for any damages that may result from furnishing same to the Company. I also authorize the Company to provide truthful information concerning my employment with it to future employers, and I agree to hold it harmless for providing such information. I understand that the Company reserves the right, to the extent permitted by law, to require drug and alcohol screening tests of an applicant or an employee either prior to employment or any time during employment, and I hereby give my consent to any such tests. I consent to the release of the results of any such tests to the Company or its designee. I release the Company and its designee from any and all liability and damages that may result or arise from any drug test or the provision of information in connection with such a test. I understand that this employment application and any other Company documents are not promises of employment. Should I be employed, I understand that my employment will be on an at-will basis. I further understand that, if I am employed, I can terminate my employment at any time with or without cause and with or without advance notice and that the company has a similar right. I understand that no manager, representative, or agent of the Company has any authority to enter into any agreement for employment for any specified period of time or to make any agreement contrary to the foregoing, except that the President may do so in writing. I certify that the information given by me on this application and during the interview process is true and complete in all respects, and I agree that if the information is found to be false, misleading, or unsatisfactory in any respect (in the Company’s judgment) that I will be disqualified from consideration for employment or subject to immediate dismissal if discovered after I am hired. I certify that I have received a separate written notification that the Company may obtain a consumer report on me for use in connection with my application and, if I am hired, my employment with the Company. I authorize the Company to obtain this report. This application will be considered “active” for a maximum of thirty (30) days. If you wish to be considered for employment after that time, you must reapply.
  • DO NOT SIGN UNTIL YOU HAVE READ AND UNDERSTAND THESE STATEMENTS.
    Each inquiry on this application must be fully answered or completed. Otherwise, you will not be considered for employment.
  • Date Format: MM slash DD slash YYYY

  • Personal Data


  • Desired Employment


  • Education

    High School Education

  • College Education

  • Graduate/Professional Education

  • Trade or Correspondence

  • Other Educational Background Information


  • Job History

    Please list the names of your present and previous employees in chronological order with the present or last employer listed first. Include part-time and seasonal employment. Do not answer "See Resume". Fill out this form completely.

    List the name of the employer, city, state, job title, starting and ending salaries, supervisor name and their telephone number, as well as the dates that you were employed with this employer.


  • Professional References

    List the name, business address, phone number, and years acquainted for each reference


  • Resume