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APPLICATION FOR EMPLOYMENT

PERSONAL INFORMATION:

Are you 18 years of age or older?
Yes
No
Are you a U.S. citizen or otherwise authorized to work in the U.S. on an unrestricted basis? (You may be required to provide documentation.)
Yes
No
Are you looking for full-time employment?
Yes
No
Are you willing to work graveyard?
Yes
No

EMPLOYMENT DESIRED:

Position applied for:
Have you ever applied for employment here?
Yes
No
Are you presently employed?
Yes
No

Please upload a resume or complete the Employment History and Reference Section below.

EMPLOYMENT HISTORY (LIST MOST RECENT FIRST):

REFERENCES:

Please list three personal references, not related to you, who have known you for more than one year.

CERTIFICATION:


I certify that all the information provided is true and complete to the best of my knowledge.


I authorize my previous employers, or persons listed as references to give any information regarding my previous employment history. I agree that this company and my previous employers will not be held liable in any respect if a job offer is not extended, or is withdrawn, or employment is terminated because of false statements, omissions, or answers

made by myself on this application.


In the event of any employment with this company, I will comply with all rules and regulations as set by the company in any communication distributed to the employees.


I understand that employment at this company is “at will,” which means that either I or this company can terminate the employment relationship at any time, with or without prior notice, and for any reason not prohibited by statute. All employment is continued on that basis.


I hereby acknowledge that I have read and understand the above statements.

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