Application For Employment

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Application for Employment

PERSONAL INFORMATION


YesNo

YesNo


YesNo


YesNo

YesNo

EMPLOYMENT DESIRED


Full-TimePart-TimeSeasonal

YesNo

YesNo


EDUCATION

Give record of all High Schools, Colleges, Universities and Vocational/Technical Schools you have attended.

High School




YesNo

YesNo

College




YesNo

YesNo

Other




YesNo

YesNo

EMPLOYMENT HISTORY

Give your full employment record, starting with your current or most recent employment.

Employer 1










YesNo






Employer 2










YesNo






Employer 3










YesNo






REFERENCES














AUTHORIZATION

The facts set forth in this application and any supplemental information is true and complete to the best of my knowledge. I understand that, if employed,
falsified statements on this application shall be considered sufficient cause for immediate discharge. I hereby authorize investigation of all statements
contained herein and employers listed above to give you any and all information concerning my employment, and any pertinent information they may have, and
release all parties from all liability for any damage that may result from furnishing same.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the company
to hire me. If I am hired, I understand that either the company or I can terminate my employment at any time and for any reason, with or without cause and
without prior notice. I understand that no representative of the company has the authority to make any assurance to the contrary.

I understand that I am required to abide by all rules and regulations of the company.



Equal Opportunity Employment

We are an Equal Opportunity employer and do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, national origin,
medical condition, disability, veteran status, or any other basis protected by law.

The Information provided will be used for research, reporting, statistical purposes and to monitor legal compliance. To help us comply with these government requirements,
please complete the following information.

Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired. We appreciate your cooperation.

FemaleMaleI Choose Not to Respond


American Indian or Alaska Native (Not Hispanic or Latino) A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachmentBlack or African American (Not Hispanic or Latino) A person having origins in any of the Black racial groups of AfricaHispanic or Latino A person of Cuban, Mexican, Puerto Rican, Central or South American, or other Spanish culture or origin, regardless of raceAsian (Not Hispanic or Latino) A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and VietnamWhite (Not Hispanic or Latino) A person having origins in any of the original peoples of Europe, North Africa, or the Middle EastNative Hawaiian or Other Pacific Islander (Not Hispanic or Latino) A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific IslandsTwo or More Races (Not Hispanic or Latino) All persons who identify with more than one of the above racesI Choose Not to Respond