Career Opportunities

Career Opportunities

 


NOTE: Application must be COMPLETED IN FULL by applicant to be considered for employment.

Applicant Information
Position(s) Applied For:
Date
*Last Name
*First Name
Middle:
Street Address
City
State
Zip Code
Telephone #:
Other #:
*Email Address
Referral Source (How did you hear about us?)
If you are under 18 and it is required, can you furnish a work permit? No
If no, please explain:
 
If you have previously been employed here, please give dates and positions:
 
Are you legally eligible for employment in this country? No
Date Available for Work:    Desired Salary Range:
 
Are you able to perform the essential functions of the job for which you are applying (with or without reasonable accommodation)? This question is not designed to elicit information about an applicant's disability.  Please do not provide information about the existence of a disability, particular accommodation, or whether accommodation is necessary.  These issues may be addressed at a later stage to the extent permitted by law.
No Need more information about the job's "essential" functions to respond.
Driver's License # required if driving may be required for the job for which you are applying:
License #:   State:     
 
Answering "yes" to either of the following questions does not constitute an automatic bar to employment.  Factors such as date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be taken into account.
Have you ever pleased "guilty" or "no contest" to, or been convicted of a crime? No
If yes, please provide date(s) and details:
 
Employment History
Start with the most recent employer and list only significant periods of employment.
Employer
Dates Employed From:   To:
Primary Duties
Address
Telephone
Supervisor
Job Title
Hourly Pay/Salary
Reason for Leaving
   
Employer
Dates Employed From:   To:
Primary Duties
Address
Telephone
Supervisor
Job Title
Hourly Pay/Salary
Reason for Leaving
 
Employer
Dates Employed From:   To:
Primary Duties
Address
Telephone
Supervisor
Job Title
Hourly Pay/Salary
Reason for Leaving
 
Employer
Dates Employed From:   To:
Primary Duties
Address
Telephone
Supervisor
Job Title
Hourly Pay/Salary
Reason for Leaving
 
Education
   
High School:
Name and Address
Course of Study
Years Completed
Did you graduate?
Degree/Diploma Type
   
College:
Name and Address
Course of Study
Years Completed
Did you graduate?
Degree/Diploma Type
   
Other:
Name and Address
Course of Study
Years Completed
Did you graduate?
Degree/Diploma Type
   
Skills and Qualifications
Summarize any special training, skills, licenses and/or certificates that may assist you in performing the position for which you are applying:
 
Computer Skills
   Years:
   Years:
   Years:
   Years:
   Years:

 
JOB APPLICANT'S AGREEMENT

I certify that the information I have provided in order to apply for and secure work with this employer is true, complete and correct. 

I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies,licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview.  I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using truthful and non-defamatory information, in a lawful manner, in the employment process and all other persons, corporations or organizations for furnishing such information about me.

I understand that this employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or eliminating any applicant from consideration for employment on any basis prohibited by applicable local, state or federal law.

I understand that this application remains current for only 30 days.  At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary for me to reapply and fill out a new application.

If I am hired, I understand that I am free to resign at any time, with or without cause and with or without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and with or without prior notice, except as may be required by law.  This application does not constitute an agreement or contract for employment for any specified period or definite duration.  I understand that no supervisor or representative or the employer is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employer's president.

i also understand that if I am hired.  I will be required to provide proof of identity and legal authorization to work in the United States and that federal immigration laws require me to complete an I-9 form in this regard.

This company does not tolerate unlawful discrimination in its employment practices.  No question on this application is used for the purpose of limiting or excluding an application from consideration for employment on the basis of his or her sex, race, color, religion, national origin, citizenship, age disability, or any other protected status under applicable federal, state, or local law.  This company likewise does not tolerate harassment based on sex, race, color, religion, national origin, citizenship, age, disability, or any other status under applicable federal, sate or local law.  The company takes all complaints of harassment seriously and all complaints will be investigated promptly and thoroughly. 

I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) eliminate me from further consideration for employment, or (ii) may result in my immediate discharge from the employer's service, whenever it is discovered.

 
Date of Application:     Applicant Full Name:



Security Code:
Security Code
Type the Code:

PLEASE BE SURE ALL APPLICABLE FIELDS ARE FILLED IN AND CORRECT BEFORE SUBMITTING!