General Information


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 swing shift?

  Yes     No  

Are you willing to work graveyard?

  Yes     No  

Have you ever been convicted of a felony? (This will not necessarily affect your application.)

  Yes     No  

Education

Employment History

Start with most recent employer

History #1


May we contact?

  Yes     No  

History #2


May we contact?

  Yes     No  

History #3


May we contact?

  Yes     No  

I certify that the facts set forth in this application for employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements on this application shall be considered sufficient cause for dismissal. This company is hereby authorized to make any investigations of my prior educational and employment history and a complete license and criminal background check.

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 understand that no supervisor, manager, or executive of this company, other than the president, has any authority to alter the foregoing.

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