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APPLICATION FOR EMPLOYMENT

Submitting and passing a Pre-employment drug test is a condition of employment.
We are an equal opportunity employer.

APPLICANT INFORMATION
Are you at least 18 years old?
Yes :         No :    
Are you legally able to work in this Country?
Yes :         No :    
Have you ever been convicted of a felony?
Yes :         No :    

EMPLOYMENT DESIRED

Type of Employment Desired

Full-time :       Part-time :       Temporary :   

Shift Preference

1st :         2nd :         Any :    

Are you currently employed?

Yes :     No    

May we contact your current employer?

Yes :         No :    

EDUCATION, SKILLS & QUALIFICATIONS

Type of Schooling Name & Location of School Course of Study Years Completed Diploma or Degree
GED
High School
College
Other (specify)


EMPLOYMENT HISTORY

Please list your current or most recent employment first. If more room is needed, please attach additional information to the application.

 

 

 

REFERENCES


I verify that all information contained in this application is correct and true. I authorize an investigation of all statements contained in this application and release from all liability or responsibility all persons, companies or corporations supplying such information. I understand that if I am employed, any misrepresentation of the facts as stated or implied on this application form is sufficient cause for dismissal, whenever it is discovered.

I understand that my employment would be at will, and that either party is free to terminate the employment relationship without cause at any time.

I also understand that if I am employed, I will be required to provide satisfactory proof of identity and legal work authorization within three days of being hired. Failure to submit such proof within the required time shall result in immediate termination of employment. I will also be required to successfully complete a health assessment and drug test before employment.

  I have read the terms and conditions and I agree








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