Employment

We consider applications for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, sexual orientation, citizenship status, genetic information or any other legally protected status.

 

Application for Employment

Attach Resume (doc, docx, or pdf formats accepted - optional)
Position(s) Applied For *
How Did You Learn About Us? *
First Name *
Middle Name *
Last Name *
Address *
Phone Number *
Best time to contact you *
* If you are under 18 years of age can you provide required proof of your eligibility to work?
Yes
No
I am over 18
Have you ever filed an application with us before? *
Yes
No
If yes, give date
Have you ever been employed with us before? *
Yes
No
If yes, give date
Do any of your friends or relatives, other than spouse, work here? *
Yes
No
Are you currently employed? *
Yes
No
May we contact your present employer?
Yes
No
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration status? *
Proof of citizenship or immigration status will be required upon employment.
Yes
No
Have you ever been convicted of felony? *
Does not automatically disqualify an applicant
Yes
No
If yes, please give details
Are you currently on “Lay-off” status and subject to recall? *
Yes
No
Can you travel if a job requires it? *
Yes
No
Date available for work *
What is your desired salary range? *

Education

Please list name and address of school, course of study, number of years completed, diploma/degree

High School
Undergraduate College
Graduate Professional
Other (specify)
Describe any specialized training, apprenticeship, skills and extra-curricular activities
Describe any job-related training received in the United States military

Employment Experience

Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status.

Employer 1 *
Dates *
Address *
Phone *
Title *
Supervisor *
Work Performed *
Reason for Leaving *

 

Employer 2
Dates
Address
Phone
Title
Supervisor
Work Performed
Reason for Leaving

 

Employer 3
Dates
Address
Phone
Title
Supervisor
Work Performed
Reason for Leaving

 

Employer 4
Dates
Address
Phone
Title
Supervisor
Work Performed
Reason for Leaving
List professional trade, business, or civic activities and offices held. You may exclude memberships which indicate race, color, religion, gender, national origin, disabilities or other protected status.
Other Qualifications
References * (list 3)

Applicant's Statement

I certify that answers given herein are true and complete.

I understand I may be subject to a background check.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

Signature of Applicant *
Date *