May we contact at work?:
Position Applying For:
Interested In (check all that apply):
Hours for Monday:
Hours for Tuesday:
Hours for Wednesday:
Hours for Thursday:
Hours for Friday:
Hours for Saturday:
Hours for Sunday:
Willing to reloctate?:
If under 18 years of age, date of birth:
Willing to travel?:
Are you a U.S. citizen?:
If no, do you have legal right & necessary documents to work in the U.S.?:
(Identity and employment eligibility of all new hires will be verified as required by the Immigration Reform and Control Act of 1986.)
Were you ever discharged by any company?:
If yes, give name of company(ies):
Reason for discharge:
Have you ever been convicted of a crime other than a minor traffic violation?:
If yes, please explain offense & final disposition:
In submitting this application for employment, I understand that an investigation may be made whereby information is obtained regarding my character, previous
employment, general reputation, educational background, and/or criminal history. I authorize anyone possessing this information to furnish it to this company and/or a 3rd
party company upon request and I release anyone so authorized, this company, and any 3rd party company form all liability and damages whatsoever in furnishing,
obtaining or using said information.
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in immediate termination. I understand also
that I am required to abide by all rules and regulations of this company.
I understand and agree that if employed, the employment will be “at will.” That is, either this company or I may end the employment relationship at any time, for any
reason, or for no reason. I understand that receipt of this application by this company does not imply employment and that this application and/or any other company
documents are not contracts of employment.
I understand that I must be physically capable of performing the essential job functions, with or without reasonable accommodation, described therein.
*Please note that you may still be required to fill out more information regurding Employment History and/or Education before or after being interviewed.
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