Contact Information

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EDUCATION

High School or equivalent program

Graduate?
YesNo

Secondary Education

Graduate?
YesNo

Graduate School

Graduate?
YesNo

REFERENCES
Work or Professional References

(do not list friends or relatives)

Reference #1

Legal Info

*Are you at least 18 years old?
YesNo

*Do you have the legal right to work in the U.S.?
YesNo

*Federal law, 8 USC 1324 requires that upon hire, you produce proof that you are a U.S. citizen or are otherwise authorized by the Immigration and Naturalization Service to work in the United States

Terms of Use

* By checking this box, I agree with the Terms of Use:

I hereby certify that the statements contained in the application or other documents submitted and the statements made during any interview process are true and complete to the best of my knowledge, and I understand that material omissions from or false statements made in this application or other documents submitted or occurring during any interview process shall be grounds for denial of employment or discharge I authorize the company to investigate references provided and all statements contained in the application or any other documents submitted or made during my interview process, and I release all parties from all liability for any damage that may result from furnishing any information to the company. I will indemnify the company against any liability, which might result from making such investigation. I also consent to physical and medical examinations including drug and alcohol screening tests and that failure to pass such test (s) in whole or in part will be grounds for denial of employment or discharge if employed at the time. I also indemnify the company against any liability that might result from conducting such tests.

I understand and agree that nothing stated in this employment application , in any other document, or in any interview is intended to create an employment contract between the company and myself for either employment or for the providing of any benefit. Likewise no such contracts are intended to be created from any mere granting of an interview. No promises or guarantees regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon the company unless made in writing by the President of the company, and then only for the time specified or, if none specified, one week.

I understand and agree that, if I am hired, by employment is for no definite period of time. I further understand and agree that, regardless of the date for payment of wages, salary, or benefits, my employment, including wages salary or benefits may be terminated with or without cause, and without notice at any time by the company. In addition, I understand that I likewise may terminate my employment with or without cause, and without notice at any time.