Employment Application





Employment History

Starting with your most recent employer, give an accurate, full-time and part-time employment record.

1. Employer (most recent)


2. Employer


3. Employer


Your employment application will be considered active for 30 days. To be considered for a job after 30 days, you must reapply.

Applicant Statement

Please read.
By clicking submit you agree to the following:

1. I certify that the facts set forth in this application are true and complete
2. I understand that any false or misleading information or significant omission on this application shall disqualify me from further consideration for employment and shall lead to my dismissal from employment if discovered at a later date.
3. I understand if I am hired, I must furnish appropriate documentation establishing me identity and proof of my legal authorization to work in the United States, as required by U.S. law.
4. I agree to immediately notify the Company if I should be convicted of a felony or any crime involving dishonesty, breach of trust, controlled substances, sexual misconduct, abuse, or violence while my employment application is pending, or during my employment if hired.
5. I authorize the Company to make investigations of my qualifications and fitness for employment with the Company. Through a separate agency, the Company may investigate my academic credentials, prior employment, personal/professional references, and/or criminal record. A report may be prepared summarizing this information. If my prior employers and/or personal references are contacted, the report may include information obtained through personal interview regarding my character, general reputation, personal characteristics and/or mode of living. I understand that I may make a written request to obtain a description of the nature and scope of any report that is prepared regarding me. Any request for this information must be in writing and directed to the Human Resource Manager.
6. I authorize any person, school, current employer, past employer(s), and organizations named in this application or job interview to provide the Company with any information and opinion requested by the Company in connection with my application, and I release such persons and organizations from any legal liability and damages in making such statements.
7. I understand that this application does not create a contract of employment between the Company and myself, and if hired, I understand that my employment is governed by the responsibilities of the position and that I am obliged to comply with the Company's current and subsequently adopted or modified personnel policies, procedures, and regulations.
8. I understand and agree that, if hired, my employment is at will and is of no definite period of time and may be terminated at any time for any reason, with or without notice. I understand that no supervisor, manager, or executive of the company, other than the president and when in writing, has the authority to alter these terms.