APPLICATION FOR EMPLOYMENT

We are committed to a policy of Equal Employment Opportunity and will not discriminate on any legally recognized basis including, but not limited to, race, age, color, religion, sex, nation origin, citizenship, ancestry, physical or mental disability, veteran status or any other basis recognized by federal, state or local law.

    ​PERSONAL BACKGROUND
    Is there any reason we may not inquire of your present employer or prior employers?  If yes, please explain.

    ​1.  Have you ever applied to this company before?

    2.  If driving is a requirement of the job for which you are applying, do you have a valid driver's license?

    3.  If you are a minor, can you produce the work certificate necessary to obtain employment?

    4.  Are you able, at the time of employment, to submit verification of your legal right to work in the U.S.?
    (Verification and completion of Form I-9 must be submitted no later than three business days after date of hire.)
    5.  Have you ever been convicted of a felony which is substantially related to the functions or qualifications of the position for which you are applying?  Note:  this question does not apply to convictions which have been expunged, sealed, pardoned or otherwise exonerated or eradicated.  (A conviction record will not necessarily be a bar to employment.)


    ​EDUCATION

    ​Specialized technical skills (e.g. computer programming/language software, equipment operation, special tools or machines).

    WORK EXPERIENCE

    Please list below your last four employers, starting with your present or last place of employment.)  You may include any verifiable work performed on a volunteer basis, Internship or military service.

    ​REFERENCES

    Please give the names of three additional work-related references whom we may call.  Please do not list relatives.  Individuals with no prior work experience may list school or volunteer-related references.

    APPLICANT CERTIFICATION - PLEASE READ CAREFULLY
    I understand that this application is not a contract, offer or promise of employment.  I acknowledge that employment with the company is on an employment at will basis.  This means that my employment with the compnay can be terminated at any time , with or without cause or advance notice and acceptance of employment is not a contract of employment for any specified time.  Similarly I am free to terminate my employment with the company at any time for any reason.  This at-will provision may be modified or waived only in a written agreement signed by the company's president and me.

    I further understand that I am responsible for being familiar with the Company's policies, rules and regulations, and I understand that the company has complete discretion to modify its policies, rules, regulations and practices at any time, to the extent permitted by federal, state and local law, except that it will not modify its policy of employment at will.  By my continued employment with the Compnay, I consent to any such changes. 
    I certify that the above infomation is complete and accurate to the best of my knowledge.  I understand that any falsification, misrepresentation or omission of infomation on this form or relating to my application of employment may result in my denial of employment, or if employed, my immediate dismisal.

    I hereby authorize the company or its agents to confirm all statements contained in this application and/or resume to the extent permitted by federal, state or local law and I agree to complete any requisite authorization forms.  I release all parties from any liability arising out of this provision and the use of such information.