EMPLOYMENT

We are always looking for great employees. Please fill out the application below to start the process of applying to work with us.

Upload your resume *

* Information Required

Personal Information

1. First Name*

2. Middle Name*

3. Last Name*

4. Email

5. Daytime/Cell Phone*

6. Address

7. Address 2

8. City

9. State

10. Zip

Employment Desired

1. Position you are applying for:

2. What is your desired salary?

3. Referral Source

Are you applying for:

Regular full-time work? yesno

Regular part-time work? yesno

4. Are you available for work on nights and weekends?
yesno

5. If hired, would you have a reliable means of transportation to and from work?
yesno Check if you are under 18 years of age

(Note: If under 18, hire is subject to verification that you are of minimum legal age.)

Do you have the legal right to work in the United States?

(Note: Proof of identity and legal authority to work in the United State is a condition of employment.)
yesno

6. Are you currently employed? yesno

If so, may we contact your current employer? yesno

Education Information

1. Name of School

2. Location

3. Highest Grade Completed

4. Did you graduate? yesno

College/University

5. Name of College/University

6. Location

7. Number of years completed

8. Course of Study/Degree

9. Did you graduate? yesno

Graduate School or Vocational/Technica/Business Training

10. Name of School

11. Location

12. Course of Study/Degree

13. Did you graduate? yesno

Employment History

Please list all employment in the past ten years, most recent job first; include military service.

You must complete this section even if attaching a resume.

Employer 1

1. Name of Employer

2. Type of Business

3. Last Position

4. Supervisor

5. Address

6. City, State, Zip

7. Phone Number

8. Duties

Other Details

1. Employment Dates

2. Reason for Leaving

3. Beginning Salary

4. Ending Salary

May we contact this employer? yesno

Employer 2

1. Name of Employer

2. Type of Business

3. Last Position

4. Supervisor

5. Address

6. City, State, Zip

7. Phone Number

8. Duties

Other Details

1. Employment Dates

2. Reason for Leaving

3. Beginning Salary

4. Ending Salary

May we contact this employer? yesno

Employer 3

1. Name of Employer

2. Type of Business

3. Last Position

4. Supervisor

5. Address

6. City, State, Zip

7. Phone Number

8. Duties

Other Details

1. Employment Dates

2. Reason for Leaving

3. Beginning Salary

4. Ending Salary

May we contact this employer? yesno

Miscellaneous

1. Within the past ten years have you ever been terminated or asked to resign by an employer? If you answered Yes please provide employer, dates and circumstances.

Please identify and explain all periods of unemployment over the past ten years

2. Unemployment 1

1. From

2. To

3. Reason

3. Unemployment 2

1. From

2. To

3. Reason

References

Please list below three persons not related to you, who have knowledge of your work performance with in the last three (3) years.

Reference 1

1. Name

2. Occupation

3. Address

4. Phone

5. Years Aquainted

Reference 2

1. Name

2. Occupation

3. Address

4. Phone

5. Years Aquainted

Reference 3

1. Name

2. Occupation

3. Address

4. Phone

5. Years Aquainted

Acknowledgement

Please read carefully, check each paragraph, and submit/electronically sign below.

1. I hereby certify that the information contained in this application is true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any misrepresentation, falsification or omission of information on this application or on any document used to secure employment shall be grounds for rejection of this application or immediate discharge if I am employed, regardless of the time elapsed before discovery.

2. I hereby authorize the Company to thoroughly investigate the information on my application, my references, work record, education and other matters related to my suitability for employment and, further, authorize the references I have listed to disclose to the Company all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the company, my former employers and all other persons or entities form any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosures.

3. The Company adheres to a policy of at-will employment which recognizes that each employee and the Company each retain the right to terminate the employment relationship and that the Company retains the right to modify an employees position or compensation at any time, with or without cause or notice. No one other than the President has the authority to make any binding promise or enter into any agreement inconsistent with the Companys at-will policy and any such agreement must be in writing and signed by both parties to be effective.

Spam Check, please enter the characters to the left in the box below.