Employment Application

The Company is an Equal Opportunity Employer and provides fair treatment to all employees and job applicants in the areas of personnel and employment practices. Equal employment opportunities are offered to all persons without regard to race, color, religion, age, marital or veterans' status, sex, national origin, citizenship, disability, or any other legally protected status.

General Information

Position Information

Are you age 18 or older?

Can you work overtime hours?

What type of work are you available for?

Are you a U.S. Citizen or can you show proof of employment eligibility, if hired?

Have you been convicted of a felony violation in the last five (5) years?

If yes, explain:


Highest Year Completed

Employment History

Please list your employment history beginning with your most recent employment.

Describe Your Duties:

Describe Your Duties:

Describe Your Duties:

May we contact the employers listed above?

I certify that the information provided by me on this application is correct. I understand that any false or misleading statements may result in rejection of my application and/or if employed, termination of employment. I hereby authorize each and every former employer, person, firm, or corporation to answer any and all questions that may be asked regarding my employment. I release said parties from all liability for any damages resulting from issuance of such information.

I understand that, if employed, my employment is for no fixed term. I reserve the right to voluntarily terminate my employment at any time without cause or notice and the Company reserves the same privilege. I understand that no employee, officer, or agent of the Company may bind it to anything contrary to the above by oral or printed statements, including handbooks, benefit booklets, or other forms of communication.

Please type your full legal name and the current date below to electronically sign this submission.

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