EEO Statement: PLEASE READ BEFORE COMPLETING THIS APPLICATION.
This company does not discriminate in the recruitment, hiring, and conditions of employment on the basis of race, color, religion, national origin, sex (including pregnancy), marital status, disability, age, veteran status, genetic information, and any other status as protected by applicable law. No question on this application is intended to secure information to be used in a discriminatory manner. Your completed application will be reviewed carefully; but its receipt does not imply that you will be employed. Employment consideration necessitates that you meet all minimum qualifications required for the position for which you are applying.
How long at this address*
How long at this address
What date would you be available for work?
List three names and telephone numbers of business/work references who are not related to you and are not previous supervisors. If not applicable, list three school or personal references who are not related to you.
Please give an accurate, complete, full-time and part-time employment record. Start with present or most recent employer.
PLEASE READ CAREFULLY BEFORE SIGNING
I hereby certify that the information provided on this application is accurate to the best of my knowledge and subject to verification by this company. I authorize the company, its affiliates and their representatives to investigate all information given and to secure addition job-related information, if necessary. I authorize an investigative report to be made whereby information is obtained through personal interviews with third parties, such as family members, business associates, financial sources, friends, neighbors or others with whom I am acquainted. I understand and consent to an inquiry that may include information as to my character, general reputation, and personal characteristics, whichever may be applicable. This information may include, but is not limited to, verification of previous employment and employment references, verification of education including requests for transcripts, credit reports, motor vehicle driving records and criminal reports, etc. I hereby release from all liability or responsibility all persons, companies, organizations or corporations furnishing such information. I understand that any misrepresentation or omission of a material fact on my application, other documents, or any verbal assertion may be justification for refusal of employment, or if employed, dismissal without advance notice. In the event I am employed, I understand that all employees are subject to termination at the discretion of the company. If, in the event I choose to voluntarily terminate my employment, I am free to do so at any time, and, if I choose to give proper notice of termination, the company may either permit me to continue my employment during the notice period or may accept my resignation immediately. I understand that, in the event I am employed by the company, my compensation, hours of employment and all other terms and conditions of employment are subject to modification of change by the company at the company's discretion. I authorize the company to supply my employment record, in whole or in part, and in confidence, to any prospective employer, government agency, or other party, with a legal and/or proper interest.
In the event of my employment, I will comply with all rules and regulations as set forth in the company's policy manual or other communications distributed to all employees.
I also understand that my employment is conditional upon my satisfactorily passing a drug screening, if one is requested, to be given by a physician, clinic or other health care provider selected by the company.
I understand that completion of this form does not guarantee me status as a applicant or any consideration for employment unless I meet all stated minimum qualifications required of the position for which I am asking to be considered.
I have read the statements and accept them as conditions of employment with the company.