General Employment Application

We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status. All applications and resumes are kept on file for 1 year.

If you are under 18 years of age, can you provide required proof of your eligibility to work?

Yes No

Have you ever filed an application with us before?

If yes, give date:

Have you ever been employed with us before?

Yes No

If yes, give date:

Are you currently employed?

Yes No

May we contact your present employer?

Yes No

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?

(Proof of citizenship or immigration status will be required upon employment.)

Yes No

Have you ever been convicted of, pled guilty or no contest to a felony or misdemeanor?

Yes No

If yes, explain:

Education

Indicate any foreign languages you can speak, read and /or write.

Describe any specialized training, apprenticeship, skills and extra-curricular activities.

List professional, trade, business or civic activities and offices held.

You may exclude membership that would reveal gender, race, religion, national origin, age, ancestry, disability or other protected status.

US Military Experience

Employment Experience

Current / Last Employer

2nd Previous Employer

3rd Previous Employer

4th Previous Employer

References (Do not include relatives)

Resume

Applicant Statement

I understand that the employer follows an “employment at will” policy, in that the employer or I may terminate my employment at any time, or for any reason consistent with applicable state or federal law. This “employment at will” policy cannot be changed verbally or in writing, unless the change is specifically authorized in writing by the president of this organization. I understand that this application is not a contract of employment. I understand that federal law prohibits the employment of unauthorized aliens; all persons hired must submit satisfactory proof of employment authorization and identity; failure to submit such proof will result in denial of employment.

I understand this application will be active for a period of one year; after that time, if I wish to be considered for employment, I must submit a new application.

I understand that the employer will thoroughly investigate my work and personal history, which includes credit and criminal background checks, and verify all data given on this application, on related papers, and in interviews. I authorize all individuals, schools, background checking agencies, and firms named therein, except my current employer if so noted, to provide any information requested about me, and I release them from all liability for damage in providing this information.

I certify that all the statements herein are true and understand that any falsification or willful omission shall be sufficient cause for dismissal or refusal of employment.

Please type your full name below to represent your signature.