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APPLICATION for EMPLOYMENT

We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, the presence of a non-jobrelated medical condition or handicap, or any other legally protected status.

Date of Application: October 26, 2021

Please select who will be participating...
AdultMinor
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First Applicant's Name

First Name*

Middle Name

Last Name*

Phone*
First Applicant's Date of Birth*
First Applicant's Information

Location applied for: *

Position(s) applied for: *

Days and Hours of Availability *
How did you learn about us? (Check all that apply)
Advertisement
Friend/relative
Walk in
Employment Agency
Other

If Other:
If you are under 18 years of age, can you provide required proof of your eligibility to work?
Have you ever filed an application for employment with us before?*

If you answered YES, When?

Which location(s)?
Have you ever been employed with us before?*

If you answered YES, When?

Which location(s)?
Are you currently employed?*
If you answered YES, May we contact your employer?
Are you prevented from lawfully becoming employed in this country because of a Visa or Immigration status?*

Note: Proof of citizenship or immigration status will be required upon employment


On what date would you be available to work? *
Are you available for work (Choose those that apply): *
Full time
Part time
Shift work
Temporary
Are you currently on "lay-off" status and subject to recall?*
Can you travel if your job requires it?*

EMPLOYMENT EXPERIENCE

Attach resume or start with your current or last job, include any job related military service assignments and volunteer activities. You may exclude organizations that indicate sex, race, religion, national origin, age, ancestry, handicap, or other protected status.


Employer:

Dates Employed (from to)

Job Title:

Supervisor:

Phone:

Reason for leaving:

EDUCATION 

Attach resume or fill in the following

Elementary School:


School Name and Location:

Number of Years Completed:

Diploma/Degree

Describe any honors you received

Describe any specialized training, apprenticeship, skills or extracurricular activities

High School


School name and location *

Number of years completed

Diploma/Degree

Describe any honors you received

Describe any specialized training, apprenticeship, skills or extracurricular activities

Undergraduate College/University


School name and location

Number of years completed

Diploma/Degree

Describe any honors you received

Describe any specialized training, apprenticeship, skills or extracurricular activities

Graduate/ Professional


School name and location

Number of years completed

Diploma/Degree

Describe any honors you received

Describe any specialized training, apprenticeship, skills or extracurricular activities

State any additional information you feel may be helpful to us in considering your application:

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


Speak:

Read:

Write:

List professional, trade, business or civic activities and office held. You may exclude memberships, which would reveal sex, race, religion, national origin, age, ancestry, handicap, or other protected status.

REFERENCES 

Give name, address, telephone number or email of three references including at least one who is a past employer.


1.

2.

3.
Have you ever had any job related training in the United States Military?*

If YES, please describe:
Are you physically or otherwise unable to perform the duties of the job for which you are applying?*

If YES, please describe:

APPLICANT'S STATEMENT

  • I certify the answers given herein are true and complete to the best of my knowledge I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. 
  • This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. 
  • I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge the Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized execution of this organization. 
  • In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

First Applicant's Signature*
Applicant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

Location applied for: *

Position(s) applied for: *

Days and Hours of Availability *
How did you learn about us? (Check all that apply)
Advertisement
Friend/relative
Walk in
Employment Agency
Other

If Other:
If you are under 18 years of age, can you provide required proof of your eligibility to work?
Have you ever filed an application for employment with us before?*

If you answered YES, When?

Which location(s)?
Have you ever been employed with us before?*

If you answered YES, When?

Which location(s)?
Are you currently employed?*
If you answered YES, May we contact your employer?
Are you prevented from lawfully becoming employed in this country because of a Visa or Immigration status?*

Note: Proof of citizenship or immigration status will be required upon employment


On what date would you be available to work? *
Are you available for work (Choose those that apply): *
Full time
Part time
Shift work
Temporary
Are you currently on "lay-off" status and subject to recall?*
Can you travel if your job requires it?*

EMPLOYMENT EXPERIENCE

Attach resume or start with your current or last job, include any job related military service assignments and volunteer activities. You may exclude organizations that indicate sex, race, religion, national origin, age, ancestry, handicap, or other protected status.


Employer:

Dates Employed (from to)

Job Title:

Supervisor:

Phone:

Reason for leaving:

EDUCATION 

Attach resume or fill in the following

Elementary School:


School Name and Location:

Number of Years Completed:

Diploma/Degree

Describe any honors you received

Describe any specialized training, apprenticeship, skills or extracurricular activities

High School


School name and location *

Number of years completed

Diploma/Degree

Describe any honors you received

Describe any specialized training, apprenticeship, skills or extracurricular activities

Undergraduate College/University


School name and location

Number of years completed

Diploma/Degree

Describe any honors you received

Describe any specialized training, apprenticeship, skills or extracurricular activities

Graduate/ Professional


School name and location

Number of years completed

Diploma/Degree

Describe any honors you received

Describe any specialized training, apprenticeship, skills or extracurricular activities

State any additional information you feel may be helpful to us in considering your application:

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


Speak:

Read:

Write:

List professional, trade, business or civic activities and office held. You may exclude memberships, which would reveal sex, race, religion, national origin, age, ancestry, handicap, or other protected status.

REFERENCES 

Give name, address, telephone number or email of three references including at least one who is a past employer.


1.

2.

3.
Have you ever had any job related training in the United States Military?*

If YES, please describe:
Are you physically or otherwise unable to perform the duties of the job for which you are applying?*

If YES, please describe:

APPLICANT'S STATEMENT

  • I certify the answers given herein are true and complete to the best of my knowledge I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. 
  • This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. 
  • I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge the Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized execution of this organization. 
  • In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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