Please select the location you are applying for:
(a selection is required for form to submit)
Please fill out all text fields to the best of your knowledge:
Starting with your current or last job, list the last 4 places where you have worked. You may include volunteer activities, paid or unpaid. Do not leave out any former employer. Your employment history will be verified.
Current or Last Employer
Immediate Prior Employer
Please identify and explain all periods of unemployment of more than one month during the past 3 years. Do not include any period of unemployment due to pregnancy or other medical reasons.
Please provide the names and telephone numbers (include area code) of three references who know you personally. Do not list relatives or former employers.
In the event that you are employed, who should we notify in the event of an emergency?
Certification and Considerations
I hereby certify that the information contained in the Application for Employment is true and correct to the best of my knowledge and agree to have any of the statements checked by the Company unless I have indicated to the contrary. I authorize the references listed above, as well as all other individuals whom the Company contacts, to provide the Company and all information concerning my previous employment and any other pertinent information that they may have. Further, I release all parties and persons from any and all liability for any damages that may result from furnishing such information to the Company as well as from any use of disclosure of such information by the Company of any of its agents, employees or representatives. I understand that any misrepresentation, falsification or material omission of information on this application may result in my failure to receive an offer, or, if I am hired, my immediate dismissal from employment.
In consideration of my employment, I agree to conform to the rules and standards of the Company. I further agree that my employment and compensation can be terminated at will, with or without cause, and with or without notice, at any time, either at my option or at the option of the Company. I understand that no employee or representative of the Company, other than its President, has the authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing. Further, the President of the Company may not alter the at-will nature of the employment relationship unless the President and I both sign a written agreement that clearly and expressly specifies the intent to do so. I agree that this constitutes an integrated agreement with respect to the at-will nature of my employment relationship, that it is final and fully binding, and that there are oral or collateral agreements regarding this issue.
I also understand that all offers of employment are conditioned on the provision of satisfactory proof of an applicant's identity and legal authority to work in the United States, agreement to mediate and arbitrate claims, as well as the satisfactory completion of a post-offer medical examination.
1 “I Acknowledge that I have read the U.S. Department of Labor’s copy of the poster EMPLOYEE RIGHTS AND RESONSIBILITIES UNDER THE FAMILY AND MEDICAL LEAVE ACT.”
If you agree to these terms, the two questions must be answered below for your application to be submitted!