Please fill out the form below and click Submit to submit your application for consideration. Fields with an asterisk (*) are required.
Give record of all High Schools, Colleges, Universities and Vocational/Technical Schools you have attended.
Give your full employment record, starting with your current or most recent employment
Please provide three references (not relatives).
I hereby certify and affirm that the information on this application, and given in connection with this application, is correct and true. My identification documents are genuine, were obtained by me from authorized sources and represent valid proof of my personal identity.
I authorize a thorough investigation of my past employment and activities, including but not limited to, a criminal and child abuse check, and agree to cooperate in such an investigation. Further, I authorize any physician or hospital to release any information, which may be necessary to determine my ability to perform the essential functions of this position. In consideration of my receipt of this application and my being considered for employment, I hereby release from all liability or responsibility all persons and corporations requesting or supplying information.
I hereby agree to submit to any lawful drug or alcohol test that may be required as a condition of this application’s consideration and understand that refusal to submit to such testing may result in termination.
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 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 executive of this organization.
In the event of employment I understand that any false or misleading information or documents given in my application or interview(s), or the failure to disclose any relevant information, may be grounds for immediate termination. I understand, also, that I am required to abide by all rules and regulations of the employer.
By signing this application I affirm that I have read the “Applicant’s Statement”, that I understand the significance of the releases contained in Paragraph 2, that I intend to be legally bound by them and that I am agreeing to them knowingly and voluntarily.
