General Application for Employment

Introduction:

** Please fill out entire application COMPLETELY – Must sign and date on last page **

Please list three professional references

EMPLOYMENT HISTORY

Start with the last or current position, including any military experience, and work backwards (attach separate sheets if necessary). You are required to list the complete mailing address, including street number, city, state, zip; and complete all other information.

  • Step 1
  • Step 2
  • Step 3
  • Step 4
  • Step 5

APPLICANT INFORMATION

Are you 18 years of age or older:

Do you have the legal right to work in the United States?

Have you ever worked for this company?

Can you perform the essential duties required by this job, with or without a reasonable accommodation?

EDUCATION

Did you graduate?

Did you graduate?

Did you graduate?

1st REFERENCE

2nd REFERENCE

3rd REFERENCE

START WITH CURRENT / MOST RECENT EMPLOYER - MINIMUM 3 YEARS

Compensation Method:

May we contact your previous employer?

START WITH CURRENT / MOST RECENT EMPLOYER - MINIMUM 3 YEARS

Compensation Method:

May we contact your previous employer?

IF YOU NEED TO PROVIDE MORE EMPLOYERS, PLEASE ASK FOR AN ADDITIONAL PAGE

MILITARY SERVICE

TO BE READ AND SIGNED BY APPLICANT

I authorize you to make investigations (including contacting current and prior employers) into my personal, employment, financial, and other related matters as may be necessary in arriving at an employment decision. I hereby release employers, schools, and other persons from all liability in responding to inquiries and releasing information in connection with my application.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I also understand that I am required to abide by all rules and regulations of the Company.

I certify that the answers in this application are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

I understand that all employees are employed on an indefinite basis and are subject to termination at any time, with or without notice, with or without prior discipline or warning, and with or without cause.

I agree that any action or suit against the Company arising out of my employment or termination of employment, including, but not limited to, claims arising under State or Federal civil rights statutes, must be brought within 180 days of the event giving rise to the claims or be forever barred. I waive any limitation periods to the contrary.