This application form is intended for use in evaluating your qualifications for employment. This is not an employment contract. Please answer all appropriate questions completely and accurately. False or misleading statements during the interview and on this form are grounds for terminating the application process or, if discovered after employment, terminating employment. All qualified applicants will receive consideration without discrimination based on sex, martial arts, race, color, age, creed, national origin, sexual orientation, military reserve membership, ancestry, religion, height, weight, use of a guide or support animal because of blindness, deafness or physical handicap, or the presence of disabilities. A conviction will not necessarily bar an applicant from employment. Additional testing of job-related skills may be required prior to employment. After an offer of employment, and prior to reporting to work, you may be required to submit to a medical review and evaluated for the presence of drugs and alcohol. Depending on company policy and the needs of the job, you will be required to complete a medical history form and may be required to be examined by a medical professional designated by the company.
Which Category do you prefer?
Job Related Skills
Note: Do not fill out any part of this section you believe to be non-job related.
List states and counties of residence for the past SEVEN (7) years:
PLEASE NOTE: Every question in this next section is mandatory. Since we make every effort to contact previous employers, the correct telephone numbers of past employers is critical. Ask for a phonebook or call information if necessary. FOR EMPLOYERS OUTSIDE THE U.S.A. CURRENT FAX NUMBER IS MANDATORY.
CERTIFICATION AND RELEASE
I certify that I have read and understand the summary of information on this form and that the answers given by me to the foregoing questions and the statements made by me are complete and true to the best of my knowledge and belief. I understand that any false information, omissions or misrepresentations of facts called for in this application, whether on this document or not, may result in rejection of my application or discharge at any time during my employment. I authorize the company and or its agents, including consumer reporting bureaus, to verify any of this information. I release all former employers, persons, schools, companies, and law enforcement authorities from any liability for any damage whatsoever for releasing this information. I also understand that the use of any illegal drugs is prohibited. If company policy requires, I am willing to submit to drug testing to detect the use of illegal substances prior to and during employment.
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