Are you lawfully authorized to work in the United States*
(Proof of citizenship or immigration status will be required upon employment.)
Are you available to work:
What shifts are you available to work?
Undergraduate / Graduate / Other (Specify)
START WITH YOUR PRESENT OR LAST JOB. INCLUDE ANY JOB-RELATED MILITARY SERVICE ASSIGNMENTS AND VOLUNTEER ACTIVITIES.
Previous Employer 1
Previous Employer 2
Previous Employer 3
Previous Employer 4
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Previous Employer 6
GIVE THE NAMES OF THREE PERSONS NOT RELATED TO YOU, WHOM YOU HAVE KNOWN AT LEAST ONE YEAR THAT WE MAY CONTACT.
Equal Opportunity Employer
This company is an Equal Opportunity Employer. We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, citizenship status, ancestry, sex, sexual orientation, gender, gender identity or gender transitioning, genetic predisposition or genetic information, age, disability, pregnancy, marital status, military discharge or veteran status, arrest records, criminal convictions which have been sealed or expunged, or any other legally protected status.
In connection with your application for employment, you may be required to take a written pre-employment test. We will provide reasonable accommodations in the testing process for disabled individuals. If you require any accommodations in the testing process, please notify your personnel interviewer.
It is understood and agreed the information that I have provided on this application is true and complete to the best of my knowledge. Any misrepresentation or omission of any fact in my application, resume, test scores, or any other materials, or during any interview, can be justification for refusal of employment, or, if employed, termination from the company's employment, regardless of when or how it was discovered.
For employment purposes as may be necessary in arriving at an employment decision, I give the company the right to investigate all statements contained herein and the references, including past employers listed, and to secure additional information about me, whether personal or otherwise. I hereby release the company and its representatives, as all those who furnish such information, from all liability for any damage that may result from seeking or utilization of such information as well.
In connection with this application, certain positions require an investigative report which may include a credit report, criminal record report, and/or a motor vehicle report. If any such report is needed, I will be notified in advance to obtain my written consent. I understand that a poor credit history and/or a conviction will not automatically result in disqualification from employment.
I understand that I am subject to a urinalysis for drug testing purposes and physical examination. The results of such examinations will be made available to the Company. My failure or refusal to provide necessary consents may terminate my application, candidacy, or employment.
This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant Federal and State laws.
I understand that the company is an Equal Opportunity Employer and does not discriminate in employment and no question on this application is to be used for the purpose of limiting or excluding any applicant's consideration for employment on a basis prohibited by Local, State, or Federal law.
I understand that this application for employment is not an offer or contract for employment.
I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by the President of the Company.
If offered employment, I agree to comply with the policies, rules, regulations, and procedures of the company which may be changed from time to time at the sole discretion of the Company. I further understand that the company reserves the right to change wages, hours and working conditions as deemed necessary. 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 and signed by the President of the Company.
I understand that any employment offer is contingent upon my providing, within three working days of employment, valid proof of identity and eligibility to work in order to comply with the Immigration Reform and Control Act of 1986.
We may ask that you take a mechanical test because our business requires high mechanical ability. This is not an intelligence test. Low test scores do not reflect on one's personal character or overall talent. We will provide reasonable accommodations in the testing process for disabled individuals.
Thank you for applying at our company.
By checking this box, I have read and fully understand and agree with the above information. I hereby affirm and acknowledge by checking this box that I am providing my electronic signature, which carries the same legal weight associated with an original signature on a paper document.
Your work history will be discussed with you if you are interviewed.
Please answer all the following questions with yes or no.
Have you ever been:
I UNDERSTAND THAT IF I AM SELECTED FOR AN INTERVIEW OR UPON A CONDITIONAL JOB OFFER BEING EXTENDED TO ME, THAT THE COMPANY MAY REQUIRE THAT I COMPLETE A CONVICTION INQUIRY QUESTIONNAIRE.
By checking this box, I certify that the above answers are true and correct to the best of my information and knowledge. I understand that any falsification or any omission of material information discovered before or after I am employed may be cause for my being disqualified or immediately terminated from employment with the company.
By submitting this information, I acknowledge and affirm that I have read and fully understand & agree with the information included in this submission.
*** THE COMPANY IS AN AT-WILL, EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER ***