We are always looking for qualified applicants!


An equal opportunity employer

By law we do not discriminate on the basis of race, religion, national origin, sex, age, disability, or any other status protected by law or regulation. It is our intention that all qualified applicants be given equal opportunity and selection decisions be based on job-related factors.

Instructions

Answer each question fully and accurately. No action can be taken on this application until you have answered all questions. 

Name *
Name
Phone Number *
Phone Number
Are you seeking *
Are you 18 years of age or older? *
If you are hired, you may be required to submit proof of age.
If hired, can you furnish proof you are eligible to work in the U.S.? *
Have you ever been convicted of any law violation? *
Include any plea of “guilty” or “no contest.” Exclude minor traffic violations.
Conviction will not necessarily disqualify an applicant for employment.
If employed, do you expect to be engaged in any additional business or employment outside of our job? *
Please answer in 100 words or less
Please answer in 100 words or less
Please answer in 100 words or less
List name and address of schools. Please include number of years completed, your received diploma/degree/certificate, and subjects studied.
List name and address of schools. Please include number of years completed, your received diploma/degree/certificate, and subjects studied.
List name and address of schools. Please include number of years completed, your received diploma/degree/certificate, and subjects studied.
Previous Employers
List names of employers in consecutive order with present or last employer listed first. Account for all periods of time including military service and any periods of unemployment. If self-employed, give firm name and supply business references. Note: A job offer may be contingent upon acceptable references from current and former employers.
Previous Employer #1
Name of Employer
Name of Employer
Address
Address
Supervisor's Phone Number
Supervisor's Phone Number
Include month and year of starting and ending date
$
$
Previous Employer #2
Name of Employer
Name of Employer
Address
Address
Supervisor's Phone Number
Supervisor's Phone Number
Include month and year of starting and ending date
$
$
Previous Employer #3
Name of Employer
Name of Employer
Address
Address
Supervisor's Phone Number
Supervisor's Phone Number
Include month and year of starting and ending date
$
$
Final Questions
If you are currently a student, have you ever held a job while in school before?
Examples: final exams, major exams, breaks, etc
Are you presently employed? *
Have you ever been fired from a job or asked to resign?
References
Please provide up to three references
Reference 1
Name
Name
Address
Address
Phone Number
Phone Number
Reference 2
Name
Name
Address
Address
Phone Number
Phone Number
Reference 3
Name
Name
Address
Address
Phone Number
Phone Number
Availability
Please describe your availability
Date you are available to start
Date you are available to start
Available Time Intervals by Day
Please list time frames that you are available each day of the week along with any additional notes.
Additional Notes
Terms & Agreements *
I certify that all information provided in this employment application is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date. I authorize the investigation of any or all statements contained in this application. I also authorize, whether listed or not, any person, school, current employer, past employers and organizations to provide relevant information and opinions that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements. I UNDERSTAND THAT THIS APPLICATION, VERBAL STATEMENTS BY MANAGEMENT, OR SUBSEQUENT EMPLOYMENT DOES NOT CREATE AN EXPRESS OR IMPLIED CONTRACT OF EMPLOYMENT NOR GUARANTEE EMPLOYMENT FOR ANY DEFINITE PERIOD OF TIME. ONLY THE PRESIDENT OF THE ORGANIZATION HAS THE AUTHORITY TO ENTER INTO AN AGREEMENT OF EMPLOYMENT FOR ANY SPECIFIED PERIOD AND SUCH AGREEMENT MUST BE IN WRITING, SIGNED BY THE PRESIDENT AND THE EMPLOYEE. IF EMPLOYED, I UNDERSTAND THAT I HAVE BEEN HIRED AT THE WILL OF THE EMPLOYER AND MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME, WITH OR WITHOUT REASON AND WITH OR WITHOUT NOTICE. I have read, understand, and by my signature consent to these statements.