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Application for Employment
Instructions
It is the policy of the Company to provide equal opportunity with
regard to all terms and conditions of employment. The Company
complies with federal and state laws prohibiting discrimination on
the basis of race, color, religion, sex, national origin,
disability, veteran status, age, or any other protected
characteristic.
Contact Information
Position Information
The following question is
not designed to elicit information about an applicant’s disability.
Please do not provide information about the existence of a
disability, particular accommodation, or whether accommodation is
necessary. These issues may be addressed at a later stage to the
extent permitted by law.
Answering “yes” to the
following question does not constitute an automatic bar to
employment. Factors such as date of the offense, seriousness and
nature of the violation, rehabilitation and position applied for
will be taken into account.
Note: You are not obligated to disclose sealed or
expunged records of conviction or arrest or expunged juvenile
records of conviction or arrest.
Education Background
Employee Experience
List your most recent employer first.
Anti-Discrimination Clause
This Company does not tolerate unlawful discrimination or
harassment based on sex, race, color, religion, national origin,
citizenship, age, disability, or any other protected status under
applicable federal, state or local law. No question on this
application is used to limit or exclude an applicant from employment
consideration. This Company takes all harassment complaints
seriously and investigates each one promptly and thoroughly.
Applicant Statement
I certify that all the information submitted by me on this
application is true and complete, and I understand that if any false
or misleading information, omissions or misrepresentations are
discovered, my application may be rejected, and if I am employed, my
employment may be terminated at any time.
If hired, I agree to conform to the Company’s rules and regulations, and I
understand that these rules and/or the employee handbook do not form a contract
of employment either expressed or implied, and I agree that my employment and
compensation can be terminated, with or without cause and with or without
notice, at any time, at either my or the Company’s option.
I also understand and agree that the terms and conditions of my employment
may be changed, with or without cause and with or without notice, at any time by
the Company. I understand that no Company representative, other than its
president, and then only when in writing and signed by the president, has any
authority to enter into any agreement for employment for any specific period of
time, or to make any agreement contrary to the forgoing.
I expressly authorize, without reservation, the employer, its
representatives, employees or agents to contact and obtain information from all
references (personal and professional), employers, public agencies, licensing
authorities and educational institutions and to otherwise verify the accuracy of
all information provided by me in this application, resume or job interview. I
hereby waive any and all rights and claims I may have regarding the employer,
its agents, employees or representatives for seeking, gathering and using
truthful and nondefamatory information, in a lawful manner, in the employment
process and all other persons, corporations or organizations for furnishing such
information about me.
I understand that this application remains current for only 30 days. At the
conclusion of that time, if I have not heard from the employer and still wish to
be considered for employment, it will be necessary for me to reapply and fill
out a new application.
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