Employment

Application for Employment

Federal Law prohibits discrimination on the basis of race, color, religion, disability, sex or national origin, as well as discrimination on the basis of age against persons between the age of 40 and 65 inclusive. Some state and city legislation prohibits discrimination because of age, marital status, sexual preference, race, color, religion, sex or national origin. Consult competent counsel for further interpretation.


You may also download the employment application to be completed, printed and submitted in person.

Employment Application

PERSONAL

EMPLOYMENT DATA

EDUCATION

MILITARY SERVICE

WORK HISTORY

Please list your last 4 employers. Begin with the most recent employer.

EMPLOYER #1

EMPLOYER #2

EMPLOYER #3

EMPLOYER #4

I authorize this company to make an investigation of all information contained in this application for employment and I release from all liability all companies and corporations supplying such information. I understand that any false answers, statements or implications made by me on this application or other required documents shall be considered sufficient cause for denial of employment or discharge. Upon termination of my employment for whatever reason, I release this company from all liability for supplying any information concerning my employment to any potential employer. I authorize this company, if applicable, to request a copy of my credit report, motor vehicle record and any other investigative report they deem necessary through various third party sources. Upon my formal written request, within a reasonable period of time, I will be notified as to the nature and scope of such investigation. I realize I hereby agree to submit to any drug test that may be required of me; whether prior to my employment or if employed by this company at any time thereafter. If requested, I will take a physical examination post-job offer and employment will be conditional upon passing such examination. During such employment, I understand and agree that in the event that I receive medical treatment for any condition, including a physical, psychological, emotional, or psychiatric condition that is job related, I hereby authorize the limited release and exchange of such medical information relating to my condition between the treatment provider and a company designated physician. I further understand that this is an application for employment and that no employment contract is being offered. I understand that if I am employed, such employment is for an indefinite period of time and that the company may change wages, benefits and conditions at any time. My employment is at will. I have read and understand the above.

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