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APPLICATION FOR EMPLOYMENT

If you need an accommodation in order to complete the application
process, take any required tests, or perform any essential element of
the position sought, please let us know.

IDENTIFICATION

Two phone numbers where you can be reached or a message left:

GENERAL INFORMATION

EDUCATION

TECHNICAL SKILLS

EMPLOYMENT HISTORY

Start with present or most recent employer first. Please include military, homemaking and/or volunteer experience.

Employer 1

Employer 2

Employer 3

Employer 4

Note: Answering "Yes" to the above questions does not constitute an automatic bar to employment

CHECK SKILLS AND LENGTH OF EXPERIENCE IN EACH CATEGORY.
MUST HAVE MINIMUM OF 3 MONTHS ON-THE-JOB EXPERIENCE.

Skills

Experience

Skills

Experience

Certifications

APPLICANT’S STATEMENT

I understand that the Company is committed to providing equal opportunity in all employment practices, including but not limited to selection, hiring, promotion, transfer, and other compensation to all qualified applicants and employees without regard to age, race, color, national origin, sex, religion, handicap or disability, or any other category protected by law.

I understand that this application will be given every consideration, but it is not a promise of employment.

I understand that if I am hired, my employment will be for no definite period, regardless of the period of payment of my wages. I further understand that I have the right to terminate my employment at any time with or without notice, and the Company has the same right. No one other than the President of the Company has authority to modify this relationship or to make any agreement to the contrary. Any such modification or agreement must be in writing.

I understand that the company reserves the right to require me to submit a drug/alcohol test, prior to employment and at any time during my employment, to the extent permitted by law.

I understand that my hiring by Employment Resources is conditional on various background score and checks. Employment Resources will E-verify my employment status and may investigate my driving record and my criminal record and that an investigative consumer report may be prepared whereby information is obtained through personal interviews with my neighbors, friends and others with whom I am acquainted. This inquiry included information as to my character, general reputation, personal characteristics and mode of living. I understand that I have the right to make a written request within a reasonable amount of time to receive additional detailed information about the nature and scope of this investigation. I further understand that the Company may contact my previous employers and I authorize those employers to disclose to the Company all records pertinent to my employment with them. If these checks render me not eligible for hire, I understand this offer will be withdrawn.

I hereby state that all the information that I provide on this application and in any interview is true and accurate. I understand that if I am employed and any such information is later found to be false, I may be dismissed.

THIS APPLICATION WILL BE CONSIDERED ACTIVE FOR A MAXIMUM OF ONE YEAR. IF YOU WISH TO BE CONSIDERED FOR EMPLOYMENT AFTER THAT TIME, YOU MUST RE-APPLY. DO NOT SIGN UNTIL YOU HAVE READ AND UNDERSTAND THIS STATEMENT.