Please clearly state what days and hours you can work.
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CURRENT AND PREVIOUS EMPLOYMENT
Please list the names of your present and previous employers in chronological order with current or last employer listed first. Include part-time, seasonal and all other employment. DO NOT ANSWER “SEE RESUME.” Resumes will not be accepted in lieu of a completed application.
- Describe other experience you have that is relevant to the job for which you are applying or list any job-related designations, certifications or courses completed that may be applicable to the position desired:
List the Name, Location (city & state), and Phone Number for Three Personal or Professional References.
Prior to conducting a background investigation, the Company will provide you with a release form that complies with the Fair Credit Reporting Act and any applicable state law. All Applicants must not include any information about arrests, nor any convictions that were sealed, eradicated, erased, annulled or expunged, or convictions that resulted in referral to a diversion program when responding to these two questions.
NOTE: Answering “yes” to either of these questions does not constitute an automatic bar to employment. The Company will consider the nature of the crime, its seriousness, the substantial relation to the position’s functions and qualifications, the number of occurrences, the applicant’s age at the time of the crime, the time elapsed since the crime, the applicant’s entire work and educational history, employment references and recommendations, and the business necessity of any exclusion when required by law.
APPLICANT’S STATEMENT AND ACKNOWLEDGMENTS
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 compensation to all qualified applicants and
employees without regard to age, race, color, national origin, sex,
religion, handicap or disability, citizenship status, or any other category
protected by federal, state, or local law.
I authorize the Company to inquire with any current or former employers,
professional, work, educational and personal references listed in the
application, or any other individuals I may name concerning my work
experience. I further authorize the Company to conduct background
investigations to include criminal background checks, motor vehicle reports,
and other consumer reports that may contain pertinent information related to
my candidacy for the position desired. I understand the Company complies
with the Fair Credit Reporting Act ("FCRA") and that should employment be
denied based upon my background report(s), that I will be provided with a
copy the relevant report, applicable eligibility standards, and a Summary of
Rights Under the FCRA..
I understand that the Company reserves the right, to the extent permitted by
law, to require drug and alcohol screening tests of an applicant or an
employee either prior to beginning employment or anytime during employment..
I understand that this employment application and any other Company
documents provided during the application process are not promises of
I certify that the information given by me on this application and during
the interview process is true and complete in all respects, and I agree that
if the information is found to be false, misleading, or unsatisfactory in
any respect (in the Company’s judgment) that I will be disqualified from
consideration for employment or subject to immediate dismissal if discovered
after I am hired..
I understand this application will be considered active for a maximum of
thirty (30) days. If I wish to be considered for employment after that time,
I understand that I must reapply. I further understand that separate
applications are required for each position for which I wish to be
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