Please state your previous employers from most recent to least recent.

Please give the names of 3 people (other than family) whom you have known for at least 1 year.

First Reference

Second Reference

I hereby certify that the information contained in the employment application I submit is true, accurate, and complete to the best of my knowledge. I understand that material omissions or falsification of this application in any detail may result in my disqualification from consideration for employment or for dismissal from employment.

I also understand that my employment is subject to a satisfactory check of criminal background, driving records, and professional references. I give William Herrick the right to investigate the information given and to secure additional information if necessary. I authorize my previous employers, educational institutions, and all other individuals and organizations listed in this application form to give information about my employment, work habits, and character.

I understand that upon offer and acceptance of a position with William Herrick I will be required to immediately furnish documentation establishing my identity and eligibility to be legally employed in the United States.

I understand that William Herrick is in no way obligated to provide employment, and also that I am in no way obligated to accept employment, if offered. This application does not bind either party, and the statements contained herein do not constitute and should not be interpreted to constitute any sort of contract of employment for a specific period of time.

I understand that employment at William Herrick (“the Company”) is employment at-will. Employment at-will may be terminated at the will of either me or the Company. Employment may be terminated with or without cause at any time by me or by the Company. Terms and conditions of employment with the Company may be modified at the sole discretion of the Company with or without cause and with or without notice.

William Herrick is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment in the workplace. We welcome applicants of diverse backgrounds, and hire without regard to race, color, creed, religion, sex, gender identity or expression, sexual orientation, marital or parental status, national origin, ancestry, citizenship, age, disability, genetic information, political affiliation, military service, or any other characteristic protected by law.