Employment Application

It is our policy to comply with all applicable state and federal laws prohibiting discrimination in employment based on race, age, color, sex, religion, national origin, disability, or other protected classifications. Please carefully read and answer all questions. You will not be considered for employment if you fail to completely answer all the questions on this application. You may attach a resume, but all questions must be answered.
Application Information
Last Name
First Name
M.I
Date

MonthDayYear
Street Address
Apartment/Unit #
City
State
Zip Code
Phone
Format: (000) 000-0000.
Email
example@example.com
Date of Birth
Social Security No.
Driver License #
Position Applied for:
Site/Code:
Are you a citizen of the United States of America?
If No, are you authorized to work in the U.S.?
Have you ever worked for a DSP company?
If Yes, who?
Have you ever been convicted of a felony?
If Yes, please explain:
Education
High School
Address
College
Address
Military Service
Branch
From
To
Rank at Discharge
Type of Discharge
If Yes, please explain:
Availability and Schedules

Everyone is expected to work at least (1) weekend day.
Saturday OR Sunday?
Past Experience
Please list past experiences and reasons for applying for the position:
Please upload DL, SS Card, or MEC (front and back)

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Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

I acknowledge and understand that the company is an “at-will” employer. Therefore, any employee (regular, temporary, or other types of category employee) may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without cause, with or without notice to the other party.
Signature
Date

MonthDayYear
Should be Empty:

Application Information

Education

Military Service

Availability and Schedules

Past Experience

Disclaimer and Signature