To Applicant: If you need assistance in completing this application, please let us know. We deeply appreciate your interest in our organization and assume you that we are sincerely interested in your qualifications. A clear understanding of your background and work history will aid us in considering you for the position that best matches your qualifications. Therefore, we encourage you to be as complete and as specific as possible. In this application, we are sometimes referred to as The Company. The Company is an equal opportunity employer. The Company will not discriminate unlawfully against any employee or applicant for employment because of race, sex, creed, color, religion, national origin, age, martial status, physical or mental disabilities or status as disabled Vietnam-era veteran, when the individual is otherwise qualified.

PERSONAL

EMPLOYMENT

Please give accurate, complete full-time and part-time employment record. Start with the current or most recent employer. Show unemployment or self-employed periods, indicate dates of each and explain. All time must accurately and truthfully be accounted for. DO NOT PUT “SEE RESUME”. YOU NEED NOT EXPLAIN ANY GAPS IN EMPLOYMENT RELATED TO A DISABILITY OR REHABILITATION.

JOB ABILITIES

Indicate job skills, education, training or equipment you can operate which pertains to the job for which you are applying. Include a list of current professional licenses, certificates or degrees.

If required in the job for which you are applying:

TO THE APPLICANT

RESUME AND COVER LETTER

IMPORTANT TO READ AND SIGN

1. By clicking the submit button, I certify that the information in this application is correct and I have not omitted any information. I understand that falsification or omission of information may result in immediate dismissal.
2. I authorize the references and my prior employers listed above to provide my records, reason for leaving, and all other information they may have concerning me and I release all parties from liability or claims for damage whatsoever that may result therefrom.
3. I hereby understand and acknowledge that unless otherwise required by applicable law, and contractor relationship with this organization is of an “at will” nature, which means that I may resign at any time and The Company may discharge me at any time with or without cause. It is further understood that this “at will” contractor relationship may not be charged by any written document or by conduct unless such charge is specifically acknowledged in writing by an authorized executive of this organization.
4. If contracted, I agree and acknowledge that my contract can be terminated, with or without cause or notice, at any time by myself or The Company.
5. If contracted, I agree to abide by and conform to the rules and regulations of The Company.