APPLICATION FOR EMPLOYMENT

Are you 18 years old or older?
YesNo

If no:

Date available to start:

Are you legally eligible for employment in the United States?
YesNo (If offered employment, you will be required to provide documentation to verify eligibility.)

Have you ever been convicted of a felony other than minor traffic offenses?
YesNo

If yes, please explain:

(A conviction will not necessarily disqualify you for employment. Rather, factors such as age and date of conviction, seriousness and nature of the crime, and rehabilitation will be considered.)

Do you have reliable transportation to and from work?
YesNo

Have you ever been discharged or asked to resign from a job?
YesNo

If yes, please explain:

Attach resume (Optional)

APPLICANT'S CERTIFICATION AND AGREEMENT

I certify that all the information provided in this application and/or any possible interview is true and that there are no material omissions. I authorize full verification of this application and authorize the release of any information, publicly or privately held, regarding my background or employment.

I understand that neither this application nor any other company documents (existing or future) are a contract of employment. I also understand that any employment is terminable at will, with or without cause or prior notice.

1. Any offer of employment may subsequently be withdrawn and may be conditioned upon satisfaction of (a) proof of citizenship or eligibility to work, (b) successful completion of any pre-employment screening or testing, including drug testing, and (c) other applicable pre-employment requirements.

2. This application will be considered current for 30 days, after which a new application must be submitted to be considered for employment.

I certify that I have read the job description(s) of the position(s) for which I am applying. I understand that all applicants must be able to meet the requirements for the job, such as education, training, employment experience, skills, or licenses. In addition, an applicant must be able to perform the essential functions of the job with or without reasonable accommodation.

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