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Career Opportunities Ask Us Application for Employment We consider applications for all positions without regard to race, color, religion, creed, sex, national origin, disability, sexual orientation, citizenship status or any other legally protected status. Position(s) Applied For: Date of Application: How Did You Learn About Us? Advertisement Employment Agency Relative Friend Inquiry Other… Enter other… Contact Information: Full Name Email Telephone Number Address Address 2 City/Town State/Province - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP/Postal Code Best time to contact you at home is: If you are under 18 years of age, can you provide required proof of your eligibility to work? Yes No Have you ever filed an application with us before? Yes No If yes, please provide the date: Have you ever been employed with us before? Yes No If yes, please provide the date: Do any of your friends or relatives, other than spouse, work here? Yes No Are you currently employed? Yes No May we contact your present employer? Yes No Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? Proof of citizenship or immigration status will be required upon employment. Yes No Date available for work: What is your desired salary range? Are you available to work: Full-Time Part-Time Temporary Full-Time Shift Please indicate 1 2 3 shift. 1 2 3 Part-Time Shift Please indicate Mornings Afternoon Evenings. Mornings Afternoon Evenings Temporary Available From Temporary Available To Are you currently on "lay-off" status and subject to recall? Yes No Can you travel if a job requires it? Yes No Education History Re-order Type of School Name of School Address of School Course of Study Number of Years Completed Diploma/Degree Weight Operations Type of School Graduate, Undergraduate, High School, etc. Name of School Address of School Course of Study Number of Years Completed Diploma/Degree Item weight Add more items more items Describe any specialized training, apprenticeship, skills and extra-curricular activities. Describe any job-related training received in the United States military. Employment Experience Re-order Employer Address Telephone Number Job Title Reason for Leaving Dates Employed Hourly Rate/Salary Work Performed Weight Operations Employer Address Telephone Number Job Title Reason for Leaving Dates Employed Enter From and To Hourly Rate/Salary Work Performed Item weight Add more items more items Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status. List professional, trade, business or civic activities and offices held. You may exclude membership which would reveal gender, race, religion, national origin, age, ancestry, disability or other protected status. Other Qualifications Summarize special job-related skills and qualifications acquired from employment or other experience. Specialized Skills Check skills/equipment operated. Terminal PC/MAC Typewriter WPM Spreadsheet Word Processing Shorthand Production/Mobile Machinery Other… Enter other… State any additional information you feel may be helpful to us in considering your application. Can you perform the essential functions of the job, for which you are applying, either with or without a reasonable accommodation? Note to Applicants: DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN INFORMED ABOUT THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING. Yes No References Re-order Full Name Address Telephone Number Relationship Weight Operations Full Name Address Telephone Number Relationship Item weight Add more items more items Applicant's Statement I certify that answers given herein are true and complete.I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer. Signature of Applicant Sign above Date & Time of Signature Date & Time of Signature: Date Date & Time of Signature: Time
