APPLICATION FOR EMPLOYMENT

Personal Information
Name *
Name
Address *
Address
Phone *
Phone
Are you 18 years or older? *
Are you prevented from lawfully becoming employed in this country because of visa or immigration status? *
Employment desired
Date you can start *
Date you can start
$
Are you currently employed?
If currently employed, may we inquire or your present employer?
Education
Did you graduate
Did you graduate?
Did you graduate?
Present membership in National Guard or Reserves
Former Employers
List last three employers, starting with the last one first
From date
From date
To date
To date
From date
From date
To date
To date
From date
From date
To date
To date
References
give the names of three persons not related to you, whom you have known at least one year
Name, Address, Business, Years acquainted, phone number
Name, Address, Business, Years acquainted, phone number
Name, Address, Business, Years acquainted, phone number
*
"I CERTIFY THAT ALL THE INFORMATION SUBMITTED BY ME ON THIS APPLICATION IS TRUE AND COMPLETE, AND I UNDERSTAND THAT IF ANY FALSE INFORMATION, OMISSIONS, OR MISREPRESENTATIONS ARE DISCOVERED, MY APPLICATION MAY BE REJECTED AND, IF I AM EMPLOYED. MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME. IN CONSIDERATION OF MY EMPLOYMENT, I AGREE TO CONFORM TO THE COMPANY'S RULES AND REGULATIONS, AND I AGREE THAT MY EMPLOYMENT AND COMPENSATION CAN BE TERMINATED, WITH OR WITHOUT CAUSE. AND WITH OR WITHOUT NOTICE, AT ANY TIME, AT EITHER MY OR THE COMPANY'S OPTION. I ALSO UNDERSTAND AND AGREE THAT THE TERMS AND CONDITIONS OF MY EMPLOYMENT MAY BE CHANGED, WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE, AT ANY TIME BY THE COMPANY. I UNDERSTAND THAT NO COMPANY REPRESENTATIVE, OTHER THAN IT'S PRESIDENT, AND THEN ONLY WHEN IN WRONG AND SIGNED BY THE PRESIDENT, HAS ANY AUTHORITY TO ENTER INTO ANY AGREEMENT FOR EMPLOYMENT FOR ANY SPECIFIC PERIOD OF TIME, OR TO MAKE ANY AGREEMENT CONTRARY TO THE FOREGOING.