We appreciate the time you will spend in completing this application. It is the policy and practice of this company to provide all qualified employees and applicants for employment with equal employment opportunities without regard to age, race, religion, color, sex, pregnancy, ancestry, national origin, disability or any other status or condition protected by applicable law. We will provide, upon request, reasonable accommodations to assist applicants with disabilites in applying for employment.

Please list most recent position first.

Have you been convicted of a felony or misdemeanor in the past 7 years other than a minor traffic offense which has not beem pardoned or expunged from your record?

This application will become inactive after 60 days. If you wish to be considered for employment after that time, you must complete a new application for employment. All applications will, however be retained in our files for a period of twelve months.

This company does not discriminate against qualified applications or employees on the basis of race, creed, national origin, ancestry, pregnancy, sex, color, age, or other status or condition protected by applicable law. However, we insist that all of our employees can perform the essential functions of their employment and have the character, integrity, and general reputation for honesty of a person we would be willing to have to represent our Company in its dealings with our customers, suppliers and/or other employees. Accordingly, we insist on complete honesty. ANY LATER DISCOVERY THAT AN APPLICANT WAS NOT HONEST IN COMPLETING THIS APPLICATION MAY RESULT IN DISCHARGE.

AFFIDAVIT:
I authorize or instruct this Company to make whatever inquiries it deems necessary (of any former employer, personal reference, or school official named in this application or referred by a person named in this application and of any law enforcement agency) in order to verify any information given in my application and/or determine my qualifications and abilities and I agree to release and hold harmless all such persons from any and all liability arising from the release of such information. I understand that such inquiries may include in formation as to y character, general reputation or personal characteristics. Statements I made in the application are true and complete. I understand that if, in the judgement of the Company, I have made any false statement, omissions, concealments, any misrepresentations or I have failed to answer any questions fully and accurately, or results of such investigation are not satisfactory, any offer made by the Company may be withdrawn or my employment with Company may be terminated immediately, without any obligation to me other that for payment at the rate agreed upon for services rendered after I have been employed. I agree to conform to the rules and regulations of the Company, and understand that, if I am hired, my employment and compensation can be terminated, without cause or notice, at any time, at the option of either the Company or myself. I further understand that no personnel recruiter or interviewer or other representative of the Company has any authority to enter into any agreement for employment for any specified period of time unless such agreement is in writing and signed by the Company's designate representative.