Application For Employment

Proof of citizenship or immigration status will be required upon employment.
From / To
Education
High School
Undergraduate College
Graduate / Professional
Other (specify)
Work Experience
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.
You may exclude membership which would reveal gender, race, religion, national origin, age, ancestry, disability or other protected status.
Summarize special job-related skills and qualifications acquired from employment or other experience.
Specialized Skills (Skills / Equipment Operated)
State any additional information you feel may be helpful to us in considering your application.

Note to Applicants: DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN INFORMED ABOUT THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING.

Personal / Professional References
Do not include family members or past supervisors

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.

Did You Know?

Taking a bath requires up to 70 gallons of water. A five-minute shower uses only 10 to 25 gallons.

For questions or to report problems: 937-393-4281 OR 1-800-533-6839