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It is our policy to provide equal employment opportunities and will not unlawfully consider any factors of race, religion, age, creed, national origin, gender, disability, sexual orientation, veteran status, genetic information or any and all other unlawful biases regarding federal, state or local laws with regard to workers or applicants.
TO BE CONSIDERED FOR EMPLOYMENT, ALL APPLICANTS MUST FILL OUT THIS FORM COMPLETELY. THIS APPLICATION WILL BE GIVEN EVERY CONSIDERATION, BUT ITS RECEIPT DOES NOT IMPLY THAT THE APPLICANT WILL BE EMPLOYED BY OUR COMPANY. THIS FORM BECOMES A PART OF YOUR EMPLOYMENT RECORD IF YOU ARE HIRED. THIS APPLICATION IS ONLY VALID FOR 30 DAYS.
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List your previous employers in consecutive order, with present or last employer listed first. Account for all periods, including military services. If self-employed, give firm name and supply additional references. Please complete all information requested. Enter the word “None” or “N/A” in fields that are not applicable.
I certify that facts contained in this application (and resume, if any) are true and complete to the best of my knowledge. I understand that any false statement, omission, or misrepresentation on this application is sufficient cause for refusal to hire, or dismissal if I have been employed, no matter when discovered by the Company. I understand that any employment is conditioned on a background check. I authorize the Company to investigate all written and oral statements I make, and authorize my former employers and references to disclose information regarding my former employment, character and general reputation to the Company, without giving me prior noticed of such disclose. I release the Company, any former employers and all references listed above from any claims, demands, or liabilities arising out of or related to such investigation or disclosure. I understand and agree that nothing contained in this application, or conveyed during any interview, is intended to create an employment contract. If I am hired, my employment will be “at will” and without fixed term. No promises regarding employment have been made to me and I understand that no such promise or guarantee is binding upon the Company unless made in writing. If I am hired, I agree to submit to a medical examination and drug test before starting work. If employed, I agree to submit to a medical examination or drug test at any time deemed by the Company and as permitted by law. I consent to such examinations and tests, and I request that the examining doctor disclose to the Company the results of the examination, which results shall remain confidential. A condition of employment will be that I abide by all Company policies. I understand that filling out this form does not indicate there is a position open and does not obligate the Company to hire. If hired, I agree to abide by all Company work rules, policies and procedures. The Company retains the right to revise its policies or procedures, in whole or in part, at any time.