AN EQUAL OPPORTUNITY EMPLOYER

    Qualified applicants receive equal consideration. No question is asked for the purpose of excluding any applicant due to race, color, national origin, religion, age, sex, disability or any other factor prohibited by law or regulation.

    Please fully and accurately complete each question. Incomplete applications may not be considered.

    Personal Identification

    Name

    Address


    Work Preference

    List job benefits, other than wages, you expect or want in order of importance:

    Describe your prior experience related to this work:

    Describe any formal schooling or training related to this work:

    List any licenses, certificates or professional affiliations you may have:

    List any special skills you may have (computer, machine operation, etc.):

    List any hobbies, special interests, or sports in which you are invloved:


    For Driving Jobs Only

     YesNo




     YesNo


    Availability for Work

    Please select Yes or No for every space provided in this section.

    Type of work:

    YesNo
    YesNo
    YesNo


    Shifts or time of day:

    YesNo
    YesNo
    YesNo
    YesNo


    YesNo
    YesNo



    YesNo

    YesNo

    YesNo


    Present Employment

    YesNo
    YesNo

    YesNo


    Personal

    YesNo

    YesNo
    YesNo


    Prior Events

    YesNo

    YesNo
    YesNo

    YesNo

    YesNo
    YesNo


    Explanation for answers given above:


    Education and Training



    High School or GED








    College or University








    Graduate School








    Other Education









    Employment Record

    Give a complete account of your employment. BEGIN ON THE FIRST LINE WITH YOUR PRESENT OR MOST RECENT EMPLOYMENT








































    Other positions (including periods of military/public services)



















    APPLICANT AGREEMENT (Read carefully before signing,) All information provided by me is true and correct to the best of my knowledge. I understand omissions or misrepresentations may result in rejection of my application or, if employed, may result in subse­quent dismissal. I hereby authorize any former employer, person, school, firm or corporation listed hereon. including this company, to answer any and all questions related to employment and agree to release from liability and hold all persons harmless for giving any and all truthful information within their knowledge or records. I understand this is a preliminary application and not a contract to employ me.

    Furthermore, in the event I am employed, my employment shall be completely voluntary and may terminated at will at any time by either myself or the company. I understand that no one other than the company president has authority to enter into any employment agree­ment to the contrary. I agree to take a job related physical examination­ or a drug/alcohol test when requested as a condition of employment. I agree to comply with all rules of the company as a condition of employment. In the event the company advances me money or other things of value, I agree to repay the company and also that any amount still owing maybe deducted from my final paycheck.

    By checking the box I agree to the terms and conditions as laid out above and acts as my signature of consent.

    I Agree

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