Application

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  3. (valid email required)
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  9. Position Applied For
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  11. Are you legally eligible to work in the United States?
  12. Have you ever been convicted of a crime or awaiting trial for a criminal offense?
  13. Have you ever initiated an act of violence in the workplace? If yes, please explain below.
  14. May we contact your last employer?
  15. May we contact your last employer?
  16. May we contact your last employer?
  17. Please Note: This application form is intended for use in evaluating your qualifications for employment. This application form is not offer of employment. If hired, such employment shall be considered "at will" and this application is not intended to constitute a contract of continued employment. False or misleading statements during the interview or on this form may result in the refusal to hire or termination of employment. Applicants are considered for positions without discrimination on the basis of race, color, religion, sex, national origin, age, disability, or any other consideration made unlawful by applicable federal, state or local laws. Additional testing of job-related skills and for the presence of drugs in your body may be required prior to employment. After an offer of employment, and prior to reporting to work, you may be required to submit to a medical review. Depending on company policy and the needs of the job, you may be required to complete a medical history form and may be required to be examined by a medical professional designated by the company. Smoking is prohibited in all indoor areas of the Company's facilities unless designated smoking areas have been established at a particular location in accordance with applicable state and local law. Certification and Release: I certify that I have read and understand the applicant note on this form and that the answers by me to the foregoing questions and the statements made by me are complete and true to the best of my knowledge and belief. I understand that any false information, omissions or misrepresentations of facts called for in this application, whether on this document or not, may result in rejection of my application or discharge at any time during my employment. I authorize the company and/or its agents, including consumer reporting bureaus, verify any of this information. I release all former employers, persons, schools, companies and law enforcement authorities from any liability for damage whatsoever for issuing this information. I also understand that the use of illegal drugs is prohibited during employment. If company policy requires, I am willing to submit to drug testing to detect the use of illegal drugs prior to and during employment. Please check yes if you agree to these terms and enter your initials in the form below.
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