Application

If hired, would you be able to present evidence of your U.S. citizenship or proof of your legal right to work in the United States?

Yes No

Are you willing to submit to and pass a drug test?

Yes No

Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodation?

Yes No

Have you ever been convicted of a crime?

Yes No

If yes, please describe the crime, state nature of the crime(s), when and where convicted and disposition of the case.

Is there anything else you would like us to consider?

Read and Certify The Following

I hereby certify that all of the information provided by me in this application (or any other accompanying or required documents) is correct, accurate and complete to the best of my knowledge. I understand that the falsification, misrepresentation or omission of any facts in these documents may be cause for denial of employment or immediate termination of employment regardless of the timing or circumstances of discovery, including after hire.

Read and Certify The Following

I understand that submission of an application does not guarantee employment. I further understand that, should an offer of employment be extended such employment is “at-will.” “At-will” means that employment is for no specified duration and may be terminated at any time, with or without cause or notice.

Read and Certify The Following

I understand that I will be REQUIRED to submit to a pre-employment drug screening. I understand that refusal to cooperate with, unsatisfactory results from, or any attempt to affect the results of this or future screenings will render me ineligible for employment.

Read and Certify The Following

I permit the company to examine my references, record of employment, education record, and any other information I have provided. I authorize the references I have listed to disclose any information related to my work record and my professional experiences with them, without giving me prior notice of such disclosure. In addition, I release the company, my former employers & all other persons, corporations, partnerships & associations from any & all claims, demands or liabilities arising out of or in any way related to such examination or revelation.