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Are you currently employed?

May we contact your current employer?

Are you legally eligible to work in the US?

Are you able to pass a drug test today?

Do you have reliable transportation to and from work?

Do you have any physical impairments or medical conditions that will prevent you from doing heavy lifting or strenuous physical work?

Have you ever been convicted of a felony or misdemeanor or do you have anything pending on your record at this time?

Educational Background

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Employment Experience

Employer 1

May we contact for reference?

Employer 2

May we contact for reference?

References

Personal References

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Professional References

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What are your five most positive personality traits?

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What are your three most negative personality traits?

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Please upload your cover letter, resume, or any other supporting documents here.

I understand that the Company's policy is that all applicants for employment are judged solely on the basis of qualifications and ability without regard to age, gender, race, religion, color, sexual orientation, national origin, marital status, or disability.

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, false statements on this application shall be grounds for immediate dismissal.

I authorize the investigation of all statements contained herein and the references listed to give the Company any and all information concerning my previous employment and/or any pertinent information that former employers or other references may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to the Company.

I understand and agree that, if hired, my employment is at-will and may be terminated by me or the Company at any time without prior notice.

I understand that the company will fully investigate my criminal history, work records, and qualifications either before or after my employment. Should I have a criminal conviction or a pending charge involving a breach of trust or dishonest act, I understand that the Company may, at its sole discretion, suspend or terminate my employment.

I understand that my employment with the Company is conditioned upon verification that I am a US citizen or alien authorized to work in compliance with the Immigration Reform and Control Act of 1986, as it may be amended from time-to-time, and regulations promulgated thereunder.

ELECTRONIC SIGNATURES: By selecting "I accept" below, I understand that this is intended to be used as an electronic signature and I agree that my electronic signature will be enforceable as and to the full extent of a hand-written signature as an original for enforcement/enforceability of the documents containing the electronic signature(s), whether in court (state or federal), arbitration, or otherwise. You will not raise any defenses or invoke regulatory or statutory claims attempting to invalidate the enforceability of the documents to which the electronic signature is affixed.