To submit your application please complete the form below. Fields marked with a red asterisk * are required. When you have finished click Submit at the bottom of this form.

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Personal Information


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Additional Information

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Resume Attachment

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Cover Letter
You can use the text area for a cover letter and any supplementary information you would like to provide about your career goals, availability, best times to contact you, etc.

Voluntary Equal Opportunity Questionnaire

As an equal opportunity employer, we hire without consideration to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, veteran status or disability. We invite you to complete the optional self-identification fields below used for compliance with government regulations and record-keeping guidelines.

Verification and Authorization

I certify that the information in this application is true and correct to the best of my knowledge, and I understand that falsification of this information, or unsatisfactory references, are grounds for rejection or dismissal.  I authorize representatives of my past employers, educational institutions, or other references to give Rural Sourcing, Inc., any and all information concerning my previous employment, education and otherwise, and release all parties from all liability for any damage that may result from furnishing this information.

I understand that, unless prohibited by local law, any job offer will be contingent on my successful completion and results of a background screen.  In addition, I may be subject to a drug screen during employment, and after an accident while traveling on business.  Should a confirmed positive drug screen result be reported to Rural Sourcing, Inc., I will be ineligible for employment.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with Rural Sourcing, Inc., is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause.  It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such changes is specifically acknowledged in writing by the authorized executive of this organization.

Further, I represent that I am genuinely interested in working in the position for which I am applying, and I am making this application for no other purpose.


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