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Personal Information


Additional Information

If employed, can you submit verification of your legal right to work in the U.S.?

Education - Begin with most recent college/university/technical school:


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Employment History - list current/most recent position first:

Responsibilities and Duties

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How did you hear about us?


I certify that the facts given in my resume and/or Application for Employment are true and correct.  I understand that if employed, any false or misleading statements, omissions, or failure to fully answer any requested item on this application or on any document used to secure employment shall be grounds for rejection of this application or for my termination from employment, if I am employed, regardless of when such information is discovered.  I authorize the Company to secure background information on my work record, education, and other matters related to my suitability for employment.  I authorize my references and background sources to disclose information about me to the Company, without giving me prior notice of such disclosure.  I hereby release the Company, my former employers, and all other sources from any and all claims, demands, or liabilities arising out of or in any way related to securing such information or disclosures.

I understand that nothing contained in the application, or information conveyed during any interview, which may be granted, or during my employment, if hired, is intended to created an employment contract between the Company and me.  I understand that any employment with this Company is "at will," which means that either I or the Company can terminate the employment relationship at anytime with our without prior notice, and for any reason not prohibited by statute.  All employment is continued on that basis.  I understand that no supervisor, manager, or executive of the Company has any authority to alter the foregoing unless a specific term of employment is in writing and signed by the Company President. 


Resume Attachment

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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.

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