Have you ever applied to us before?
Are you willing to work overtime?
Are you able, at the time of employment, to submit verification of your legal right to work in the U.S.? (
Verification and completion of Form 1-9 must be submitted no later than three business days after date of hire.)
Have you ever been convicted of a felony which is substantially related to the functions or qualifications of the position for which you are applying?
Note: This question does not apply to convictions which have been expunged, sealed, pardoned or otherwise exonerated or eradicated. (A conviction record will not necessarily be a bar to employment.)
NAME & LOCATION
Name & Position:
APPLICANT CERTIFICATION - PLEASE READ CAREFULLY
I understand that this application is not a contract, offer or promise of employment. I acknowledge that employment with the company is on an employment at will basis. This means that my employment with the company can be terminated at any time, with or without cause or advance notice and acceptance of employment is not a contract of employment for any specified time. Similarly I am free to terminate my employment with the company at any time fo any reason. This at-will provision may be modified or waived only in a written agreement signed by the company's president and me.
I further understand that I am responsible for being familiar with the Company's policies, rules and regulations, and I understand that the company has complete discretion to modify its policies, rules, regulations and practices at any time, to the extent permitted by federal, state, and local law, except that it will not modify its policy of employment at will. By my continued employment with the Company, I consent to any such changes.
I certify that the above information is complete and accurate to the best of my knowledge. I understand that any falsification, misrepresentation or omission of information on this form or relating to my application of employment may result in my denial of employment, or if employed, my immediate dismissal.
I hereby authorize the company or its agents to confirm all statements contained in this application and/or resume to the extent permitted by federal, state or local law and I agree to complete any requisite authorization forms.* I release all parties from any liability arising out of this provision and the use of such information.