We are an equal opportunity employer and do not unlawfully discriminate in employment. No question on this application is used for the purpose of limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state or federal law. Equal access to employment, services, and programs is available to all persons. Those applicants requiring reasonable accommodations to the application and/or interview process should notify a representative of the organization.
Please provide all employment information for your last four employers starting with the most recent.
List school name and location, years completed, course of study and any degrees earned:
List three (3) references’ names, telephone numbers, and years known (do not include relatives or employers):
I hereby authorize the potential employer to contact, obtain and verify the accuracy of information contained in this application from all previous employers, educational institutions and references. I also hereby release from liability the potential employer and its representatives for seeking, gathering, and using such information to make employment decisions and all other persons or organizations for providing such information.I understand that any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate termination of employment if I am employed, whenever it may be discovered.If I am employed, I acknowledge that there is no specified length of employment and that is application does not constitute an agreement or contract for employment. Accordingly, either I or the employer can terminate the relationship at will, with our without cause, at any time, so long as there is no violation of applicable federal or state law.I understand that it is the policy of this organization not to refuse to hire or otherwise discriminate against a qualified individual with a disability because of that person’s need for a reasonable accommodation as required by the ADA.I also understand that if I am employed, I will be required to provide satisfactory proof of identity and legal work authorization within three (3) days of being hired. Failure to submit such proof within the required time shall result in immediate termination of employment.I represent and warrant that I have read and fully understand the foregoing, and that I seek employment.