Employment Application

Applicant Information

REFERENCES- Please List Three Professional References.

EMPLOYMENT HISTORY

DISCLAIMER AND SIGNATURE

All applicants may request any necessary accommodations to participate in the application process.

I attest to the truthfulness of any and all information and answers provided above. Any false or misleading statements will be grounds for denial of employment or discharge (as well as on any other accompanying or required documents), regardless of when or how discovered. Questions regarding this statement should be directed to any employment interviewer before signing.

I understand that incomplete applications will be rejected and not considered for employment.

I understand that the company will be checking into my references and employment background. I authorize the Company to do so and release from liability anyone giving or obtaining such background information.

This application does not constitute a contract of employment or an indication that any jobs are available. I understand that the Company and all Plan Administrators shall have the maximum discretion permitted by law to administer, interpret, modify, discontinue, enhance or otherwise change all policies, procedures, benefits or other terms or conditions of employment. No representative or agent of the Company, has the authority to enter into any agreement for employment for a specified period of time or to make any change in any policy, procedure, benefit or other term or condition of employment other than in a document signed by the President, or to make any agreement contrary to the foregoing. Any employment with the Company is at-will, meaning the employer or employee can end the employment relationship at any time for any or no reason and with or without notice.

It is the policy of the company to afford equal opportunity to all employees and applicants for employment without regard to age, race, religion, color, sex, natural origin, marital status, expunged juvenile records or pregnancy and to afford equal opportunities to disabled veterans, veterans of the Vietnam era, and individuals with a disability and any other characteristic protected by federal state or local law my signature below verifies that I have read and understand foregoing statements.

THIS APPLICATION FOR EMPLOYMENT IS GOOD FOR 30 DAYS ONLY. CONSIDERATION FOR EMPLOYMENT AFTER 30 DAYS REQUIRES A NEW APPLICATION.