Please complete the online application

EDUCATION - COLLEGE

Did You Graduate?Yes    No

EDUCATION - TRADE SCHOOL/OTHER

Did You Graduate?Yes    No

EDUCATION - HIGH SCHOOL

School Name

Did You Graduate?Yes    No

** If NO above, GED?

MILITARY

WORK HISTORY (Present and previous employment history)

Company Name

Company Address

Job Duties

May we contact them for referenceYes    No

If no,why?

Company Name

Company Address

Job Duties

May we contact them for referenceYes    No

If no,why?

What Special Training do you have? ( languages, machine operation, etc.)

How did you hear about our company?

I hereby declare the information provided by me in this Application for Employment is true, correct and complete to the best of my knowledge. I understand that if employed, any misstatement or omission of facts on this application shall be considered cause for dismissal. I authorize you to obtain an investigative consumer report containing information obtained through personal interviews with my neighbors, friends and acquaintances, This report, if obtained, may include information as to my character, general reputation, personal characteristics and mode of living. I understand I have the right to make a written report within a reasonable period to receive additional detailed information about the nature and scope of any such investigation.

I UNDERSTAND THAT NOTHING CONTAINED IN THIS EMPLOYMENT APPLICATION OR IN THE GRANTING OF AN INTERVIEW IS INTENDED TO CREATE AN EMPLOYMENT CONTRACT BETWEEN THE COMPANY AND MYSELF FOR EITHER EMPLOYMENT OR FOR THE PROVIDING OF ANY BENEFIT. NO PROMISES REGARDING EMPLOYMENT HAVE BEEN MADE TO ME, AND I UNDERSTAND THAT NO SUCH PROMISE OR GUARANTEE IS BINDING UPON THE COMPANY UNLESS MADE IN WRITING AND SIGNED BY THE PRESIDENT OF THE COMPANY. IF AN EMPLOYMENT RELATIONSHIP IS ESTABLISHED, I UNDERSTAND THAT I HAVE THE RIGHT TO TERMINATE MY EMPLOYMENT AT ANY TIME AND THAT THE COMPANY MAY TERMINATE MY EMPLOYMENT WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE, AT ANY TIME. I ALSO UNDERSTAND THAT NO POLICIES, PROCEDURES, RULES OR REGULATIONS OF THE COMPANY CONSTITUTE A CONTRACT OF EMPLOYMENT WITH ME, AND THAT SUCH POLICIES OR PROCEDURES MAY BE CHANGED FROM TIME TO TIME, INTERPRETED, WITHDRAWN OR ADDED BY THE COMPANY AT ANY TIME.

In consideration of my possible employment, I hereby consent to submit to alcohol and drug tests requested or required by the Company. I authorize whatever physicians and/or hospitals that take such tests or companies or corporations involved in such testing to release copies of my medical record and/or treatments, and/or test results and any information relating thereto, to my prospective employer, and if employed by my prospective employer, this consent shall continue to be effective during my employment.

I have read and understand the above