We are an equal opportunity employer, dedicated to a policy of non-descrimination in employment on any basis including race, color, age, sex, religion, handicap, or national origin.

Personal Information

Employment Desired

Education

General

Exclude organizations, the name or character of which indicates the race, sex, color, or national origin of members

Former Employers

References

Authorization

I certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that any false statement, omission, or misrepresentation on this application if sufficient cause for refusal to fire, or dismissal if I have been employed, no matter when discovered by the company.

I understand that any employment is conditional on a background check. I authorize the company to thouroughly investigate all statements contained in my application or resume, and I authorize my former employers and references to disclose information regarding my former employment, character and general reputation to the company, without giving me prior notice of such disclosure. In addition, I release the company, any former emplyers and all references listed above, from any and all claims, demands or liabilities arising out of or related to such investigation or disclosure.

I understand and agree that nothing contained in this application, or conveyed during any interview, is intended to create an employment contract. I further understand and agree that if iam hired, my employment will be "at will" and without fixed term, and may be terminated at any time, with or without cause and without prior notice, at the option of either myself or the company. 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

If I am offered employment I agree to submit to a medical examination and drug test before starting work. If employed, I also agree to submit to a medical examination or drug test at any time deemed appropriate by the company and as permitted by law. I consent to such examinations and tests, and I request that the examining doctor disclose to the company the results of the examination which results shall remain confidential and segregated from my personnel file. I understand that my employment or continued employment, to the extent permitted by law is contingent upon satisfactory medical examinations and drug test, and if I am hired a condition of my employment will be that I abide by the company's drug and alcohol policy.

I understand that filling out this form does no indicate there is a position open and does not obligate the company to hire. If hired, I agree to abide all company work rules, policies, and procedures. The company retains the right to revise its policies or procedures, in whole or in part, at any time.