Stronger Together

Applicant Note
This application form is intended for use in evaluating your qualifications for employment. This is not an employment contract. Please answer all appropriate questions completely and accurately. False or misleading statements during the interview and on this form are grounds for terminating the application process or, if discovered after employment, terminating employment. All qualified applicants will receive consideration without discrimination because of race, color, creed, religion, national origin, sex, marital status, status with regards to public assistance, member of a local commission, the presence of disabilities, sexual orientation, or age, or any other characteristics protected by law. All applications are held for 6 months. If after that you wish to be considered for employment within this company, another application must be completed.

Applicant Statement

I certify that I have read and understand the application note on page one of this form and that the answers given by me to the foregoing questions and statements made by me are complete and true to the best of my knowledge and belief.

I understand that any false information, omission or misrepresentation of facts called for in this application my result in rejection of my application or discharge at any time during my employment. I authorize the company and/or its agents to verify any of this information.

I authorize all persons, schools, companies, and law enforcement authorities to release any information concerning my background and herby release any said person, schools, companies and law enforcement authorities any liability for any damage whatsoever for issuing this information.

I agree that if I am employed, my employment shall not be construed as being for any definite period of time, but will be for an indefinite period, terminable at will by the company or me.