Employment Application

NOTICE: Applicant should read the following information carefully before filling out any of the questions on this form. We are an equal opportunity employer and fully subscribe to the principles of equal opportunity. It is our policy to seek and employ the best qualified personnel in all positions without regard to race, color, religion, age, sex, disability, national origin or any other basis made unlawful by either state or federal law. It is our policy to comply with all federal and state employment statues. Information requested on this application will not be used for any purpose prohibited by law.

In each blank, record the times you are available to work.

  1. If you can work any time, write No Restrictions.
  2. If you cannot work on a given day, write No Availability.
  3. Please include A.M. and P.M.
  1. I authorize investigation of all statements contained in this application.
  2. I understand that misrepresentation or omission of facts called for is cause for dismissal and that my employment is substantially dependent on truthful answers to the forgoing inquiries.
  3. I have read these statements and answers to these inquiries.
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