Our Mission is to provide fast, friendly, and professional service to our customers. Were always looking for someone who is committed and ready to give their best. Please fill out all sections and click SUBMIT APPLICATION at the bottom. We hope to see you soon!

We are an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Applicants requiring reasonable accommodation in the application and/or interview process should notify a representative of the organization.


First Name:

           

Last Name:

Home Phone:

           

Cell Phone:

Email:

Mailing Address:


City:

           

State:

           

Zip:

How were you referred to Company?:


Location you are applying for:

           

Please Choose Availability:
What days are you available for work?
Monday        Tuesday        Wednesday        Thursday        Friday        Saturday        Sunday



Are you over the age of 18? (If under 18, hire is subject to verification of minimum legal age.)


If hired, would you be able to present evidence of your U.S. citizenship or proof of your legal right to work in the United States?


If hired, are you willing to submit to and pass a controlled substance test?


If no, describe the functions that cannot be performed:


Have you ever been convicted of a criminal offense (felony or misdemeanor)?


If yes, please describe the crime - state nature of the crime(s), when and where convicted and disposition of the case:


(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)




High School:


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Number of years completed:


Did you graduate?:


College / University:


City:

           

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Number of years completed:


Did you graduate?:





Are you currently employed?:


If you are currently employed, may we contact your current employer?:


Below, please describe past and present employment positions, dating back five years. Most recent first.

Name of Employer:


Name of Supervisor:


Telephone Number:


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Length of Employment (Include Dates):


Position & Duties:


Reason for Leaving:


May we contact this employer?:



Name of Employer:


Name of Supervisor:


Telephone Number:


City:

           

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Length of Employment (Include Dates):


Position & Duties:


Reason for Leaving:


May we contact this employer?:




Name of Employer:


Name of Supervisor:


Telephone Number:


City:

           

State:

           

Zip:

Length of Employment (Include Dates):


Position & Duties:


Reason for Leaving:


May we contact this employer?:



References

List below three persons who have knowledge of your work performance within the last four years. Please include professional references only.

First Name:

           

Last Name:

Home Phone:

           

City/State:

Occupation:

           

Years Known Reference:



First Name:

           

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Occupation:

           

Years Known Reference:



First Name:

           

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Years Known Reference:




I certify that I have not purposely withheld any information that might adversely affect my chances for hiring. I attest to the fact that the answers given by me are true & correct to the best of my knowledge and ability. I understand that any omission (including any misstatement) of material fact on this application or on any document used to secure can be grounds for rejection of application or, if I am employed by this company, terms for my immediate expulsion from the company.

I understand that if I am employed, my employment is not definite and can be terminated at any time either with or without prior notice, and by either me or the company.

I permit the company to examine my references, record of employment, education record, and any other information I have provided. I authorize the references I have listed to disclose any information related to my work record and my professional experiences with them, without giving me prior notice of such disclosure. In addition, I release the company, my former employers & all other persons, corporations, partnerships & associations from any & all claims, demands or liabilities arising out of or in any way related to such examination or revelation.

Applicant's Signature:

            Date: