Personal Information

    Are you authorized to work in the U.S.?
    Have you served in the U.S. military?

    Objective

     

    Positions

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    Education

    Add any high schools, colleges, and trade schools.
    + Add School

    Employment

    Add any past work experience.
    + Add Employer

    References

    Add your professional references. Do not include friends or relatives.
    + Add Reference
    Are you at least 18 years of age?
    (This question is relevant to jobs requiring the operation of machinery)
    Do you have a valid Driver's License?
    (This question is for positions that require driving)
    Please enter the number and state
    If selected for employment, are you willing to submit to a pre-employment drug screening & criminal background check?
    Type either no or yes; if you type yes, also give a brief explanation of the reason.
    OPTIONAL WORKER OPPORTUNITY TAX CREDIT ELIGIBILITY QUESTION - Check yes if you received a conditional certification from the state workforce agency (SWA) or a participating local agency for the work opportunity credit
    This question and those that follow are optional and are included only to determine eligibility for the Worker Opportunity Tax Credit Program.
    If you would like to upload a PDF or Word document of your resume, please do so here
    No file attached.
    OPTIONAL WORKER OPPORTUNITY TAX CREDIT ELIGIBILITY QUESTION Check yes if you are a member of a family that has received assistance from Temporary Assistance for Needy Families (TANF) for any 9 months during the past 18 months.
    OPTIONAL WORKER OPPORTUNITY TAX CREDIT ELIGIBILITY QUESTION Check yes if you are a veteran and a member of a family that received Supplemental Nutrition Assistance Program (SNAP) benefits (food stamps) for at least a 3-month period during the past 15 months.
    OPTIONAL WORKER OPPORTUNITY TAX CREDIT ELIGIBILITY QUESTION Check yes if you were referred here by a rehabilitation agency approved by the state, an employment network under the Ticket to Work program, or the Department of Veterans Affairs.
    OPTIONAL WORKER OPPORTUNITY TAX CREDIT ELIGIBILITY QUESTION Check yes if you are at least age 18 but not age 40 or older and are a member of a family that: a. Received SNAP benefits (food stamps) for the past 6 months; or b. Received SNAP benefits (food stamps) for at least 3 of the past 5 months, but is no longer eligible to receive them.
    OPTIONAL WORKER OPPORTUNITY TAX CREDIT ELIGIBILITY QUESTION Check yes if if during the past year, you were convicted of a felony or released from prison for a felony.
    OPTIONAL WORKER OPPORTUNITY TAX CREDIT ELIGIBILITY QUESTION Check yes if you received supplemental security income (SSI) benefits for any month ending during the past 60 days.
    OPTIONAL WORKER OPPORTUNITY TAX CREDIT ELIGIBILITY QUESTION Check yes if you are a veteran and were unemployed for a period or periods totaling at least 4 weeks but less than 6 months during the past year.
    OPTIONAL WORKER OPPORTUNITY TAX CREDIT ELIGIBILITY QUESTION Check yes if you are a veteran and you were unemployed for a period or periods totaling at least 6 months during the past year.
    OPTIONAL WORKER OPPORTUNITY TAX CREDIT ELIGIBILITY QUESTION Check yes if you are a veteran entitled to compensation for a service-connected disability and you were discharged or released from active duty in the U.S. Armed Forces during the past year.
    OPTIONAL WORKER OPPORTUNITY TAX CREDIT ELIGIBILITY QUESTION Check yes if you are a veteran entitled to compensation for a service-connected disability and you were unemployed for a period or periods totaling at least 6 months during the past year.
    OPTIONAL WORKER OPPORTUNITY TAX CREDIT ELIGIBILITY QUESTION Check yes if you are a member of a family that: (1) Received TANF payments for at least the past 18 months; or (2) Received TANF payments for any 18 months beginning after August 5, 1997, and the earliest 18-month period beginning after August 5, 1997, ended during the past 2 years; or (3) Stopped being eligible for TANF payments during the past 2 years because federal or state law limited the maximum time those payments could be made.
    OPTIONAL WORKER OPPORTUNITY TAX CREDIT ELIGIBILITY QUESTION Check yes if you are in a period of unemployment that is at least 27 consecutive weeks and for all or part of that period you received unemployment compensation.

    Authorization

    I hereby certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that falsification of this information may prevent me from being hired or lead to my dismissal if hired. I also authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.

    I understand that the Company is a drug free workplace and that if I am offered employment, I will be required to pass a pre-employment drug screen (including for marijuana, which is prohibited by the Company's policy) as a condition of being hired.

    I understand that if I am offered employment, I will be required to authorize and pass a pre-employment criminal history check and driver's record check (for positions requiring driving) as a condition of being hired.

    I understand that if I am hired, I will be responsible for complying with all policies and rules of the Company as they presently exist or are later modified. I also understand that if I am hired, my employment with the Company will be terminable At-Will for any reason, except as prohibited by applicable law, and at any time without notice, at the option of myself or the Company.

    I understand that nothing in this application, the interview or hiring process, or in any offer of employment creates a contract for continued or future employment with the Company or changes the at-will nature of the employment relationship, if an employment relationship is created. I also understand that no supervisor, manager or other representative of the Company has any authority to change my at-will employment status or to otherwise enter into any employment agreement for any specified period of time, or to assure me of any future position, benefits or terms and conditions of employment, except the Company President. I also understand that to valid, any such agreement, including any agreement changing the at-will nature of the employment relationship must be in a written agreement, signed and dated by the Company President.

    Digital Signature

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