Please list all previous employment within the last five years, beginning with the most recent. Include a contact name and telephone number for verification purposes.

I certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that any false information or deliberate omission of information requested will be sufficient reason for rejection of my application or termination of my employment.

I understand that all information I have furnished may be verified by contacting former employers (except where I have otherwise indicated. I grant permission to contact all references listed above, and authorize them to release all information concerning my previous employment and any other pertinent information these references might have, personal or otherwise. I release all parties from all liability for any damage that may result from furnishing this information to you.

I authorize you to engage an investigative consumer reporting agency to report on my credit and personal history. If a report is obtained you must provide, at my request, the name of the consumer reporting agency so I may obtain the nature and substance of the information contained in the report from them.

If hired, I understand that my employment is “at will” and can be terminated with or without cause, at any time, at my option or the option of the company. No employee or representative of the company, other than the President, has any authority to enter into any agreement for employment contrary to the foregoing and then only if in a written, signed document. Neither this application nor any employee handbook are considered to be a contract.

We are an equal opportunity employer.  It is our policy to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as ancestry, sex, religion, race, color, age, physical or mental disability or serious medical condition, gender identity, sexual orientation, spousal affiliation, marital or veteran status, national origin or genetic information.