Employment Application

List employment starting with your most recent position. Account for any time during in which you were unemployed by stating the nature of your activities. If you have no prior employment history, include personal references that may be contacted.

Academic and professional activities and achievements: awards, publications or technical professional societies. Indicate type, or name. Exclude organizations that include race, creed, color, sex, age, religion, disability, or national origin of it's members.

Is there any additional information involving a change in your name, or assumed name that will permit us to check your record?

I hereby affirm that the information given by me on this application for employment is complete and accurate. I understand that any falsification will be immediate grounds for dismissal. I authorize a thorough investigation to be made in connection with this application concerning my character, general reputation, personal characteristics, employment, and educational background, whichever may be applicable. I understand that this investigation may include personal interviews with third parties such as family members, business associates, financial sources, friends, neighbors, and others with whom I am acquainted. It is my understanding that as a prerequisite to consideration for employment, I must agree to submit to any post-offer examinations, physical or other, as the Company may lawfully require including drug testing. The Company will pay the reasonable cost of any such examination that may be required. I understand and agree that any falsification or omission either on this form or in my response to questions asked during any interview or other examination process is ground for immediate termination of my employment no matter when the falsification or omission is discovered. If I am hired, I agree that my employment and compensation can be terminated with or without cause and without notice at any time at the option of the Company or myself. I understand that no representative other than the President of the Company has the authority to enter into any agreement for any specified period of time or to make any agreement contrary to the foregoing. By submitting this online application, I understand and affirm as my own the above statement.