Yours Truly Employment Application



We are committed to a policy of Equal Employment Opportunity and will not discriminate on any legally recognized basis, including but not limited to race, age, color, religion, sex, marital status, national origin, citizenship, ancestry, physical or mental disability, veteran status, or any other legally protected basis.





Location(s) applying for - Please select at least one:




Personal Information

Date of Birth (if under 21)
Phone Number(s)



General Information

Have You Ever Been Convicted of a Felony Which is Related to the Functions or Qualifications of the Position for Which You Are Applying? This Question Does Not Apply To Convictions Which Have Been Sealed or Expunged.




Education

High School



Other




Employment Information
List all jobs and activities which indicate your qualifications including military service, schools, part-time employment while in school, self employment and periods of unemployment for the past 5 years. Please also list significant experience more than 5 years ago. Begin with most recent. Do not indicate "see resume."

Present or Last Employer



Previous Employer





In submitting this application, I certify that all of the foregoing information is a complete and accurate statement of the facts and understand that if any misrepresentation, omission or falsification be discovered, it will constitute grounds for dismissal. I hereby authorize you to conduct any investigation necessary concerning any part of my background related to the position I am seeking. I release all parties from any liability in connection with the provision and use of such information. This application is current for only 60 days. At the conclusion of this time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to fill out a new application. I understand and agree that, if employed by this organization, I will abide by its rules and regulations which I understand are subject to change. I further understand that, if hired, my employment is for no definite period of time and may be terminated by either party at any time.

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