Qualified applicatnts are considered for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, or disability.
How long have you lived at this address? years months
Are you 18 years of age or older? If No, Date of Birth / / Have you been convicted of a felony? yes no Have you been convicted of a any crime, excluding misdemeanors? yes no Have you ever been convicted of an crime involving violence to another person? yes no Have you ever been convicted of any crime involving dishonesty? yes no Are you currently serving probation for any misdemeanor offense? yes no Have you ever been counseled or disciplined for cash handling violations? yes no Have you ever been counseled or disciplined for being late or absent from work or school? yes no If you have answered Yes to any of the above, describe in full:
List all Present and Past Employment below, beginning with most recent:
I certify that information given herein is true and complete to the best of my knowledge. I authorize investigation of all statements and references contained in this employment application as may be necessary in arriving at an employment decision, including requests for criminal, credit, or motor vehicle driving reports. I understand that incorect, misleading or incomplete information on this application may result in immediate termination of employment. I understand that this employment application and any other company documents are not contracts of employment and that any individual who is hired may voluntarily leave employment upon prior notice and may be terminated by the employer at any time and for any reason. I also understand that any oral or written statements to the contrary are expressly disavowed and should not be relied upon by any prospective or existing employee. I understand that the use of illegal drugs is prohibited during employment. If company policy requires, I am willing to submit to drug testing to detect the use of illegal drugs during employment.
I agree to the above terms