AN EQUAL OPPORTUNITY EMPLOYER
It is understood and agreed upon that any
mispresentation by me on this application will be sufficient cause for cancellation of this
application and/or separation from the employer's service if I have been
I give the employer the right to investigate all references and to secure additional
information about me, if job related. I hereby release from liability the employer and it's
representatives for seeking such information and all other persons, corporations for
furnishing such information.
The employer is an Equal Opportunity Employer. The employer does not discriminate in
employment and no question on this application is used for the purpose of limiting or
excusing any applicant's consideration for employment on a basis prohibited by local, state
or federal law.
This application is current for only 60 days. At the conclusion 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 that just as I am free to resign at any time, the employer reserves the right
to terminate my employment at any time, with or without cause and without notice. I
understand that no representative of the company has the authority to make any assurance to
I understand it is this cpmpany's policy not to refuse to hire a qualified individual with a
disability because of this person's need for an accommodation that would be required by the