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We consider applications for all positions without regard to race, color, religion, creed, sex, national origin, disability, sexual orientation, citizenship status or any other legally protected status.
Are you prevented from lawfully becoming employed in the United States? (Proof of citizenship or immigration status will be required upon employment)
Are you 18 years of age or older?
Have you ever submitted an application here before?
Have you ever been employed here before?
If yes, give date(s):
Is this application a request for re-employment following an extended military leave of absence from this company?
Do any of your friends or relatives, other than spouse, work here?
Are you currently employed?
May we contact your current employer?
Are you able to perform the “essential functions” of the job for which you are applying (either with or without a reasonable accommodation):
Desired salary range or hourly rate of pay:
Type of employment desired:
Are you currently on "lay-off" status and subject to recall?
Will you travel if job requires it?
If they have been explained to you, are you able to meet the attendance requirements of the position?
Are you available to work overtime?
Are you available to work nights?
Do you have a driver's license? (If yes, a copy will be required upon employment)
Have you had any accidents during the past three years?
Have you had any moving violations during the past three years?
Have you ever been in the armed forces?
Are you now a member of the National Guard?
Do you have a current DOT medical card?
Do you have OSHA Certifications?
If yes, fill out relevant fields below:
(STARTING WITH MOST RECENT EMPLOYER)
(DO NOT INCLUDE FAMILY MEMBERS OR PEOPLE WHO LIVE WITH YOU)
I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement.