Prospective employees will receive consideration without discrimination based on race, creed, color, sex, age, national origin, disabilities, veteran status or any condition prescribed by state or local law.

Please list 3 persons to whom you are not related to and are not previously listed on this application.

Please read and understand the statement below before signing and submitting your application.

The information I have provided in this Application for Employment is true, correct and complete. False, incomplete or misrepresented information of any kind, will be sufficient cause for my application to be rejected or, if discovered after I am employed, cause for immediate termination of my employment.

I authorize the employer to contact and obtain information about me from previous employees as indicated, educational institutions and “references” I provided, and any other party necessary to verify the accuracy of information I disclosed in this application, a related employment resume or a personal interview. To assist in the processing of my Application, I waive all rights and claims I may otherwise have against the employer or its representatives, for seeking, and using information to evaluate my employment request and all other persons, corporations or organizations who provide information for this purpose.

I understand that I may re-apply for employment every 30 days by completing a new application. This application is not an employment agreement. I understand that no one, other than an executive officer of the employer, has authority to enter into any employment agreement with terms contrary to the foregoing and then only in writing signed by such officer.