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Helper Application

I UNDERSTAND THAT NEITHER THIS APPLICATION, NOR ANY COMMUNICATION BY A MANAGEMENT REPRESENTATIVE IS INTENDED TO CREATE NOR DOES CREATE A CONTRACT OF EMPLOYMENT, OFFER, OR PROMISE OF EMPLOYMENT. I ACKNOWLEDGE THAT IF HIRED BY THE COMPANY, EMPLOYMENT IS ON AN AT-WILL BASIS. THIS MEANS THE COMPANY IS FREE TO TERMINATE MY EMPLOYMENT AT ANY TIME, WITH OR WITHOUT CAUSE OR ADVANCE NOTICE. IN ACCORDANCE WITH STATE LAW, AND ACCEPTANCE OF EMPLOYMENT IS NOT A CONTRACT PF EMPLOYMENT FOR ANY SPECIFIED TIME. SIMILARLY, I AM FREE TO TERMINATE MY EMPLOYMENT WITH THE COMPANY AT ANY TIME FOR ANY REASON. THIS AT-WILL PROVISION MAY BE MODIFIED OR WAIVED ONLY IN A WRITTEN AGREEMENT SIGNED BY AN AUTHORIZED REPRESENTATIVE OF THE COMPANY AND ME. I AGREE TO CONFORM TO THE RULES AND REGULATIONS OF THE COMPANY, AND I UNDERSTAND THAT THE COMPANY HAS COMPLETE DISCRETION TO MODIFY SUCH RULES AND REGULATIONS AT ANY TIME, EXCEPT THAT IT WILL NOT MODIFY ITS POLICY OF EMPLOYMENT AT-WILL.

 

We are an equal opportunity employer. Applicants are considered for positions without regard to race, religion, sex, national origin, age, disability, or any other consideration made unlawful by applicable federal, state, or local laws.

* Denotes required field.

First Name * Required
Last Name
Comments
Position Applied For *
Name *
Telephone Number *
Present Address (Street, At. or Unit No) *
City *
State *
Zip *
Desired Salary *
Are you able at the time of employment to submit verification of your legal right to work in the US? (Verification and completion of Form I-9 must be submitted no later than three days after date of Hire.) *
If under the age of 18, can you produce the necessary work certificate at the time of employment? *
Type of Employment Desired *
Hours Desired *
Are you willing to work overtime? *
Date on which you can start *
Have you ever worked for this company before? *
If Yes, specify dates of employment. Dates employed From
To
Within the past (10) years, have you been convicted of a felony?
If Yes, please explain so that individual circumstance can be considered.

Note

• Criminal Convictions will not automatically disqualify an applicant from a particular job. The company will consider the nature of the crime, its seriousness, whether the conviction(s) substantially relates to the position's functions and qualifications, the frequency of the convictions, the applicant's age at the time of conviction, the time elapsed since the date of conviction or completion of jail sentence, the applicant's entire work and educational history, and employee references and recommendations.

• An ex-offender who is denied employment may, upon written request, receive a statement of the reason(s) for denial within 30 days of the applicant's request for such information.

Have you ever initiated an act of violence in the workplace? *
If Yes, please explain so that the individual circumstance can be considered. (A Yes answer will not necessarily disqualify you from employment)
List special technical skills that you feel qualify you for the job for which you are applying.
Select highest level of Education
Honors received

WORK EXPERIENCE

 

Start with your present or last place of employment. You may include any verifiable work performed on a volunteer basis, internships or military service.

 

Name of Employer
Address
Type of Business
Phone
Dates Employed From *
To *
Job Title *
Supervisor's Name *
May we contact
Wages Start
End
Reason For Leaving
Duties

 

Name of Employer
Address
Type of Business
Phone *
Dates Employed From
To
Job Title
Supervisor's Name
May we Contact
Wages Start
End
Reason For Leaving
Duties
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