Employment Application


If you have any impairment (physical, mental or medical) which would interfere with your ability to do the job(s) for which you are applying please describe:


School Type

Name of School

Yrs Attended


Year Graduated

High School



Work History

Business References

Applicant's Certification and Agreement

Please Read Carefully:

1. Certification of Truthfulness.
I Certify that all statements on this Application for Employment are made truthfully without ovations, and further understand and agree that such statements may be investigated and found to be false will be sufficient reason for not being employed or if employed may result in dismissal.

2. Authorization for Employment Information.
I authorize the references listed in this Application for Employment, and any employer, to give this company any and all information concerning my previous employment and pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you. I hereby waive written notice of employment information is being provided by any person or organization.

3. Employment at Will.
If I am hired, in consideration of my employment, I agree to abide by the rules and policies of this Company, including any changes made from time to time, and agree that my employment and compensation can be terminated with or without cause, and with or without notice at any time, at the option of either the Company or myself. I understand that no manager or other representative of the Company, other than the President, has any authority to enter into any agreement contract the foregoing. Any such agreement made by the President must be in writing to be effective.

4. Authorization to Work.
If you are selected for hire you will be offered employment provided you verify that you are authorized to work as required by the Immigration Reform and Control Act of 1986.

5. Limitations on Claims.
I agree that any action or suit against the Company raising out of my employment or termination of employment including but not limited to claims arising under State or Federal civil statutes, must be brought within 180 days of the event giving rise to the claim or be forever baffled. I waive any statute of limitations to the contrary.

6. Criminal Records Check.
I agree to execute an authorization for this employer to secure criminal conviction here from the appropriate law enforcement agency, should the Company determine it is necessary to do so.

7. Drug Testing.
I authorize the Company or its designated agent(s) to withdraw specimen(s) of my blood and/or urine for chemical analysis. The purpose of this analysis is to determine or exclude the presence of alcohol, drugs or other substances. I understand that decisions concerning my employment will be made as a result of this test.

By entering your name below you are agreeing to all the statements above