|I certify that answers given herein are true and complete to the best of my knowledge.
I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.
This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.
I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an [at will] nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this [at will] employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.
In the event of employment, I understand that false or misleading information given in my application
or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.
Information to the applicant: As part of our procedure for processing your employment application, your personal and employment
references may be checked. If you have misrepresented or omitted any facts on this application, and are subsequently hired, you
may be discharged from your job. You may make a written request for information derived from the checking of your references.
If necessary for employment, you may be required to: supply your birth certificate or other proof of authorization to work in the US,
have a physical examination and/or a drug test, or to sign a conflict of interest agreement and abide by its terms.
I understand and agree to the information shown above:
Equal Employment Opportunity: While many employers are required by federal law to have an Affirmative Action Program, all
employers are required to provide equal employment opportunity and may ask your national origin, race and sex for planning and
reporting purposes only. This information is optional and failure to provide it will have no affect on your application for employment.