Employment Application


Personal Information
Employment Information
If yes, please complete the information below about your current employer.

General Employment Details

Education

Please list all schools and any other pertinent information about your education.

Employment Experience
References
Attach a Resume (Not Required)

If you would like to attach a resume please feel free to do so. The file must be a Microsoft Word OR PDF file.

I certify that all statements made herein are true, correct and complete to the best of my knowledge. I understand that, if employed, false statements reported on this application may be considered sufficient cause for dismissal. I authorize investigation of all statements herein recorded. I release from liability all persons and organizations reporting information required by this application.

I understand that this employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or eliminating any applicant from consideration for employment on any basis prohibited by applicable local, state or federal law.

I understand that this employer will require a skills test, pre-employment physical and drug screen, dependent on the position, as a condition of employment.

I understand that this employer will conduct a background check in connection with this application for employment. The background check may include a consumer credit report or an investigative consumer report. Should any type of report be requested, I will have the right to demand a complete and accurate disclosure of the nature and scope of the consumer report requested and a written summary of my rights under the Fair Credit Reporting Act.

I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary for me to reapply and fill out a new application.

If I am hired, I understand that I am free to resign at any time, with or without cause and with or without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and with or without prior notice, except as may be required by law.

I also understand that if I am hired, I will be required to provide proof of identity or legal authorization to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.

This Company does not tolerate unlawful discrimination in its employment practices. No question on this application is used for the purpose of limiting or excluding an applicant from consideration for employment on the basis of his or her sex, race, color, religion, national origin, citizenship, age, disability, or any other protected status.

I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement.

27191 470th Ave Tea, SD 57064


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