We are an equal opportunity employer, dedicated to a policy of nondiscrimination in employment on any basis including race, color, age, sex, religion, disability or national origin.

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May we contact your present employer and past employers? If, yes please complete the attached permission forms.
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I certify that the 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. 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 changes by any written document or by conduct unless an authorized executive of this organization specifically acknowledges such change in writing. In the event of employment, I understand that false or misleading information given in my application or interviews may result in my not being hired or, if I am hired, to my termination from employment if discovered after hire. I understand, also, that I am required to abide by all rules and regulations of employer. I understand I must pass a pre-employment physical, DOT drug and alcohol test, road test, operational training to become employed. I understand the agency has a zero drug and alcohol workplace. I understand the agency will use an outside agency to perform background checks. I understand the agency will use my driver license number to verify motor vehicle violations. information provided is true and correct.