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Applicant Questionaire & Release

All applicants are considered for all positions without regard to race, religion, color, sex, gender, sexual orientation, pregnancy, age, national origin, ancestry, physical/mental disability, medical condition, military/veteran status, genetic information, marital status, ethnicity, citizenship or immigration status, or any other protected classification, in accordance with applicable federal, state, and local laws. By completing this application, you are seeking to join a team of hardworking professionals dedicated to consistently delivering outstanding service to our customers and contributing to the financial success of the organization, its clients, and its employees. Equal access to programs, services, and employment is available to all qualified persons. Those applicants requiring an accommodation to complete the application and/or interview process should contact a management representative.

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INSTRUCTIONS TO APPLICANTS : Please answer all questions.  If the answer to any question is “No” or “None,” do not leave the item blank, but write “No” or “None.”  This is important!

General Information

Have you ever used another name?
Is any additional information relative to name changes, use of an assumed name, or nickname necessary to enable a check on your work and educational record?
Have you ever worked for this company before?
Do you have friends and/or relatives working for this company?

Days / Hours Available to Work

Are you available to work?
If hired, would you have a reliable means to and from work?
Can you travel if the position requires it?
Can you relocate if the position requires it?
Are you at least 18 years old? Note: If under 18, hire is subject to verification that you are of minimum legal age
If hired, can you present evidence of your identity and legal right to work in this country?
Are you able to perform the essential job functions of the job for which you are applying with or without reasonable accommodation? Note: We comply with the Americans with Disabilities Act and consider reasonable accommodation measures that may be necessary for qualified applicants/employees to perform essential job functions

Applicant Statement & Agreement

Please read each paragraph below and check each adjoining box. By checking, you acknowledge you understand and agree with each statement. If there is anything that you do not understand, please contact us.

Thanks for submitting!

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