Job Application

What position are you applying for? *

What schedule do you need? *

I have read and understood the above statement. *

Yes

No

Name *

Address *

Phone number *

What are your skills? *

I can lift 80 lbs.

I can stand for long periods of time.

I can work in difficult conditions, including inclement weather, cold, hot, rain, or snow.

I can come to work on a regular basis.

I can perform the essential functions of the job for which I am applying, either with or without reasonable accommodations?

Required

Read carefully: check each box only after you have read and consented to each. *

I understand.

I understand that, if hired, I will be required to provide proof of my legal authorization to work in the United States.

I certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the information provided by me on this application are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.

I authorize the Company to thoroughly Investigate my references, work record, education and other matters related to my suitability for employment. I further authorize the references I have listed to disclose to the Company all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I release the Company, my former employers and other persons, corporations, partnerships, and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.

I understand that nothing contained in this application, or conveyed during any interview which may be granted, or during my employment, if hired, ls intended to create an employment contract between the Company and me. in addition, I understand and agree that if I am employed, my employment is at will and is for no deﬁnite or determinable period and may be terminated at any time, with or without prior notice. or with or without cause, at the option of either myself or the Company, and that no promises or representations contrary to the foregoing are binding on the Company unless made in writing and signed by me and the Company's designated representative.

I understand that, in connection with my application for employment, the Company may obtain a consumer report and/or investigate consumer reports about me that may contain information as to my character, general reputation, personal characteristics, and mode of living. Such reports may include or consist of my driving history obtained from the Department of Motor Vehicles. I further understand that any job offers extended by the Company is contingent upon receipt of a favorable consumer or investigative consumer report about me.

I understand that in connection with my application for employment. depending upon the position for which I have applied, any offer of employment is conditioned upon my taking and passing a post-offer/pre-employment drug test, and if necessary for the position for which I have applied, a post-offer/pre-employment medical examination. I understand that I may refuse to take any required pre-employment drug test and/or medical examination, but that if I do, any offer of employment will be immediately withdrawn.

NOTE: We comply with ADA and consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. Hire may be subject to passing a medical examination and a skills and agility test.

This application, when completed and signed, becomes the property of the Company.

I HAVE READ THE ABOVE PARAGRAPHS, UNDERSTAND THEIR IMPORTANCE AND EFFECT UPON MY EMPLOYMENT, AND ACCEPT THE SAME AS CONDITIONS OF MY EMPLOYMENT WITH COMPANY.