Application for Employment
We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, the presence of non-job-related medical condition or disability, or any other legally protected status.
Please check all that apply
Days: Open - 4:00pm
Evenings: 4:00pm to Close
(Convictions for marijuana-related offenses that are more than two years old need not
be listed). (Do not include convictions while a minor and/or convictions sealed by
court order). If yes, please state nature of offense(s), date(s), city and State and disposition.
Note: An affirmative answer will not necessarily result in disqualification for employment
Education - High School
Education - Undergrad College/University
Education - Graduate / Professional
Describe any specialized training, apprenticeship, skills and extra-curricular activities.
Describe any honors you received.
State any additional information you feel may be helpful to us in considering your application.
Start with your present or last job. Include any job-related military assignments and volunteer activities. You
may exclude organizations, which indicate race, color, religion, gender, national origin, disability or other
Summarize special job-related skills and qualifications acquired from employment or other experience.
I hereby certify that the information on this application is correct and complete to the best of my knowledge. I understand that falsification or omission of any material information on this application or in the interviewing process or in my resume, or failure to pass the physical
examination, if I receive a job offer, may be considered sufficient cause of immediate termination.
I understand that 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
I agree to have any of the statements herein, as well as my background investigated by the company or its agents. I understand that the background investigation may include, but is not limited to, reviewing my education, employment history, credit history, professional license, and public records and personal references. In consideration for reviewing my application
and other related information, I hereby waive and release the company, its employees and agents, and all other entities and persons, and their respective employees and agents from any claims that I might have, including defamation and invasion of privacy, arising out of any verbal or written inquiries and/or any verbal or written responses related to investigation of my
background as well as the use of disclosure of such information.
I understand that all disputes arising out of my employment with the Company will be resolved by binding arbitration, and that, if hired, I will be presented with an Arbitration Agreement.
I agree that if employed, I will abide by all policies and procedures established by the employer. 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, that the employer may terminate my employment 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 the President/CEO of the employer. This constitutes my entire agreement with the company with regard to the matters set forth in this paragraph.
By submitting this form, you agree that all of the above information is true and as accurate to the best of you ability.