Employment Application
You will be considered for all positions without regard to race, color, religion, weight, height, sex, national origin, marital status, the presence of non-job related medical condition, handicap, or any other protected status required by law.
Contact Information
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Education Information - High School
Please provide information about your high school education. (Information regarding College, Post-graduate, trade and correspondence schools will follow.)
If this section does not apply, click "Next" to continue.
Education Information - College Institution #1
Please provide information about the most recent College or institute of higher learning you may have attended.
If this section does not apply, click "Next" to continue.
Education Information - College Institution #2
Please provide information about the any other College you may have attended. (Post-graduate, trade or correspondence school information will be requested on the next page.)
If this section does not apply, click "Next" to continue.
Education Information - Post Graduate Information
Please provide information about the any Post-graduate, trade or correspondence school information you have attended.
If this section does not apply, click "Next" to continue.
Employment History - Employer #1 (1 of 3)
Please provide information on your three (3) most recent employers. If you have not been employed by three organizations, include information about as many employers as you can.
If you do not have three employment references, you can always click "Next" and continue to the following screen.
Employment History - Employer #2 (2 of 3)
Please provide information on your three (3) most recent employers. If you have not been employed by three organizations, include information about as many employers as you can.
If you do not have three employment references, you can always click "Next" and continue to the following screen.
Employment History - Employer #3 (3 of 3)
Please provide information on your three (3) most recent employers. If you have not been employed by three organizations, include information about as many employers as you can.
If you do not have three employment references, you can always click "Next" and continue to the following screen.
Personal References - Contact Information Reference #1 (1 of 3)
Please provide the names, addresses and phone number of three (3) references not related to you.
Personal References - Contact Information Reference #2 (2 of 3)
Please provide the names, addresses and phone number of three (3) references not related to you.
Personal References - Contact Information Reference #3 (3 of 3)
Please provide the names, addresses and phone number of three (3) references not related to you.
Employment Limitations
You are not required to disclose information about physical or mental limitations that you believe will not interfere with your capability to do the job. However, if you want the employer to consider special arrangements to accomodate a physical or mental impairment, you may identify that impairment in the space provided and suggest the kind of acccomadation that you believe would be appropriate.
At-Will Employment Confirmation
I understand that if hired, my employment relationship with be at-will, and that either I or Douglas J may terminate the employment relationship with or without cause and with or without notice.
I further understand that this employment relationship may not be modified by verbal statements, customs, practices, or written documents unless such modification is in writing and signed by an authorized agent of Douglas J.
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Thank-you!
Thank you for your interest in employment opportunities with Douglas J.
You will be considered for all positions without regard to race, color, religion, weight, height, sex, national origin, marital status, veteran status, the presence of non-job related medical condition, handicap, or any other protected status required by law.