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Employment Application

Important Notice: If you need assistance in completing this application, please contact a member of our management team. Applicants should be extremely careful as they complete this application.

We are an equal opportunity employer and do not discriminate against otherwise qualified applicants on the basis of race, color, religion, national origin, age, sex, veteran status, disability, or any other basis prohibited by federal, state or local law. In accordance with Americans with Disabilities Act, it is our policy to provide reasonable accommodation upon request during the application process to eligible applicants in order that they may be given a full and fair opportunity to be considered for employment.

Please answer all questions. Resumés are not a substitute for a completed application.

Important: do not answer "yes" for any conviction that: has been ordered sealed, expunged, or statutorily eradicated; Relates to an offense which you were referred to, and participated in, any diversion program; Relates to a marijuana- related misdemeanor that occurred more than two years ago. Answering "Yes" to this question does not constitute an automatic bar to employment. Factors such as date of incident, seriousness and nature of the violation, rehabilitation, and position applied for will be taken into account.

Education
References
Employment History
Provide information for your past three (3) employers, starting with the most recent.