Name

Address

Address 2

City

State

ZIP Code

Email

Phone Number

Alternative Phone Number

Position Desired

Expected Pay

How Did You Hear About Us?

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Employment History

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Special Skills and Qualifications

Summarize special job-related skills and qualifications acquired for employment:

List professional, trade, business or civic activities and office held

You may exclude membership which would reveal sex, race, religion, national origin, age, ancestry, handicap or other protected status:

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Education

High School

School Name and Location

Years Completed

Describe any specialized training, apprenticeship, skills and extracurricular activities

Describe any honors you have received

---

Undergraduate College or University

School Name and Location

Years Completed

Diploma/Degree

Describe course of study

Describe any specialized training, apprenticeship, skills and extracurricular activities

Describe any honors you have received

---

Graduate Professional

School Name and Location

Years Completed

Diploma/Degree

Describe course of study

Describe any specialized training, apprenticeship, skills and extracurricular activities

Describe any honors you have received

---

Days and Hours Available

(If employed, I will notify my supervisor in writing, should my availability change.)

Are you available to work:

Full Time Part Time Temporary Shift Work

Will you work overtime if asked?

Yes No

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APPLICANT'S STATEMENT

I certify that the answers given herein are true and complete to the best of my knowledge. I authorize the investigation of all matters contained in this application and hereby give the Employer permission to contact school, previous employers, and others, and hereby release the Employer from any liability as a result of such contact. I understand that misrepresentations, omissions of facts or incomplete information requested in this application may remove me from further consideration for employment. In addition, If employed, any misrepresentations or omissions of facts called for in this application will be cause for dismissal at any time without previous notice.

Applicants accepted for employment should clearly understand that, while we make every effort to provide steady, continuous work, we have no employment contracts, and we cannot guarantee the permanence of any position. Job tenure can be affected by many factors including business/economic condition, changes in laws or employee policies, conformity to work rules, job performance, etc. And of course, employees may elect to leave on their own accord to seek other jobs.

Florida employment law is based on the general rule that any employee may be discharged by the employer, or may leave the job, for any reason whatsoever, or for no reason. In other words, an employer in Florida may hire and fire any employee at any time for any reason. It doesn't matter if there is no reason, a bad reason, a good reason, or just the result of a whimsical decision. Likewise, the employee is free to quit a job at any time without any reason and without any notice. THERE DOES NOT HAVE TO BE ANY REASON FOR FIRING OR FOR QUITTING. This is referred to in the law as the "Employment at Will" doctrine.

A "personnel manual" or "employee handbook" given to employees by a corporate employer does not (in the state of Florida) give the employee contractual rights. It is important to know the rules and regulations of the corporation concerning its employees, but these rules do not automatically give employees certain legal rights that are enforceable in a court of law.

The contents of any employee handbook or personnel manuals, as well as other Employer policies and practices, are subject to change or modification by the Employer, solely at its discretion, without notice. I also understand that no supervisor or other official of the Employer (except the Chief Executive officer, in writing) has the authority to enter into any agreement with me or make any agreement contrary to the foregoing.

We conduct our business with the highest possible degree of safety and efficiency. Because of this, the Employer will require applicants offered a position of employment to undergo blood and or urinalysis screening for drug and alcohol use. In addition, all employees of the Employer are subject to random blood tests and/ or urinalysis for drug or alcohol use. Unsatisfactory results from, refusal to cooperate with, or any attempt to affect the results of these pre-employment tests will result in withdrawal of any employment offer or termination of employment if already employed.

I agree to these terms

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