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Full Name*

Phone*

Email*

Home Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Position*

If you are under 18 years of age, can you provide required proof of your eligibility to work?

Yes
No

Are you currently employed?

Yes
No

May we contact your current employer?

Yes
No

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?

Yes
No

Proof of citizenship or immigration status will be required upon employment.

Are you available to work?

Full Time
Part Time
Shift Work
Temporary

Do you have a valid Washington State Driver's license?

Yes
No

Are you currently on “lay-off” status and subject to recall?

Yes
No

Can you travel if a job requires it?

Yes
No

Have you been convicted of a felony within the last 7 years?

Yes
No

A conviction will not necessarily disqualify an applicant from employment.

If yes, please explain

Education

High School

Name of School - Years Completed - Diploma?

Undergraduate College

Name - Course of Study - Degree?

Other Education

What other education have you had?

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Employment Experience

Please enter your Employment Experience. Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations, which indicate race, color, religion, gender, national origin, disabilities, or other protected status.

Anything Else?

State any additional information you feel may be helpful to us in considering your application:

Are you capable of performing in a reasonable manner, with or without a reasonable accommodation, the activities involved in the job or occupation for which you have applied?

Yes
No

Consent*

I agree to the privacy policy.

I certify that answers given herein are true and complete to the best of my knowledge.
I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.
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 time.
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 and the Employer may discharge Employee 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 an authorized executive of this organization.
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

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