This Application Form is intended for use in evaulating your qualifications for employment. This is not an Employment Contract. Please answer all appropriate questions completely and accurately. False or misleading statements during the interview and on this form are grounds for terminating the application process or if discovered after employment we will terminate employment. All qualified applicants will receive consideration without discrimination because of sex, marital status, race, age creed, national origin, color, religion or presence of disabilities. A felony conviction will not necessarily bar an applicant from employment. Affirmative action hiring may be requested by qualified applicants. Additional testing of job related skills and drug testing may be required prior to employment.
Please list your last three employers. Your application will not be considered unless every question is answered. Since we make every effort to contact previous employers, please be sure to provide correct contact/phone information
I certify that I have read and understand the applicant note on Page 1 of this form and that the answers and statements given by me or complete and true to the best of my knowledge and belief. I understand that any false information, omissions, or misrepresentations of facts called for in this application may result in rejection of my application or discharge at anytime during my employment. I authorize the company, James A. Rogers, Inc., and/or it's agents to verify any of this information including, but not limited to criminal history and motor vehicle driving records. I authorize all persons, schools, companies and law enforcement authorities to release any information concerning my background and hereby release said persons, and hold non-liable for any damage whatsoever for issuing this information. I also understand that the use of illegal drugs/substances is prohibited during employment. If the company requires, I am willing to submit to drug testing to detect the use of illegal drugs/substances prior to and during employment.