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Employment Application: Non-Driver

This company is an equal employment opportunity employer. All applicants will be considered without regard to age, race, national origin, religion, gender, physical or mental disability, or other protected classifications in accordance with applicable federal and state equal employment opportunity laws. This company will strive to accommodate any physical or mental limitations of employees or applicants in order to accomplish the essential functions of the job.

This application is valid for only ninety (90) days from the date signed. If you wish to be considered for job openings more than ninety (90) days from the date signed, submit a new application.

Application for Employment: Non Drivers
Name
Name
First
Last
Current Address
Current Address
City
State/Province
Zip/Postal
Maximum upload size: 2.1MB
Please upload a PDF file.
If employed and under 18, can you furnish a work permit?
Have you ever been employed by this company?
Are you employed now?
Are you prevented from lawfully becoming employed in this country because of visa or immigration status?
If applying for a position where driving is required, do you have a valid driver's license in this state?
Can you perform the essential functions of the job(s) for which you are applying?
Are you available to work:
Have you ever been convicted of a felony?
Please note that a “Yes” answer will not bar you from consideration for employment.

Education

Summarize special skills and qualifications, volunteer activities, military experience, employment or other activities related to the job you are seeking.

References

Employment History

Address
Address
City
State/Province
Zip/Postal
I certify that this application was completed by me, and all entries on it and information in it are true and complete to the best of my knowledge.