920 N. Shadeland

Ave. Suite G-1a Indianapolis, IN 46219

Phone Number

317-947-7429

Job Application Form

Standard Application for Emplyment

It is our policy to comply with all applicable state and federal laws prohibiting discrimination in employment based on race, age, color, sex, religion, national origin, disability, or other protected classifications.

Please carefully read and answer all questions. You will not be considered for employment if you fail to completely answer all the questions on the application. You may attach a resume, but all questions must be answered.


Personal Data


Position Information

Check all that you are willing to work


QUALIFICATIONS


References

Please list three professional references not related to you, with full name, address, phone number, and relationship. If you don’t have three
professional references, then list personal, unrelated references.


Work history

Start with your present or most recent employment and work back. Use separate sheet if necessary. (INCLUDE PAID AND UNPAID POSITIONS)


I certify that the facts set forth in this Application for Employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize the Employer to make an investigation of any of the facts set forth in this application and release the Employer from any liability. The employer may contact any listed references on this application.

I acknowledge and understand that the company is an “at will” employer. Therefore, any employee (regular, temporary, or other type of category employee) may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without cause, with or without notice to the other party


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