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2591 Clyde Ave.
State College, PA 16801
Phone: 814-861-0651

Application for Employment

Employment Application
It is our policy to provide equal employment opportunity to all qualified persons without regard to race, creed, color, religious belief, sex, age, national origin, ancestry, physical or mental handicap, or veteran status.

Personal Information

Name
Name
First
Middle
Last
Address
Address
City
State/Province
Zip/Postal
Country
Desired Position
Are you a U.S. citizen or otherwise authorized to work in the U.S. on an unrestricted basis?
Are you looking for full time employment?
What hours are you available?
Are you willing to work swing shift?
Are you willing to work graveyard?
Have you ever been convicted of a felony?

Education

Employment History

Name of Supervisor
Name of Supervisor
First
Last
May we contact?
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 on this application shall be considered sufficient cause for dismissal. This company is hereby authorized to make any investigations of my prior educational and employment history. I understand that employment at this company is "at will," which means that either I or this company can terminate the employment relationship at any time, with or without prior notice, and for any reason not prohibited by statute. All employment will continue on that basis. I understand that no supervisor, manager, or executive of this company, other than the president has the authority to alter the foregoing.