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Name*
First Last
Cell Phone*
Alt Phone
Email*
Address*
Street Address Address Line 2 City State ZIP Code
Position you are applying for*
How did you hear about the job opportunity?*
Date available to begin work:*
Are you interested in*
List the days and hours you are available to work:*
Are you 18 or older?*
Are you authorized to work lawfully in the U.S.?*
Were you ever discharged (laid off or fired) by any company?*
Name of Company? (if applicable)
Reason for Discharge? (if applicable)
Are you able to perform the essential functions of the job for which you are applying?*
(either with or without reasonable accommodation)
If no, describe the functions that cannot be performed.
Excluding relatives, list three personal references who will vouch for your character:*
First & Last Name Relationship Cell Phone Number of Years Acquanted
*
First & Last Name Relationship Cell Phone Number of Years Acquanted
*
First & Last Name Relationship Cell Phone Number of Years Acquanted
Please upload your resume listing your previous employment history here:*
Max. file size: 50 MB.
*
- I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.
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- I hereby authorize A to Z to thoroughly investigate my references, work record, education and other matters related to my suitability for employment (excluding criminal background information) unless otherwise specified above. I further authorize the references I have listed to disclose to the company any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the Company, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.
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- I understand that nothing contained in the application or conveyed during any interview which may be granted or during my employment, if hired, is intended to create an employment contract between me and the Company. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or the Company, and that no promises or representations contrary to the foregoing are binding on the company unless made in writing and signed by me and the Company's designated representative.
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- I understand that, in compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.
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AtoZ provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. The Company will consider qualified applicants, including those with criminal histories, in a manner consistent with state and local “Fair Chance” laws.

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Hiring

First & Last Name	Relationship	Cell Phone	Number of Years Acquanted

First & Last Name	Relationship	Cell Phone	Number of Years Acquanted

First & Last Name	Relationship	Cell Phone	Number of Years Acquanted