DO NOT LEAVE THIS SECTION BLANK - We understand if you don't have exact dates in front of you, we just want a rough idea of your previous employment - Please fill out this section the best you can.

By Submitting this application I understand that the Company requires its employees to adhere to the highest standards of business and personal ethics and responsibility.  I understand that the Company believes that one method by which such high standards are demonstrated is through the timely meeting of financial obligations. I further understand and agree that this application is not a contract of employment.  I understand and agree that the Company adhere to a policy of employment at will which means that either I, or the employer, may terminate my employment at any time, or for any reason, consistent with application of state and federal law.  I further understand that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is in a written employment contract naming me and signed by the President of the Company.  I understand that to be employed, I must be lawfully authorized to work in the United States and must show the employer documents to prove this. I understand that the Company may investigate my work and personal history and verify the information provided in this application, on related documents or information obtained through other sources and I hereby authorize such investigation.  I authorize all individuals, schools, firms and business named in this application or in other documents or interviews, except my current employer if I have so designated in this application, to provide complete and accurate information regarding my relationship with them to the Company.  I further release those individuals, schools, firms and business and the Company from any and all liability for damage for providing or requesting such information. I certify that all of the information provided in the entire application process including any information provided in addition to this application including, but not limited to, information provided in resumes or interviews is true and correct.  I understand that if there is any falsification or omission, this may lead to the Company’s refusal to hire me or a determination, at any time, that my employment should be terminated. The Company is an Equal Employment Opportunity Employer and considers all applicants without regard to race, color, religion, gender, national origin, age, marital status, veteran’s status, the presence of a mental, physical or sensory disability, sexual orientation, or any other legally protected status.  Employment shall be based solely on the needs of the companies and the qualifications of the individuals making application.