DRUG FREE WORKPLACE EMPLOYER
AN EQUAL OPPORTUNITY EMPLOYER
In compliance with Federal & State Equal Employment Opportunity laws, qualified applicants are considered for all positions without regard
to Race, Color, Religion, Sex, National Origin, Age, Disability, Marital Status or Veteran Status (except if eligible for Veterans’ Preference).
Our application has been developed to give you every opportunity to list your qualifications and abilities.
You may include a resume or provide copies of documents which help to clarify your training, education and work experience.
However, you must also fill out the application completely.
All questions must be answered factually and completely. The information you provide will be verified. For questions that do not apply
to you, insert “N/A” (not applicable).
DATE OF APPLICATION: _________________________________________________
POSITION(S) APPLIED FOR: _______________________________________________________________________________________________________
NAME SOCIAL SECURITY# ______________________________________
ADDRESS Number & Street
TIME TO CALL
TIME TO CALL ________________
ARE YOU A UNITED STATES CITIZEN?
IF NOT, DO YOU HAVE A WORK VISA? (A copy must accompany this Application).
IF THE POSITION FOR WHICH YOU ARE APPLYING REQUIRES A DRIVER’S LICENSE, DO YOU HAVE A VALID FLORIDA DRIVER’S
IF YES, LIST EXPIRATION DATE:
WHICH TYPE OF