Management Application

Please attach your resume:

Max. file size: 20 MB.

Your Personal Information

Your Name*

First Last

Your Email Address*

Enter Email Confirm Email

Your Home Address*

Street Address Unit / Suite Number City State Zip Code

Social Security Number (Last 4 digits only)*

Your Phone*

Best Time To Call You*

When is the best time for us to reach you via telephone?

Available start date*

Are you at least 16 years of age or older?*

Yes
No

If No, enter date of birth:

Current employment status*

Employed
Self-Employed
Unemployed
Student

Have you been convicted of or plead no contest to a crime other than minor traffic offense?*

Yes
No

If Yes, please explain

Have you ever been involuntarily discharged from a job?*

Yes
No

If Yes, please explain

Availability*

If hired, the days and hours you have listed may be taken into consideration in our scheduling process. If you have any conflicts please list them:

Education

List All High School, College, University of Technical Training. Include number of years completed and if you graduated and if so with what degree.

Previous Employment

Please list your previous employers, the dates you worked and the position you held.

Reference 1

Company	Position	Starting Date	Ending Date	Phone	Supervisor	Reason for leaving

Company Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Reference 2

Company	Position	Starting Date	Ending Date	Phone	Supervisor	Reason for leaving

Company Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

More About You

Tell Us About Yourself*

The Legal Stuff

Terms and Conditions

By agreeing to our terms, I certify that all of the information contained in this application is true and complete. I understand that any misrepresentations or false information that I provide, either in this employment application or at any other time during the application and hiring process, may result in the disqualification of my application for employment or, if I am hired, in the immediate termination of employment at any point in the future.

I understand and agree that this employment application does not guarantee employment on any terms. I further understand and agree that, if I am hired, it will be on a strictly at-will basis, meaning that just as I am free to resign at any time, Dairi-O has the right to terminate my employment at any time, with or without cause or prior notice. No implied oral or written agreements contrary to this at-will employment basis are valid unless they are in writing and signed by the President of Dairi-O.

I understand that Dairi-O may seek to verify any or all information listed above or otherwise provided by me during the application and hiring process. I hereby expressly authorize Dairi-O to verify that information, without further notice to or consent by me, and I authorize prior employers and others from whom such verification is sought to release relevant information about me. I further authorize Dairi-O to investigate all references and secure additional information about me.

I hereby release from liability Dairi-O and its representatives for seeking such information and all other persons, corporations or organizations for furnishing such information.

Dairi-O is an Equal Opportunity Employer. Dairi-O does not discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant’s consideration for employment on a basis prohibited by local, state or federal law.

Acceptance*

I agree to the company completing a criminal background check and drug test prior to any employment offer.

Name

This field is for validation purposes and should be left unchanged.

Your Personal Information

Previous Employment

More About You

The Legal Stuff

Terms and Conditions

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