type source name or friend's name if you choose other
Please answer the following questions
1. Are you legally able to work in the
United States? YesNo
2. If hired, can you present evidence
of your U.S. Citizenship or proof of your work permit?
YesNo
3. Are you under 18 years old?
(If under 18, hire is subject to verification that you are
of minimum legal age.) YesNo
4. Have you ever been convicted a criminal
of offence (felony or serious misdemeanor)?(Convictions for
marijuana related offenses that are more than 2 years oldneed
not be listed.) YesNo
5. If yes, state nature of crime(s), when
and whereconvicted and disposition of case. (Criminalconviction
per se shall not necessary disqualify foremployment.)
Criminal conviction will not necessarily
disqualify an applicant. However, failure to answer these
questions accurately and completely is sufficient cause for
temination.