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Application For Employment
Please enable JavaScript in your browser to complete this form.
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Step
1
of 5
Personal Information
Name
*
First
Middle
Last
Did you previously have a different name?
*
Yes
No
Previous Name
First
Middle
Last
Present Address
*
Address Line 1
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Have you lived at this address for more than 7 years?
*
Yes
No
Previous Address (if less than 7 years)
Address Line 1
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Address Line 1
City
Select State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Email Address
*
Phone/Work #
*
Referred By
*
Next
Employment Desired
Position
*
Date you can start
*
Salary Desired
*
Are you presently employed?
*
Yes
No
If so, may we inquire of your present employer?
*
Yes
No
Have you ever applied to this company before?
*
Yes
No
When?
Next
Education
Select all education levels that apply
*
High School
Undergraduate School/University
Graduate School/University
Trade/Business/Correspondence School
High School Name & Location
# of years
Did you graduate?
Yes
No
Undergraduate School/University
# of years
Did you graduate?
Yes
No
Subject Studied
Graduate School Name & Location
# of years
Did you graduate?
Yes
No
Subject Studied
Trade/Business/Correspondence School Name & Location
# of years
Did you graduate?
Yes
No
Subject Studied
Subject(s) of special study/research work
Have you ever been convicted of, pled guilty to or no contest to a felony offense?
Yes
No
If so, please explain
Convictions include sentenced to confinement, paid fine, time served, placed on probation (including deferred adjudication) and court-ordered restitution. Felony conviction is not an automatic disqualification for employment.
Have you served in the U.S. Military or Naval Service?
Yes
No
Dates Served
Branch, Rank & Discharge Type
Next
Former Employment
List below last four employers, starting with your current or most recent employer first.
Employment Date (Start-End)
Name, Address & Phone of Employer
Supervisor
Start-End Salary
Position
Reason for Leaving
Employment Date (Start-End)
Name, Address & Phone of Employer
Supervisor
Start-End Salary
Position
Reason for Leaving
Employment Date (Start-End)
Name, Address & Phone of Employer
Supervisor
Start-End Salary
Position
Reason for Leaving
Next
If you would like to upload your resume, you may do so here
Click or drag a file to this area to upload.
INS COMPLIANCE:
Proof of right to work in the United States is required.
DRUG-FREE WORK PLACE:
In our pursuit for a drug free workplace, we require pre-employment drug testing, post accident drug testing and random drug testing.
Acknowledgment and Authorization
By digitally signing below:
I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that if employed, falsified statements on this application shall be grounds for dismissal. I acknowledge that employment at the company is "at will'' and that employment may be terminated at any time, for any reason.
I authorize investigation of all information concerning my previous employment and any pertinent information that may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.
I understand that employees of Arminius Corporation d/b/a Laundry House may act as agents of the company in verifying the above information, and that any subsequent offer of employment or employment agreement may be made solely by the employer of record.
Applicant Signature
*
Date
*
Submit