Job Application

Equal access to programs, services, and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the Company.

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First name

Last name

Phone

Address (Street, City, State, Zip Code)

Position Applied For

Social Security Number

How did you hear about Flex-Erect?

Are you 18 or older?

Yes

If no, please explain.

Are you legally eligible for employment in this country?

Yes

Date Available for Work

Desired Salary Range

Type of Employment Desired

Part-Time

Full-Time

Driver’s License Number

State of Driver's License

Answering “yes” to the following question does not constitute an automatic bar to employment. Factors such as the date of the offense, seriousness and nature of the violation, rehabilitation, and position applied for will be taken into account.

Have you ever pled “guilty” or “no contest” to, or been convicted of a crime?

Yes

If yes, please provide date(s) and details.